Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students
Abstract Background Depressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and ass...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-023-05068-1 |
| _version_ | 1797557399072014336 |
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| author | Zhangming Chen Silan Ren Ruini He Yudiao Liang Youguo Tan Yi Liu Fanglan Wang Xu Shao Shanshan Chen Yanhui Liao Ying He Jin-guang Li Xiaogang Chen Jinsong Tang |
| author_facet | Zhangming Chen Silan Ren Ruini He Yudiao Liang Youguo Tan Yi Liu Fanglan Wang Xu Shao Shanshan Chen Yanhui Liao Ying He Jin-guang Li Xiaogang Chen Jinsong Tang |
| author_sort | Zhangming Chen |
| collection | DOAJ |
| description | Abstract Background Depressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and associations of depressive and anxiety symptoms with demographic, family, school, life, and behavior factors in a large, representative sample of secondary school students in Zigong, a city in Western China. Methods Secondary school students were recruited using cluster sampling. The 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire, Multidimensional Peer-Victimization Scale, the Pittsburgh Sleep Quality Index, and Nine-Item Internet Gaming Disorder Scale-Short Form were used. Descriptive statistic was used to describe the sociodemographic characteristics of participants. The clustering effect was adjusted by the “survey” package of R to calculate weighted prevalence. Univariate and multivariate logistic regression were used to explore associated factors of depression and anxiety, respectively. Results A total of 63,205 participants were involved, in which the weighted prevalence of depression in all subjects was 23.0% (95% CI: 19.6- 27.0%), and the weighted prevalence of anxiety was 13.9% (95% CI: 11.2- 17.0%). Logistic regression results showed girls, being single-child, non-nuclear family, peer bullying, sleep disturbance, and internet gaming disorder symptoms were positively associated with depressive and anxiety symptoms. Conclusion Depressive and anxiety symptoms were prevalent among secondary school students in Western China. Our results can guide policy strategies for the assessment, prevention, and intervention of psychological status among Chinese secondary school students. |
| first_indexed | 2024-03-10T17:16:31Z |
| format | Article |
| id | doaj.art-acdf6a120e804eb3b9a461c30c43e692 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-10T17:16:31Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-acdf6a120e804eb3b9a461c30c43e6922023-11-20T10:29:51ZengBMCBMC Psychiatry1471-244X2023-08-012311910.1186/s12888-023-05068-1Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school studentsZhangming Chen0Silan Ren1Ruini He2Yudiao Liang3Youguo Tan4Yi Liu5Fanglan Wang6Xu Shao7Shanshan Chen8Yanhui Liao9Ying He10Jin-guang Li11Xiaogang Chen12Jinsong Tang13Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South UniversityDepartment of Nursing, Sichuan Vocational College of Health and RehabilitationDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South UniversityDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South UniversityDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South UniversityDepartment of Psychiatry, Zigong Mental Health CenterAbstract Background Depressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and associations of depressive and anxiety symptoms with demographic, family, school, life, and behavior factors in a large, representative sample of secondary school students in Zigong, a city in Western China. Methods Secondary school students were recruited using cluster sampling. The 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire, Multidimensional Peer-Victimization Scale, the Pittsburgh Sleep Quality Index, and Nine-Item Internet Gaming Disorder Scale-Short Form were used. Descriptive statistic was used to describe the sociodemographic characteristics of participants. The clustering effect was adjusted by the “survey” package of R to calculate weighted prevalence. Univariate and multivariate logistic regression were used to explore associated factors of depression and anxiety, respectively. Results A total of 63,205 participants were involved, in which the weighted prevalence of depression in all subjects was 23.0% (95% CI: 19.6- 27.0%), and the weighted prevalence of anxiety was 13.9% (95% CI: 11.2- 17.0%). Logistic regression results showed girls, being single-child, non-nuclear family, peer bullying, sleep disturbance, and internet gaming disorder symptoms were positively associated with depressive and anxiety symptoms. Conclusion Depressive and anxiety symptoms were prevalent among secondary school students in Western China. Our results can guide policy strategies for the assessment, prevention, and intervention of psychological status among Chinese secondary school students.https://doi.org/10.1186/s12888-023-05068-1AdolescentsMental healthPeer bullyingInternet gaming disorder |
| spellingShingle | Zhangming Chen Silan Ren Ruini He Yudiao Liang Youguo Tan Yi Liu Fanglan Wang Xu Shao Shanshan Chen Yanhui Liao Ying He Jin-guang Li Xiaogang Chen Jinsong Tang Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students BMC Psychiatry Adolescents Mental health Peer bullying Internet gaming disorder |
| title | Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students |
| title_full | Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students |
| title_fullStr | Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students |
| title_full_unstemmed | Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students |
| title_short | Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students |
| title_sort | prevalence and associated factors of depressive and anxiety symptoms among chinese secondary school students |
| topic | Adolescents Mental health Peer bullying Internet gaming disorder |
| url | https://doi.org/10.1186/s12888-023-05068-1 |
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