关键词: 青少年, 中学生, 童年期不良经历, 抑郁

Abstract: Objective To investigate the prevalence of depressive symptoms among rural middle school students in Jining City,and to explore the influence of adverse childhood experiences(ACEs) on adolescent depressive symptoms. Methods From March to April 2019,students in 2 junior middle schools in Jining City were randomly selected. Childhood Trauma Questionnaire(CTQ-SF) and Center for Epidemiological Studies Depression Scale(CES-D) were used to investigate the psychological conditions of students. Results Among 715 rural junior high school students,218(30.5%) had depressive symptoms.Students had significantly different self-rating depression scores in different family structure and family income groups(F=7.397,4.169, P＜0.05).No significant difference was found in self-rating depression scores among different gender,grade,only child or not,and left behind status groups(P＞0.05). Significant differences were found in the scores of adverse childhood experience among different grade,family structure,monthly family income and left-behind status groups(P＜0.05).Adverse childhood experiences were positively correlated with depressive symptom(r=0.198—0.481,P<0.05). Multiple linear regression analysis showed that parents' divorce(b=7.037),family monthly income <5 000 yuan(b=2.219,2.212),emotional abuse in childhood(b=1.555),sexual abuse(b=0.615)and emotional neglect(b=0.203) were positively related to depressive symptoms(P<0.05). Conclusions There are some depressive symptoms in rural middle school students in Jining City. Adverse childhood experience may increase the risk of adolescent depressive symptoms,so it is supposed to reduce the occurrence of adverse childhood experience in order to improve adolescent depressive symptoms.

Key words: adolescent, middle school students, adverse childhood experiences, depression