CAJ | 학술논문

目的了解成都市小学生社交焦虑障碍时点患病率,并探讨患病影响因素.方法按分层随机整群抽样的方法抽取成都市1441名小学生,分别完成自编一般情况问卷、长处与困难量表、艾森克个性测验(7～15岁版本)、父母教养方式量表、青少年发育和健康状况评定量表(DAWBA)评估.结果 1441名成都市小学生中诊断为社交焦虑障碍者37人,时点患病率为2.6%.不同就读年级社交焦虑障碍的时点患病率有差异(三年级2.7%,四年级4.1%,五年级4.1%,六年级3.5%,z=-2.3,P=0.023)确诊人群与对照人群相比较,两组在亲社会化(z=-2.1,P=0.035)、情绪(z=-5.2,P=0.000)、品行(z=-2.8,P=0.004)、同伴(z=-3.1,P=0.002)、母亲过分干涉的教养方式(z=-3.1,P=0.002)及艾森克个性问卷的内向-外向(z=-2.0,P=0.046)、神经质(z=-3.5,P=0.000)、掩饰倾向(z=-2.3,P=0.018)因子分等方面差异有显著性.Logistic回归分析显示,年级[OR=1.38,95%CI(1.01～1.88)]、家庭所在地[OR=0.70,95%CI(0.50～0.99)]、近1年居住方式[OR=1.45,95%CI(1.06～1.99)]、情绪问题多[OR=1.31,95%CI(1.07～1.61)]、母亲过分干涉的教养方式[OR=1.13,95%CI(1.00～1.28)]与社交焦虑障碍发病有关.结论成都市小学生社交焦虑障碍时点患病率为2.6%,其发病受多种因素的影响.
목적 료해성도시소학생사교초필장애시점환병솔,병탐토환병영향인소.방법 안분층수궤정군추양적방법 추취성도시1441명소학생,분별완성자편일반정황문권、장처여곤난량표、애삼극개성측험(7～15세판본)、부모교양방식량표、청소년발육화건강상황평정량표(DAWBA)평고.결과 1441명성도시소학생중진단위사교초필장애자37인,시점환병솔위2.6%.불동취독년급사교초필장애적시점환병솔유차이(삼년급2.7%,사년급4.1%,오년급4.1%,륙년급3.5%,z=-2.3,P=0.023)학진인군여대조인군상비교,량조재친사회화(z=-2.1,P=0.035)、정서(z=-5.2,P=0.000)、품행(z=-2.8,P=0.004)、동반(z=-3.1,P=0.002)、모친과분간섭적교양방식(z=-3.1,P=0.002)급애삼극개성문권적내향-외향(z=-2.0,P=0.046)、신경질(z=-3.5,P=0.000)、엄식경향(z=-2.3,P=0.018)인자분등방면차이유현저성.Logistic회귀분석현시,년급[OR=1.38,95%CI(1.01～1.88)]、가정소재지[OR=0.70,95%CI(0.50～0.99)]、근1년거주방식[OR=1.45,95%CI(1.06～1.99)]、정서문제다[OR=1.31,95%CI(1.07～1.61)]、모친과분간섭적교양방식[OR=1.13,95%CI(1.00～1.28)]여사교초필장애발병유관.결론 성도시소학생사교초필장애시점환병솔위2.6%,기발병수다충인소적영향.
Objective To investigate the point prevalence rate of social anxiety disorder (SAD) in Chengdu primary school, and analyze the influencing factors. Methods Data came from a large representative sample of Chengdu 1441 primary school students, who were selected by stratified cluster sampling methods. They then finished self-compiled questionnaire, strengths and difficulties questionnaire, Eysenck Personality Inventory (EPI) (age 7 ～ 15 ), Egma Minnen ay Bardndosnauppforstran (EMBU) respectively. And then they had the face to face interviews with the trained psychiatrists, according to development and well - being assessment ( DAWBA,Chinese Version). Results Among 1441 Chengdu primary students, 37 of them were diagnosed SAD,with a point prevalence of 2.6% totally. The point prevalence was different in each grades, for 2.7% in grade 3,4. 1% in grade 4,4.1% in grade 5,3.5% in grade 6( z= -2.3, P=0. 023 ). Compared with the normal counterparts ,the SAD students had statistically significance different in pro-socialization ( z = -2. 1, P = 0.035 ), affection(z=- 5.2, P = 0. 001 ) , moral conduct ( z = - 2.8, P = 0. 004 ), peer( z = - 3.1, P = 0.002 ), excessive interference of maternal education ( z = - 3.1, P = 0.002 ), introversion-extroversion ( z = - 2. 0, P = 0. 046 ), neuroticism ( z =- 3.5, P= 0. 000), concealing tendency ( z= - 2.3, P= 0.018 ). Logistic regression analysis showed that: grade,family location, habitual lifestyle over the past years more emotional problem and excessive interference of maternal education were related with SAD occurrence. Conclusion The point prevalence rate of social anxiety disorder among Chengdu primary students is 2.6% ,and it was influenced by a number of factors .