Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students
10.16835/j.cnki.1000-9817.2023.12.008
- VernacularTitle:中小学生抑郁焦虑者亚型和风险特征分析
- Author:
LI Minhui, YANG Yaming, XIAO Yue, YANG Xinwei, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, SU Liyan, MA Jun, ZHANG Xujun
1
Author Information
1. Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing (210009) , Jiangsu Province, China
- Publication Type:Journal Article
- Keywords:
Depression;
Anxiety;
Mental health;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2023;44(12):1793-1798
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand different types of depression and anxiety among primary and secondary school students, as well as their influencing factors, so as to provide a basis for the development of future intervention programs for adolescent mental health.
Methods:From December 2022 to February 2023, a self administered questionnaire survey was administered among grades 4 to 6 students and junior school, senior school students in Yixing City using Depression Anxiety and Stress Scale-21 (DASS-21), Insomnia Severity Index (ISI), Family Environment Scale (FES), and modified Yale Food Addiction Scale 2.0 (mYFAS 2.0), Ottawa Self injury Inventory (OSI). A total of 4 180 students were included in the analysis. Different types of depression and anxiety in students and their influencing factors were analyzed by the Chi squaretest and multivariate Logistic regression.
Results:The overall prevalence of depression and anxiety among primary and secondary school students were 16.6% and 22.4%, respectively, with 14.0% of depression and anxiety comorbidities. The Logistic regression results showed that, compared to students with low depression-low anxiety, students of depression and anxiety who had parents in conflicts ( OR =3.06), smoked ( OR =3.16), exhibited moderate food addiction ( OR =3.56), and had non suicidal self injury (NSSI) ( OR =2.26) were more likely to be classified as a depression predominant-depression anxiety type. Students of depression and anxiety who consumed alcohol ( OR =2.00), had serious food addiction ( OR =5.44), moderate to severe insomnia ( OR =3.25), and mild insomnia ( OR =1.88) were more likely to be classified as anxiety predominant-depression anxiety type. Students of depression and anxiety with low mood ( OR =10.87), mild food addiction ( OR =2.00), moderate food addiction ( OR =4.32), and severe food addiction ( OR =7.35), mild ( OR =2.96) or moderate to severe ( OR =16.52) insomnia, and NSSI ( OR =4.24) were more likely to be classified as the severe depression anxiety type( P < 0.05 ).
Conclusions:There are significant differences between different depression-anxiety types among primary and secondary school students with respect to food addiction, insomnia, NSSI, smoking, and alcohol use. Relevant departments should engage with schools and families to adopt targeted interventions for students to reduce the occurrence of mental health problems.
