我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

青少年超重肥胖及校园欺凌与抑郁的关系研究(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年14期
页码:
2574-2578
栏目:
儿少卫生与妇幼保健
出版日期:
2022-07-30

文章信息/Info

Title:
Study on relationship of overweight/obesity and school bullying with depression in adolescents
作者:
康利1; 张福艳1; 范晖2
1. 自贡市疾病预防控制中心疾控二所，四川 自贡643000；
2. 川北医学院预防医学系，四川 南充637000
Author(s):
KANG Li*;  ZHANG Fu-yan;  FAN Hui
*Zigong Center for Disease Control and Prevention, Zigong, Sichuan 643000, China
关键词:
超重; 肥胖; 欺凌; 抑郁
Keywords:
Overweight;  Obesity;  Bullying;  Depression
分类号:
R174；G444
DOI:
10.20043/j.cnki.MPM.202201196
文献标识码:
A
摘要:
目的 了解青少年超重肥胖及校园欺凌对抑郁的联合作用，为防控青少年抑郁提供科学证据。方法 2020年于自贡市进行一次横断面调查，共调查三个区两个县的11所中学。对所有研究对象进行抑郁、校园欺凌等问卷调查和身高、体重等体格测量。使用多重线性模型和logistic模型在控制协变量后分析超重肥胖与校园欺凌的联合作用与抑郁的关系。结果 3 022名青少年（51.8%男性；平均年龄14.5岁）纳入本研究，超重肥胖率为17.3%，校园欺凌率为20.2%，抑郁平均得分为11.8，抑郁倾向占比25.6%。超重肥胖青少年相对于体重正常青少年其受到校园欺凌的可能性更高（23.3% vs 19.5%，P = 0.046）。相对于无超重肥胖且未受到校园欺凌的青少年，无超重肥胖但受到校园欺凌的青少年和超重肥胖且受到校园欺凌的青少年抑郁得分更高（β = 3.88，P＜0.001； β = 5.04，P＜0.001）、抑郁倾向更明显（OR = 2.37，95%CI：1.88～2.98，P＜0.001；OR = 3.11，95%CI：2.07～4.65，P＜0.001）；超重肥胖但未受到校园欺凌的青少年的抑郁得分和抑郁倾向无差异。无超重肥胖且未受到校园欺凌、超重肥胖但未受到校园欺凌、无超重肥胖但受到校园欺凌、超重肥胖且受到校园欺凌四组抑郁的患病风险呈上升趋势（OR = 1.49，95%CI：1.35～1.63，P＜0.001）。结论 需关注超重肥胖青少年的校园欺凌现象，以预防其出现抑郁倾向。
Abstract:
Objective To understand the joint effect of adolescent overweight/obesity and school bullying on depression, and to provide scientific evidence for the prevention and control of adolescent depression. Methods A cross-sectional survey was conducted in 11 middle schools from two counties and three districts of Zigong in 2020. Participants were asked to complete a questionnaire to collect information for depression and bullying at school and to undergo physical examinations for weight and height. Multiple linear models and logistic models were used to analyze the association of overweight/obesity and bullying at school with depression after controlling for covariates. Results In total 3 022 adolescents (51.8% male; mean age: 14.5 years) were included in this study, with overweight/obesity rate of 17.3%, school bullying rate of 20.2%, mean depression score of 11.8, and depressive tendency of 25.6%. Overweight and obese adolescents were more likely to be bullied in school than normal weight adolescents (23.3% vs. 19.5%, P=0.046). Adolescents who were not overweight and obese but were bullied at school had higher depression scores (β=3.88, P<0.001; β=5.04, P<0.001) and more pronounced depressive tendencies (OR=2.37, 95%CI: 1.88-2.98, P<0.001; OR=3.11, 95%CI: 2.07-4.65, P<0.001) than adolescents who were not overweight and obese and were not bullied at school. There were no differences in depression scores and depressive tendencies among adolescents who were overweight and obese but not exposed to school bullying. There was an increasing risk of depression in four groups: no overweight/obesity and no school bullying, overweight/obesity but no school bullying, no overweight/obesity but school bullying, and overweight/obesity and school bullying (OR=1.49, 95%CI: 1.35-1.63, P<0.001). Conclusion Attention to school bullying in overweight and obese adolescents is needed to prevent depressive tendencies.

