呼和浩特420名社区儿童青少年心理卫生问题早期干预效果分析

摘要

目的 调查呼和浩特社区儿童青少年心理卫生问题的发生率,探讨对儿童青少年心理卫生问题早期社区干预的效果.方法 采用症状自评量表对呼和浩特市两个社区4所学校共420名学生进行心理卫生问题筛查,筛查出有心理卫生问题的学生120名,采用完全区段随机分组法分为干预组(80名)与对照组(40名),干预组采取为期1年的干预措施,对照组不进行任何干预,观察干预效果.结果 小学组、初中组、高中组心理问题发生率分别为34.3％(48/140)、28.6％ (40/140)、22.9％ (32/140)；干预后干预组学生除偏执因子一项评分与对照组比较差异无统计学意义(P＞0.05)外,其余9个因子得分均较对照组降低,差异有统计学意义(P＜0.05).结论 对儿童青少年的心理卫生问题应引起重视,及时发现并早期进行干预,可有效缓解其心理问题,有助于儿童青少年的健康成长.%Objective To survey the incidence of Hohhot community children and adolescent mental health problem,and discuss the early community intervention effect on the problems.Methods By the selfassessment lists of symptoms,psychological health problems screening of 420 students from four schools in two communities in Huhhot was done,120 students with mental health problem were screened out.Using completely randomized section grouping method they were divided into the intervention group(80 cases)and control group(40 cases) ;the intervention group was given a one-year intervention,while no intervention was given to the control group,and the effect of intervention was observed.Results Incidence of psychological problems in primary school,middle school,high school was 34.3 ％ (48/140),28.6％ (40/1 40),22.9％ (32/140) respectively ; after intervention,the paranoid factor score of the intervention group was not statistically significant from thecontrols (P ＞ 0.05),the rest nine factor scores were lower than the control group with statistically significant difference(P ＜ 0.05).Conclusion The children's psychological health problem should be concerned,timely discovery and early intervention can effectively alleviate their psychological problems and help with the healthy growth.