斯里兰卡科伦坡地区 13-15 岁学龄儿童焦虑症的患病率及其相关因素

Sinha De Silva, Sudharshi Senaviratne, Dulani Samaranayake
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Multivariable analysis with binary logistic regression was carried out using backward elimination method to determine the association between anxiety disorders and selected correlates identified at bivariate analysis at p<0.05 level.Results: The adjusted prevalence of anxiety disorders was 12.3% (95% CI: 9.8% to 14.9%) Factors significantly associated with having any anxiety disorders at the multivariable analysis  included  being female (OR=3.0, 95% CI:2.0-4.4,p<0.001), residing away from the family (OR= 4.6, 95%:1.2-17.8, p=0.027), low to moderate self-esteem (OR=1.6, 95% CI: 1.1-2.5, p=0.022), having Stress (OR=2.3, 95%, CI: 1.5-3.6, p= <0.001), having Depression (OR= 2.5, 95% CI: 1.4-4.5, p<0.001), attending tuition classes for 5-7 days per week (OR=2.9, 95% CI: 1.9-4.3, p<0.001), non-engagement in sports activities (OR=1.6, 95%CI: 1.1-2.6, p=0.028), having a sibling/s less than one year of age ( OR=2.9, 95% CI: 1.2-6.6, p=0.015), father’s low level of education (OR=2.0, 95% CI: 1.1-3.8 p=0.044) and mother engaged in foreign employment (OR=5.3 , 95% CI: 2.0-13.9,p= 0.001), having an insecure attachment style (OR=2.7, 95% CI: 1.8-4.0, p<0.001).Conclusions: The prevalence of AD is high in this community and is associated with multiple personal, family, and educational factors. 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引用次数: 0

摘要

背景:焦虑症(AD)是儿童和青少年中最普遍的心理问题,由于其性质,在很大程度上仍未被发现。如果不加以治疗,焦虑症可能会导致许多不良后果。本研究旨在评估在斯里兰卡科伦坡区公立僧伽罗语中等学校就读的 13-15 岁儿童中焦虑症的患病率及其相关因素:通过分层群组抽样,对僧伽罗语授课的公立学校中 1524 名 13-15 岁的儿童进行了一项基于学校的横断面研究。使用预先测试过的自填式调查问卷对是否存在 "任何焦虑症 "及其相关因素进行了评估,其中包括经过验证的儿童焦虑相关障碍筛查(SCARED)。采用反向排除法对二元逻辑回归进行了多变量分析,以确定焦虑症与二元分析中确定的某些相关因素之间的关系,P<0.05:在多变量分析中,与焦虑症显著相关的因素包括女性(OR=3.0,95% CI:2.0-4.4,p<0.001)、远离家庭居住(OR= 4.6,95%:1.2-17.8,p=0.027)、中低自尊(OR=1.6,95% CI:1.1-2.5,p=0.022)、压力(OR=2.3,95%,CI:1.5-3.6,p= <0.001)、抑郁(OR= 2.5,95% CI:1.4-4.5,p<0.001)、每周上 5-7 天补习班(OR=2.9,95% CI:1.9-4.3,p<0.001)、不参加体育活动(OR=1.6,95%CI:1.1-2.6,p=0.028)、兄弟姐妹年龄小于 1 岁(OR=2.9,95% CI:1.2-6.6,p=0.015)、父亲受教育程度低(OR=2.0,95% CI:1.1-3.8,p=0.044)、母亲在国外工作(OR=5.3 ,95% CI:2.0-13.9,p= 0.001)、依恋方式不安全(OR=2.7,95% CI:1.8-4.0,p<0.001):该社区的注意力缺失症发病率很高,与个人、家庭和教育等多种因素有关。需要考虑在常规心理健康服务中筛查自闭症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and correlates of anxiety disorders among school children aged 13-15 years in Colombo District, Sri Lanka
Background: Anxiety disorders (AD) being the most prevalent psychological problem among children and adolescents remain largely unrecognized due to their nature. If untreated, AD could lead to many adverse outcomes. The aim of this study was to assess the prevalence and correlates of anxiety disorders among children aged 13-15 years attending government Sinhala medium schools in Colombo district, Sri LankaMethods: A school based cross-sectional study was conducted among 1524 children in Sinhala-medium government schools aged 13-15 years old selected by stratified cluster sampling. The presence of “any anxiety disorder” and its correlates were assessed using a pre-tested self-administered questionnaire that included validated Screen for Child Anxiety Related Disorders (SCARED). Multivariable analysis with binary logistic regression was carried out using backward elimination method to determine the association between anxiety disorders and selected correlates identified at bivariate analysis at p<0.05 level.Results: The adjusted prevalence of anxiety disorders was 12.3% (95% CI: 9.8% to 14.9%) Factors significantly associated with having any anxiety disorders at the multivariable analysis  included  being female (OR=3.0, 95% CI:2.0-4.4,p<0.001), residing away from the family (OR= 4.6, 95%:1.2-17.8, p=0.027), low to moderate self-esteem (OR=1.6, 95% CI: 1.1-2.5, p=0.022), having Stress (OR=2.3, 95%, CI: 1.5-3.6, p= <0.001), having Depression (OR= 2.5, 95% CI: 1.4-4.5, p<0.001), attending tuition classes for 5-7 days per week (OR=2.9, 95% CI: 1.9-4.3, p<0.001), non-engagement in sports activities (OR=1.6, 95%CI: 1.1-2.6, p=0.028), having a sibling/s less than one year of age ( OR=2.9, 95% CI: 1.2-6.6, p=0.015), father’s low level of education (OR=2.0, 95% CI: 1.1-3.8 p=0.044) and mother engaged in foreign employment (OR=5.3 , 95% CI: 2.0-13.9,p= 0.001), having an insecure attachment style (OR=2.7, 95% CI: 1.8-4.0, p<0.001).Conclusions: The prevalence of AD is high in this community and is associated with multiple personal, family, and educational factors. Screening for ADs need to be considered at routine mental health services.
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