参考文献/References

[ 1 ]Clayborne ZM, Varin M, Colman I. Systematic review and Meta - Analysis: adolescent depression and Long - Term psychosocial outcomes[J]. Journal of the American Academy of Child and Adolescent Psychiatry, 2019, 58(1): 72 - 79.
[ 2 ]Jacob L, Smith L, Jackson SE, et al. Secondhand smoking and depressive symptoms among In - School adolescents[J]. American Journal of Preventive Medicine, 2020, 58(5): 613 - 621.
[ 3 ]杨斌，武春雷，王博，等．青少年传统欺凌、网络欺凌与心理健康的关系研究[J]．现代预防医学，2020，47（4）：673 - 677．Yang B, Wu CL, Wang B, et al. Study on the relationship between traditional bullying, cyberbullying and mental health among adolescents[J]. Modern Preventive Medicine, 2020, 47(4): 673 - 677.
[ 4 ]张紫微，楼超华，钟向阳，等．校园欺凌中不同角色与抑郁的相关性[J]．中国学校卫生，2019，40（2）：228 - 231．Zhang ZW, Lou CH, Zhong XY, et al. Relationship between different roles in campus bullying and depression[J]. Chinese Journal of School Health, 2019, 40(2): 228 - 231.
[ 5 ]汪耿夫，王秀秀，方玉，等．青少年传统欺凌、网络欺凌与抑郁症状的相关性研究[J]．中华预防医学杂志，2015，49（8）：722 - 727．Wang GF, Wang XX, Fang Y, et al. Study on the relationship between traditional bullying, cyberbullying and depression in adolescents[J]. Chinese Journal of Preventive Medicine, 2015, 49(8): 722 - 727.
[ 6 ]陈婷，范奕，张子华，等．江西省中学生校园受欺凌行为与抑郁的相关性[J]．中国学校卫生，2020，41（4）：600 - 603．Chen T, Fan Y, Zhang ZH, et al. Relationship between bullying behavior and depression in Middle school students in Jiangxi Province[J]. Chinese Journal of School Health, 2020, 41(4): 600 - 603.
[ 7 ] 李芳，刘素，李长风，等．武汉市青少年超重肥胖状况及对被欺凌的影响[J]．中国学校卫生，2020，41（9）：1343 - 1345．Li F, Liu S, Li CF, et al. Relationship between bullying victimization and overweight/obesity among adolescents in Wuhan[J]. Chinese Journal of School Health, 2020, 41(9): 1343 - 1345.
[ 8 ]阳秀英，李新影．青少年超重、肥胖与抑郁和行为问题的关系[J]．中国心理卫生杂志，2016，30（7）：519 - 526．Yang XY, Li XY. Relations of overweight and obesity to depression and externalizing behavior in adolescents[J]. Chinese Mental Health Journal, 2016, 30(7): 519 - 526.
[ 9 ]洪忻，李解权，梁亚琼，等．南京市中学生超重、肥胖与抑郁症状调查[J]．中国心理卫生杂志，2008，22（10）：744 - 748．Hong X, Li JQ, Liang YQ, et al. Investigation on overweight,obesity and depression among Middle School students in Nanjing[J]. Chinese Mental Health Journal, 2008, 22(10): 744 - 748.
[ 10 ]刘浩，余金明，陈芳，等．上海市中学生肥胖与抑郁的关系[J]．上海医学，2007，30（10）：777 - 778．Liu H, Yu JM, Chen F, et al. Relationship between obesity and depression among Middle school students in Shanghai[J]. Shanghai Medical Journal, 2007, 30(10): 777 - 778.
[ 11 ]Kanders SH, Nilsson KW, ?slund C. Body mass index and bullying victimization as antecedents for depressive symptoms in a Swedish youth cohort[J]. Journal of Public Health, 2021, 60(3): 1460.
[ 12 ]Nemiary D, Shim R, Mattox G, et al. The relationship between obesity and depression among adolescents[J]. Psychiatric Annals, 2012, 42(8): 305 - 308.
[ 13 ]国家卫生健康委．关于印发儿童青少年肥胖防控实施方案的通知[EB/OL]．[2022 - 05 - 25]．http://www.gov.cn/zhengce/ zhengceku/2020 - 10/24/content_5553848.htm．National Health Commission. Implementation plan of obesity prevention and control for children and adolescents[EB/OL]. [2022 - 05 - 25]. http://www.gov.cn/zhengce/zhengceku/2020 - 10/24/content_5553848.htm.
[ 14 ]中华人民共和国卫生和计划生育委员会．WS/T 586 - 2018 学龄儿童青少年超重与肥胖筛查（发布稿）[S]. 北京：中国标准出版社，2018．Health and Family Planning Commission of the People’s Republic of China. WS/T 586 - 2018 Screening for overweight and obesity among school - age children and adolescents[S]. Beijing: Standards Press Of China, 2018.
[ 15 ]Radloff LS. The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults[J]. Journal of Youth and Adolescence, 1991, 20(2): 149 - 166.
[ 16 ]陈祉妍，杨小冬，李新影．流调中心抑郁量表在我国青少年中的试用[J]．中国临床心理学杂志，2009，17（4）：443 - 445, 448.Chen ZY, Yang XD, Li XY. Psychometric features of CES - D in Chinese adolescents[J]. Chinese Journal of Clinical Psychology, 2009, 17(4): 443 - 445, 448.
[ 17 ]Yen CF, Liu TL, Ko CH, et al. Mediating effects of bullying involvement on the relationship of body mass index with social phobia, depression, suicidality, and self - esteem and sex differences in adolescents in Taiwan[J]. Child Abuse & Neglect, 2014, 38(3): 517 - 526.
[ 18 ]靳士立，王中刚．抑郁与肥胖共病的研究进展[J]．国际精神病学杂志，2012，39（4）：218 - 220．Jin SL, Wang ZG. Research progress of depression and obesity comorbidities[J]. International Journal of Psychiatry, 2012, 39(4): 218 - 220.
[ 19 ]傅联聪，赵海丰．肥胖与抑郁的关联机制研究进展[J]．世界最新医学信息文摘，2019，19（80）：148 - 149, 151．Fu LC, Zhao HF. Advances in research on the mechanism of association between obesity and depression[J]. World Latest Medicine Information, 2019, 19(80): 148 - 149, 151.
[ 20 ]Rivara F, Le MS. Preventing bullying through science, policy, and practice[M]. Washington(DC): National Academies Press, 2016.
[ 21 ]Danese A, Pariante CM, Caspi A, et al. Childhood maltreatment predicts adult inflammation in a life - course study[J]. Proceedings of the National Academy of Sciences of the United States of America, 2007, 104(4): 1319 - 1324.

备注/Memo

备注/Memo:
基金项目：成都医学院四川应用心理学研究中心资助项目（CSXL-212A 18）；川北医学院博士科研启动基金（CBY18-QD02）
作者简介：康利，女，副主任医师，研究方向：学校卫生工作
通信作者：范晖，E-mail: 1577371399@qq.com
更新日期/Last Update: 2022-07-28