关键词: 青少年, 不良生活事件, 焦虑症状, 抑郁症状

Abstract: Objective To investigate the prevalence of adverse life events and the mental health status of rural children in Henan province, and to analyze the correlation between adverse childhood life events and mental disorders, specifically anxiety and depression. Methods A cross-sectional study was conducted among school students in a selected county in Henan province. Two middle schools and twelve senior high school classes were randomly selected from a total of ten rural middle schools and 54 classes. The questionnaire consisted of demographic information, adolescent life events, social support, depression and anxiety measures. χ²test, spearman correlation analysis, and a multivariate Logistic regression model were used for analysis. Results The detection rate of anxiety disorder among adolescents was found to be 23.22%. Abnormal interpersonal factors (OR=2.01, 95%CI:1.16 - 3.48) and academic pressure factors (OR=2.61, 95%CI:1.81 - 3.75) were identified as risk factors for anxiety(P<0.05). The detection rate of depressive symptoms among adolescents was 12.31%, with abnomal interpersonal factors (OR=1.90, 95%CI:1.01 - 3.55), academic pressure factors (OR=1.97, 95%CI:1.27 - 3.06), and health adaptation factors (OR=1.93, 95%CI:1.05 - 3.55) identified as risk factors for depression(P<0.05). Poor interpersonal relationship and academic pressure were found to be common risk factors for both anxiety and depression. Conclusions Adverse life events are common among rural children in Henan province and are correlated with mental disorders. Strengthening mental health education of secondary school students and implementing relevant countermeasures at all levels are of great social and practical significance.

Key words: adolescent, adverse life events, anxiety, depression