抑郁障碍对儿童生活质量的影响研究

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (12): 1262-1265.

抑郁障碍对儿童生活质量的影响研究

范娟¹,顾红亮²,杨慧琳²,吴兰³,易军³,杜亚松¹

1 上海交通大学医学院附属精神卫生中心,上海 200030; 2 上海市浦东新区妇幼保健院,上海 201206; 3 上海市浦东新区妇女儿童工作委员会,上海 200135

收稿日期:2013-07-16 发布日期:2013-12-06 出版日期:2013-12-06
通讯作者: 杜亚松,E-mail:yasongdu@163.com
作者简介:范娟(1971-),女,上海人,副主任医师,硕士学位,主要研究方向为儿童抑郁障碍。
基金资助:
国家自然科学基金面上项目(30970901);上海市浦东新区社发局浦东新区科技发展基金创新资金攻关项目(PKJ2008-y15)

Quality of life in children with depressive disorder.

FAN Juan¹,GU Hong-liang²,YANG Hui-lin²,WU Lan³,YI Jun³,DU Ya-song¹.

1 Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China; 2 Shanghai Pudong New Area Health Care Hospital of Women and Children,Shanghai 201206,China; 3 Shanghai Pudong New Area Municipal Women and Children Committee,Shanghai 200135,China

Received:2013-07-16 Online:2013-12-06 Published:2013-12-06
Contact: DU Ya-song,E-mail:yasongdu@163.com

摘要/Abstract

摘要： 目的探索抑郁障碍对儿童生活质量的影响。方法采用先填写量表和再进行访谈的二阶段调查法。第一阶段采用分层随机整群抽样法抽取上海市浦东新区的7所小学中3~5年级的共3 685名学生作为研究对象,全部学生需填写儿童流调用抑郁评定量表(CES-DC)、儿童少年生活质量量表、一般情况调查表,完成有效问卷的学生共有3 628名。第二阶段对CES-DC量表总分≥20分(判断有抑郁症状)的学生应用学龄期儿童情感障碍和精神分裂症问卷目前版进行一对一面谈,以美国精神障碍诊断与统计第四版手册(DSM-IV)为金标准做出诊断。共有55例符合DSM-IV“抑郁障碍”诊断的儿童作为抑郁障碍组与对照组(54例正常儿童)进行儿童少年生活质量量表的比较研究。结果抑郁障碍组儿童的生活质量量表总分及师生关系、同伴关系、亲子关系、自我概念、躯体感觉、负性情绪、作业态度、生活便利性、活动机会性、运动能力、自我满意度因子分均明显低于对照组,差异具有统计学意义(P均<0.01)。抑郁总分与生活质量总分呈负相关(r=-0.303,P=0.026)。逐步回归分析结果显示,影响儿童生活质量的因子按重要性依次为:抑郁总分、母亲文化程度、家庭氛围、居住条件、与父亲关系、与母亲关系、父亲文化程度、健康状况、性别。结论抑郁障碍儿童的生活质量较差,需引起多方关注。

关键词: 抑郁障碍, 生活质量, 儿童

Abstract: Objective To explore the quality of life and the influential factors in children with depression. Methods Questionnaire survey and interview method were adopted in this study.Stratified random cluster sampling identified 3 685 grade 3 to grade 5 students from 7 primary schools of the Pudong district in Shanghai.Students were screened using the self-completion Center for Epidemiological Studies Depression Scale for Children (CES-DC);those who scored ≥20 were administered the present state version of the Schedule for Affective Disorders and Schizophrenia for school-age children (K-SADS) by a clinician and subsequently diagnosed according to DSM-IV criteria.Finally a total of 55 children who met diagnostic criteria for depressive disorder as the depression group and 54 healthy children as the control group were assessed and compared with the Children and Adolescents' Quality of Life Scale (CAQOL). Results The overall CAQOL scores and most of the CAQOL subscale scores (teacher-student relationship,peer relationships,parent-child relationship,self-awareness,physical discomfort,negative emotions,attitude about homework,access to transportation from home,extra curricular activities,athletic ability,self-esteem) in children with depressive disorder were significantly higher than those of health controls(P<0.01).Scores on CES-DC were negatively correlated with the overall CAQOL scores(r=-0.303,P=0.026).Utilizing multiple stepwise regression found that 9 factors impact on quality of life among children,such as CES-DC total scores,educational level of mothers,family atmosphere,living conditions,mother-child relationship,father-child relationship,educational level of fathers,physical condition,gender. Conclusion The quality of life of children with depression is poor.This situation should attracted much attention.

Key words: depressive disorder, life quality, children

中图分类号:

R749.94

范娟,顾红亮,杨慧琳,吴兰,易军,杜亚松. 抑郁障碍对儿童生活质量的影响研究[J]. 中国儿童保健杂志, 2013, 21(12): 1262-1265.

FAN Juan,GU Hong-liang,YANG Hui-lin,WU Lan,YI Jun,DU Ya-song.. Quality of life in children with depressive disorder.[J]. journal1, 2013, 21(12): 1262-1265.

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