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山东大学学报（医学版） ›› 2015, Vol. 53 ›› Issue (1): 87-92.doi: 10.6040/j.issn.1671-7554.0.2014.623

• 公共卫生与管理学 • 上一篇    下一篇

山东省农村学龄前儿童心理健康状况及影响因素

郭彬, 汪心海, 徐凌忠, 盖若琰   

  1. 山东大学公共卫生学院卫生事业管理与妇幼卫生学系, 山东 济南 250012
  • 收稿日期:2014-09-19 修回日期:2014-12-24 发布日期:2015-01-10
  • 通讯作者: 徐凌忠。E-mail:lzxu@sdu.edu.cn E-mail:lzxu@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(81202225)

Mental health status and influencing factors in preschoolers in rural areas of Shandong Province

GUO Bin, WANG Xinhai, XU Lingzhong, GAI Ruoyan   

  1. Department of Health Services Management and Maternal & Child Healthcare, Shandong University, Jinan 250012, Shandong, China
  • Received:2014-09-19 Revised:2014-12-24 Published:2015-01-10

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摘要： 目的 了解山东省农村学龄前儿童心理健康现状和影响因素,为进一步干预提供理论依据。方法 采用自行设计儿童基本情况调查表与长处和困难问卷(SDQ)家长版对699名3~5岁农村学龄前儿童进行调查分析。结果 被调查儿童情绪和行为问题检出率为29.76%,各因子异常检出率分别为:情绪症状,4.33%;品行问题,9.76%;多动注意力不集中,11.12%;同伴交往问题,6.16%;亲社会行为,12.85%。男童品行问题检出率高于女童(χ2=14.38, P<0.05),留守儿童情绪和行为问题检出率高于非留守儿童(χ2=4.07, P<0.05)。Logistic回归分析显示,监护人不知晓健康的生活方式、对抚养孩子感到有负担和精力不足、在批评孩子前不给其申诉的机会以及孩子边吃饭边看电视是儿童出现情绪和行为问题的危险因素。 结论 农村学龄前儿童情绪和行为问题检出率较高,应当引起重视并进行有效的干预。

关键词: 心理健康, 影响因素, 学龄前儿童

Abstract: Objective To explore the status and influencing factors of mental health problems in preschoolers in rural areas of Shandong Province, and provide theoretical foundation for intervention. Methods A self-designed questionnaire of children's condition and Children Strengths and Difficulties Questionnaire (SDQ) for parents were used to investigate 699 preschoolers aged 3 to 5 years in countryside. Results The abnormal prevalence of emotional and behavioral problems in the investigated preschoolers was 29.76%. The abnormal prevalences of SDQ were as follows: emotion symptom, 4.33%; morality problem, 9.76%; hyperactivity problem, 11.12%; peer intercourse problem, 6.16%; and social behavior, 12.85%. The abnormal prevalence of SDQ in male children on morality problem was higher than that in female children (χ2=14.38, P<0.05). The abnormal prevalence of SDQ in left-behind children on emotional and behavioral problems was higher than that in non-left-behind children (χ2=4.07, P<0.05). The results of logistic regression showed that the risk factors of emotional and behavioral problems in guardians were ignoring the healthy lifestyle, feeling burdened or less energetic to raise children, ignoring children's complaints and allowing children to eat while watching TV. Conclusion The prevalence of emotional and behavioral problems is high in preschoolers, so more attention should be paid and efficient intervention should be considered.

Key words: Preschoolers, Influencing factors, Mental health

中图分类号: 

