CAJ | 학술논문

　　目的研究抑郁障碍患儿与非临床抑郁儿童的抑郁症状在不同性别、年龄间的变化特征，探求儿童抑郁障碍和抑郁症状之间可能的关系。方法用长处和困难问卷、儿童和青少年发育和健康状况评定量表对4520名8~15岁儿童进行筛查和诊断，并填写抑郁障碍自评量表（DSSC）。其中53名诊断为抑郁障碍，组成临床组；1504名未达到抑郁障碍诊断标准但DSSC分≥14分，为非临床组。分析两组儿童性别和年龄与DSSC分之间的关系。结果临床组性别和年龄间交互作用有统计学意义（F=4.40，P=0.049），非临床组性别和年龄无交互作用（F=1.04，P=0.409）；不同性别间DSSC得分临床组女生高于男生，差异有统计学意义（t=2.16，P=0.048），非临床组性别主效应无统计学意义（F=0.21，P=0.646）；不同年龄间DSSC得分临床组无差异（F=0.82，P=0.573），非临床组年龄主效应有统计学意义（F=1.96，P=0.048）。结论儿童临床抑郁障碍与非临床抑郁症状的年龄、性别特征不一致。
　　목적연구억욱장애환인여비림상억욱인동적억욱증상재불동성별、년령간적변화특정，탐구인동억욱장애화억욱증상지간가능적관계。방법용장처화곤난문권、인동화청소년발육화건강상황평정량표대4520명8~15세인동진행사사화진단，병전사억욱장애자평량표（DSSC）。기중53명진단위억욱장애，조성림상조；1504명미체도억욱장애진단표준단DSSC분≥14분，위비림상조。분석량조인동성별화년령여DSSC분지간적관계。결과림상조성별화년령간교호작용유통계학의의（F=4.40，P=0.049），비림상조성별화년령무교호작용（F=1.04，P=0.409）；불동성별간DSSC득분림상조녀생고우남생，차이유통계학의의（t=2.16，P=0.048），비림상조성별주효응무통계학의의（F=0.21，P=0.646）；불동년령간DSSC득분림상조무차이（F=0.82，P=0.573），비림상조년령주효응유통계학의의（F=1.96，P=0.048）。결론인동림상억욱장애여비림상억욱증상적년령、성별특정불일치。
Objectives To study the age and gender distribution of clinical and non-clinical depressive symptoms in chil-dren, and the potential link between non-clinical and clinical depressive symptoms. Methods 4520 children aged 8-15 years old were screened for mental disorders by Strength and Dififculties Questionnaire (SDQ) and the Development and Well Being Assessment (DAWBA), and further assessed by the Depression Self-Rating Scale for Children (DSSC). Fifty-three children diagnosed as depressive disorder were included in clinical group and 1504 children without depression disorders whose DSSC scores≥14 were included in non-clinical group. The relationship between gender, age and DSSC scores was analyzed. Results Interaction effect on DSSC scores between gender and age was found in clinical group (F=4.40, P=0.049), but not found in non-clinical group (F=1.04, P=0.409). DSSC scores of girls were higher than that of boys in clinical group (t=2.16, P=0.048). There was no statistically signiifcant main effect of gender in non-clinical group (F=0.21, P=0.646). No signiifcant difference in DSSC scores existed among different age groups in clinical group (F=0.82, P=0.573). There was signiifcant main effect of age in non-clinical group (F=1.96, P=0.048). Conclusions There were different age and gender distribution of clinical and non-clinical depressive symptoms in children.