
新型冠状病毒肺炎疫情下小学生心理健康状况及其影响因素
赵芷若, 曾繁杰, 任文静, 宋亚蓝, 田婧, 黎萍
中国当代儿科杂志 ›› 2021, Vol. 23 ›› Issue (6) : 626-632.
新型冠状病毒肺炎疫情下小学生心理健康状况及其影响因素
Mental health status of primary school students during the coronavirus disease 2019 epidemic and its influencing factors
目的 了解新型冠状病毒肺炎疫情期间小学生心理健康状况及其心理健康状况的影响因素。方法 分别于2020年4月(疫情期间,3 600人)、2020年9月(常态化疫情防控期间,3 089人)对吉林省6~12岁小学生进行线上问卷调查。问卷调查内容包括一般资料和儿童青少年心理健康调查量表相关内容。采用多因素logistic回归分析调查疫情期间小学生心理健康状况的影响因素。结果 疫情期间与常态化疫情防控期间两组小学生在情绪体验和意志行为两个维度比较中,疫情期间组小学生心理健康状态较差(均P < 0.05)。多因素logistic回归分析显示,随着年龄的增长小学生出现心理健康问题的风险相应降低(OR=0.895),女生出现心理健康问题的风险高于男生(OR=1.453),父亲、母亲性格介于急躁和平缓之间的小学生出现心理健康问题的风险较低(分别OR=0.496、0.470),家庭教育方式以鼓励与责骂兼顾的小学生出现心理健康问题的风险较低(OR=0.263),单亲家庭和大家庭的小学生出现心理健康问题的风险高于核心家庭(分别OR=2.995、3.446),均有统计学意义(P < 0.05)。结论 新型冠状病毒肺炎疫情对小学生情绪体验和意志行为有一定的影响,应关注疫情期间小学生的心理健康状况,尤其应关注女孩、年幼的小学生,以及来自单亲家庭、大家庭及父母性格急躁、教育方式不恰当家庭的小学生。
Objective To study the mental health status of primary school students and the factors influencing the mental health status during the coronavirus disease 2019 (COVID-19) epidemic. Methods Online questionnaire surveys were conducted among 3 600 primary school students aged 6-12 years in Jilin Province, China in April, 2020 (during the epidemic) and 3 089 primary school students in September, 2020 (during the regular epidemic prevention and control). The general information and the data related to the Mental Health Scale for Child and Adolescent were collected by the questionnaire surveys. The multivariate logistic regression analysis was used to evaluate the factors influencing the mental health status of the students during the epidemic. Results The students during the epidemic had a significantly poorer mental health status in the emotional experience and volitional behavior than those during the regular epidemic prevention and control (P < 0.05). The multivariate logistic regression analysis showed the risk of psychological problems of the students decreased with age (OR=0.895). The girls were at a higher risk of psychological problems than boys (OR=1.453). The students with father's and mother's charater between irritability and gentle were at a lower risk of psychological problems (OR=0.496 and 0.470 respectively). The students from a family with a parental education style of a combination of encouraging and scolding were at a lower risk of psychological problems (OR=0.263). The students from a single-parent family or an extended family were at a higher risk of psychological problems (OR=2.995 and 3.446 respectively). Conclusions The COVID-19 epidemic has a certain impact on emotional experience and volitional behavior of primary school students. During the epidemic, particular attention should be paid to the mental health of primary school students, especially girls, younger students, and students from single-parent families, extended families or families with impatient parents and improper parental education.
新型冠状病毒肺炎 / 突发公共卫生事件 / 心理健康 / 小学生
Coronavirus disease 2019 / Public health emergency / Mental health / Primary school student
[1] World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV)[EB/OL]. (2020-01-30)[2020-11-12]. https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov).
[2] Wang GH, Zhang YT, Zhao J, et al. Mitigate the effects of home confinement on children during the COVID-19 outbreak[J]. Lancet, 2020, 395(10228):945-947. DOI:10.1016/S0140-6736(20)30547-X. PMID:32145186.
[3] 潘苗, 张三强, 周升生, 等. 应激状态下大学生心理健康相关影响因素及应对方式[J]. 中国健康心理学杂志, 2021, 29(2):309-313. DOI:10.13342/j.cnki.cjhp.2021.02.032.
[4] Knight ZG. A proposed model of psychodynamic psychotherapy linked to Erik Erikson's eight stages of psychosocial development[J]. Clin Psychol Psychother, 2017, 24(5):1047-1058. DOI:10.1002/cpp.2066. PMID:28124459.
[5] 程灶火, 袁国桢, 杨碧秀, 等. 儿童青少年心理健康量表的编制和信效度检验[J]. 中国心理卫生杂志, 2006, 20(1):15-18. DOI:10.3321/j.issn:1000-6729.2006.01.004.
[6] 程灶火. 儿少心理健康量表[M]//杨玉凤. 儿童发育行为心理评定量表. 北京:人民卫生出版社, 2016:352-358.
[7] 李少闻, 王悦, 杨媛媛, 等. 新型冠状病毒肺炎流行期间居家隔离儿童青少年焦虑性情绪障碍的影响因素分析[J]. 中国儿童保健杂志, 2020, 28(4):407-410. DOI:10.11852/zgetbjzz2020-0169.
[8] 江玲, 罗心瑜, 唐华, 等. 疫情防控下中学生心理健康状况的调查及教育对策[J]. 中小学心理健康教育, 2020(17):60-62.
[9] 林素兰, 王丹, 咸亚静, 等. 乌鲁木齐市小学生社交焦虑和抑郁现状调查[J]. 中国当代儿科杂志, 2018, 20(8):670-674. DOI:10.7499/j.issn.1008-8830.2018.08.013. PMID:30111478.
[10] 杜莲, 邱田, 蒙华庆, 等. 重庆市主城区小学生心理健康的流行病学调查[J]. 重庆医科大学学报, 2011, 36(5):629-631. DOI:10.13406/j.cnki.cyxb.2011.05.003.
[11] 张嫚茹, 王国强, 刘健, 等. 家庭环境、教养方式和人格对青少年心理障碍的影响路径[J]. 中华行为医学与脑科学杂志, 2018, 27(4):361-365. DOI:10.3760/cma.j.issn.1674-6554.2018.04.015.
[12] 高猛, 李雨辰, 张伟. 父母冲突与儿童青少年心理健康:自我概念的中介作用[J]. 中国当代儿科杂志, 2017, 19(4):446-451. DOI:10.7499/j.issn.1008-8830.2017.04.017. PMID:28407834.
[13] 汪燕妮, 薛红丽, 陈倩. 家庭亲密度和适应性对学龄前儿童行为问题的影响[J]. 中国当代儿科杂志, 2016, 18(5):421-425. DOI:10.7499/j.issn.1008-8830.2016.05.009. PMID:27165591.
[14] 魏宏萍, 杨放如. 男性青少年犯罪的社会心理因素研究[J]. 中国当代儿科杂志, 2011, 13(11):904-907. PMID:22099202.
[15] 康琳琳, 卢小焕, 卢柳霞, 等. 东莞市中小学生复学后的心理健康状况与应对策略[J]. 中国健康心理学杂志, 2021, 29(3):381-387. DOI:10.13342/j.cnki.cjhp.2021.03.013.