  • R749.94
[1] 曲红明,李芹,刘静,等. 学龄前儿童心理行为问题与健康教育状况研究[J]. 中国儿童保健杂志,2009,17(2):165-167. QU Hongming, LI Qin, LIU Jing, et al. Health education and behavior problems in psychological research of preschool children[J]. Chinese Journal of Child Health Care, 2009, 17(2):165-167.
[2] Bele SD, Bodhare TN, Valsangkar S. An epidemiological study of emotional and behavioral disorders among children in an urban slum[J]. Psychol Health Med, 2013, 18(2):223-232.
[3] Liu X, Sun Z, Neiderhiser JM, et al. Behavioral and emotional problems in Chinese adolescents:parent and teacher reports[J]. J Am Acad Child Adolesc Psychiatry, 2001, 40(7):828-836.
[4] 万国斌,韦臻,何慧静,等. 深圳市学龄前儿童情绪问题现患率调查研究[J]. 中国儿童保健杂志, 2011, 19(12):1077-1079. WAN Guobin, WEI Zhen, HE Huijing, et al. Prevalence of emotional disorders in preschool children in Shenzhen[J]. Chinese Journal of Child Health Care, 2011, 19(12):1077-1079.
[5] Cole PM, Dennis TA, Smith-Simon KE, et al. Preschoolers emotion regulation strategy understanding: relations with emotion socialization and child self-regulation[J]. Social Development, 2009, 18(2):324-352.
[6] 胡湘英,孙洁,徐剑慧,等. 上海市静安区学龄前儿童行为调查及分析[J]. 中国儿童保健杂志,2013,21(12):1333-1336.
[7] 曾嵘,张伶俐,罗家有,等. 中国7省市农村地区4~7岁留守儿童情绪与行为问题及其影响因素研究[J].中华流行病学杂志,2009,30(7):706-709. ZENG Rong, ZHANG Lingli, LUO Jiayou, et al. Study on emotional, behavioral problems and related determinants among stranded children aged 4 to 7 years in the rural areas of China[J]. Chinese Journal of Epidemiology, 2009, 30(7):706-709.
[8] Goodman R. The Strengths and Difficulties Questionnaire: a research note[J]. JCPP, 1997, 38(5):581-586.
[9] APA. Diagnosic and statistical manual for mental disorders[M]. 4th ed. Washington, DC: APA, 1994: 78-85.
[10] 寇建华,杜亚松,夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J]. 上海精神医学,2005,17(1):25-28. KOU Jianhua, DU Yasong, XIA Liming. Reliability and validity of children strengths and difficulties questionnaire in Shanghai norm[J]. Shanghai Archives of Psychiatry, 2005, 17(1):25-28.
[11] 裴永光,刘可. 国内外儿童心理健康问题研究现状[J]. 中国儿童保健杂志,2014,22(3):278-280.
[12] 孙力菁,姜艳蕊,杨友,等. 上海地区学龄前儿童心理卫生状况及相关影响因素的研究[J]. 中国儿童保健杂志,2014,22(3):248-251. SUN Lijing, JIANG Yanrui, YANG You, et al. Shanghai preschool children's mental health problems and related risk factors[J]. Chinese Journal of Child Health Care, 2014, 22(3):248-251.
[13] 胡敏,静进,金宇,等. 广州市黄埔区学龄前儿童行为问题及影响因素的横断面调查[J]. 中国循证儿科杂志,2012,7(1):11-18. HU Min, JING Jin, JIN Yu, et al. Cross-sectional study on behavior problems and influential factors among preschool children in Huangpu district of Guangzhou[J]. Chinese Journal of Evidence-Based Pediatrics, 2012, 7(1):11-18.
[14] 王晓笳,陈中鸣. 155名10～15岁儿童长处和困难问卷(父母版)的问卷调查分析[J]. 现代实用医学,2006,18(9):662-663.
[15] 黄广文,吴虹,刘智昱,等. 1280名3~6岁儿童情绪与行为问题调查研究[J]. 中国儿童保健杂志,2012,20(7):595-597. HUANG Guangwen, WU Hong, LIU Zhiyu, et al. Investigation on emotion and behavior problems among children aged 3 to 6 years old[J]. Chinese Journal of Child Health Care, 2012, 20(7):595-597.
[16] 黄广文,吴虹,杜其云,等. 湖南省农村3~7岁留守儿童长处和困难问卷调查分析[J]. 中国儿童保健杂志,2010,18(1):26-29. HUANG Guangwen, WU Hong, DU Qiyun, et al. Analysis of behavior problems in left-behind children aged 3 to 7 years in countryside of Hunan province[J]. Chinese Journal of Child Health Care, 2010, 18(1):26-29.
[17] 赵红,罗建国,李作为,等. 农村“留守儿童”心理健康状况的性别差异分析[J]. 精神医学杂志,2007,20(1):11-13. ZHAO Hong, LUO Jianguo, LI Zuowei, et al. Gender difference analysis of mental health in rural children left[J]. Journal of Psychiatry, 2007, 20(1):11-13.
[18] 王玮,肇恒伟,郭颖,等. 农村留守儿童心理健康状况及其影响因素研究[J]. 现代预防医学,2014,41(6):994-996. WANG Wei, ZHAO Hengwei, GUO Ying, et al. Study on the mental health status and the influencing factors of left-behind children in rural areas[J]. Modern Preventive Medicine, 2014, 41(6):994-996.
[19] 于源浩,徐凌忠,盖若琰,等. 山东省农村学龄前留守儿童情绪和行为问题及影响因素分析[J]. 中国儿童保健杂志,2014,22(9):906-909. YU Yuanhao, XU Lingzhong, GAI Ruoyan, et al. Status and influence factors of pre-school children's emotional and behavioral problems in rural areas of Shandong province[J]. Chinese Journal of Child Health Care, 2014, 22(9):906-909.
[20] 姜凤萍,王晓英. 留守儿童心理健康问题研究现状分析[J]. 中国农村卫生事业管理,2013,33(2):171-174.
[21] 肖倩,洪黛玲. 学龄前儿童行为问题与家庭功能的相关性分析[J]. 中国健康心理学杂志, 2008,15(5):527-529. XIAO Qian, HONG Dailing. An investigation of the relation between behavior problems and family function of preschool children[J]. China Journal of Health Psychology, 2008, 15(5):527-529.
[22] 江翠娟,李军. 浅析儿童心理健康与家庭的关系[J]. 预防医学论坛,2009,15(3):252-256.
[23] 鲁小周. 不健康生活方式与心理健康的关系[D]. 重庆:西南大学,2010.
[24] 吴锡改,石倩倩.青少年生活方式教育与心理健康[J]. 教育导刊,2014,4:41-44.
[25] 陈绍红,廖珠根,汪时华,等. 江西省留守儿童行为问题相关因素分析[J]. 中国学校卫生,2014,35(1):95-97.
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