关键词: 青少年, 心理健康, 家庭功能, 应激感受

Abstract: Objective To understand the mental health status of adolescents in Yichang City, and to analyze the impact of family function and stress feeling on them. Method Using stratified cluster random sampling, 4 674 students from 5 middle schools in Yichang City were investigated by middle school students′ Mental Health Scale (MSSMHS), family care index and stress perception scale (PSS) in September 2021. Results The detection rate of adolescents′ psychological problems in Yichang City was 24.22% (1 132/4 674). Except for mental imbalance, the scores of other factors and total scores of girls in MSSMHS were significantly higher than those of boys (P<0.01). The total scores and scores of all factors of high school students were significantly higher than those of junior high school students (P<0.01) .Non-only children had significantly higher learning pressure and mood swing factor scores than only children (t=2.13, 2.21, P<0.05). The total scores and the scores of various factors of single-parent families and non-parent-supported students were also significantly higher than those of non-single-parent families and parent-supported students (P<0.01). Pearson analysis showed that MSSMHS total score and each factor score were negatively correlated with family care index (r ranged from -0.51 to -0.37, P<0.01), but positively correlated with stress perception (r ranged from 0.41 to 0.52, P<0.01). Multiple stepwise regression analysis showed that grade, single-parent family, family care index score, and stress score effected the mental health of adolescents (β=0.112,-0.400,-0.385, 0.400, P<0.01). Conclusions There are certain problems in the mental health of adolescents in Yichang City, which are affected by family function and environment, stress feelings, gender and grade.It is suggested that schools,families and students should cooperate together,take targeted intervention to improve adolescents′ mental health.

Key words: adolescent, mental health, family function, stress feeling