Mapping Adolescent Mental Well-Being — 30 PLADs, China, 2019
A comprehensive study of 99,788 Chinese adolescents aged 13–18 reveals significant insights into mental well-being across the nation. The research, based on the 2019 Chinese National Survey on Students' Constitution and Health, found that the WEMWBS score was 52.64 (11.26), with 21.0% of adolescents having high mental well-being. Regional disparities were evident, with eastern provincial-level administrative divisions (PLADs) showing higher rates of mental well-being. Factors associated with lower mental well-being included older age, female gender, rural residence, and not being an only child. Parental education levels, particularly maternal, positively correlated with adolescent mental well-being. The study highlights the need for targeted interventions, especially in remote regions and for left-behind children. Recommendations include expanding mental health support, improving parental understanding, and early detection of issues. These findings are crucial for achieving global health goals and implementing China's health initiatives. The research underscores the importance of prioritizing adolescent mental health in public health strategies to ensure lifelong well-being.
青少年心理健康测绘 — 中国30个省级行政单位，2019年
本研究描述了中国13–18岁青少年的主观幸福感情况，并分析其影响因素，识别关键群体。本研究使用2019年全国学生体质与健康调研数据，共纳入99,788名13–18岁青少年。调查研究使用沃里克-爱丁堡积极心理健康量表（WEMWBS）评估青少年的主观幸福感。采用多分类逻辑回归模型分析青少年主观幸福感的影响因素。结果显示中国13–18岁青少年WEMWBS评分为52.64（11.26），高主观幸福感率为21.0%。与东部省份的青少年相比，中部和西部省份的青少年表现出较低的主观幸福感水平，东北省份的青少年则表现出较高的主观幸福感水平。年龄较高（OR=0.80, 95% CI: 0.76–0.83）、女性（OR=0.54, 95% CI: 0.51–0.56）、居住在农村地区（OR=0.86, 95% CI: 0.82–0.91）以及非独生子女（OR=0.64, 95% CI: 0.60–0.67）等因素与青少年较低的主观幸福感水平相关。此外，较高的父母教育水平对青少年的主观幸福感水平具有积极影响。本研究对中国青少年的主观幸福感状况进行了全面调查和评估，中部和西部省份的青少年主观幸福感水平较低。心理健康干预应重点关注高年龄段、女性、乡村、非独生子女及父母文化程度较低的人群，并可考虑采用地理针对性干预措施以提高中国青少年的心理健康水平。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.159


The Association Between Multidimensional Influencing Factors and Depressive Symptoms in Chinese Adolescents — Beijing Municipality, China, July 2022–April 2023
To analyze the influencing factors of depressive symptoms in adolescents and lay a foundation for identifying intervention targets. A cross-sectional study was applied in this study with 1,671 adolescents in Beijing were included. Multiple linear regression model and undirected network were used to systematically present the correlation of personality characteristics, coping style, peer victimization, childhood abuse, parent-child attachment, and stress with depressive symptoms in adolescents. At the level of individual factors, positive coping style (t=-6.26) and extroverted personality (t=-3.88) were protective factors for depressive symptoms in adolescents (P<0.001). Negative coping style (t=4.13) and neuroticism personality (t=5.98) were risk factors for depressive symptoms in adolescents (P<0.001). At the family and school environment level, emotional abuse (t=6.16), emotional neglect (t=3.13), and peer victimization (t=5.82) were risk factors for depressive symptoms in adolescents (P<0.05). At the mezzo system level, stress (t=3.33) was a risk factor for depressive symptoms in adolescents (P<0.05). The results of network analysis showed that neuroticism personality, positive coping style and emotional abuse were the direct influencing factors of childhood depressive symptoms in adolescents, and the effect of stress on depressive symptoms was mainly mediated by personality characteristics. Neuroticism personality, negative coping style and emotional abuse are important risk factors for depressive symptoms in adolescents. Extraversion personality and positive coping style are associated with a lower risk of depressive symptoms in adolescents.
中国青少年多维影响因素与抑郁症状的关联 — 中国北京市，2022年7月–2023年4月
本研究旨在分析青少年抑郁症状影响因素，为明确干预靶点奠定基础。研究采用横断面研究设计，纳入北京市1,671例青少年进行分析。采用多元线性回归模型及无向加权网络等方法进行分析，系统呈现人格特征、应对方式、同伴欺凌、儿童期虐待、亲子依恋及压力等因素与青少年抑郁症状的相关关系。在个体因素层面，积极应对方式（t=-6.26）、外向型人格（t=-3.88）是青少年抑郁症状的保护因素（P<0.001）；而消极应对方式（t=4.13）、神经质人格（t=5.98）是青少年抑郁症状的危险因素（P<0.001）。在家庭和学校因素层面，情感虐待（t=6.16）、情感忽视（t=3.13）、校园欺凌（t=5.82）是青少年抑郁症状的危险因素（P<0.05）。在中间系统层面，压力（t=3.33）是青少年抑郁症状的危险因素（P<0.05）。网络分析结果显示，个体因素中的神经质人格、积极应对方式及微观系统因素中儿童期情感虐待是青少年抑郁症状较强的直接影响因素，压力对抑郁症状的作用主要通过人格特征介导体现。神经质人格、消极应对方式及儿童期情感虐待是青少年抑郁症状的重要危险因素；而外向性人格及积极应对方式与青少年抑郁症状风险较低相关。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.160


Exploring Multiple Perspectives on Psychological Health of Adolescents in Relation to Gender and School Grade — Jiangsu Province, China, 2022
A comprehensive study in China reveals escalating mental health issues among children and adolescents, with significant gender and grade-level differences. The research, part of the "School-based Evaluation Advancing Response for Child Health (SEARCH)" project, surveyed over 11,000 students, along with caregivers and teachers. Findings show that 23.02% of students exhibited depressive symptoms, 33.70% experienced anxiety, and 16.79% showed signs of stress. Girls in junior and senior high school demonstrated higher rates of depression, anxiety, stress, and related issues compared to boys. Mental health challenges increased progressively from primary to senior high school. The study also found that girls' self-reports aligned more closely with caregiver assessments, while agreement between student and teacher reports decreased in higher grades. Additionally, boys showed higher rates of risk behaviors like smoking and alcohol consumption. These findings underscore the need for early detection, gender-specific interventions, and improved mental health services in schools. The researchers recommend establishing dedicated psychological health platforms, training school staff, and developing a collaborative "family-school-healthcare" model to address these growing concerns effectively.
基于多元视角探索儿童青少年心理健康与性别和学段的关系 —中国江苏省，2022年
儿童青少年的心理健康问题是中国的一个重要公共卫生问题。本研究从家庭和学校系统的角度，探讨不同性别和学段的儿童青少年心理健康症状和健康风险行为, 为儿童青少年的心理健康问题的早期识别和干预提供重要的支持和指导。本研究对江苏省内11,427名儿童青少年进行了横断面调查，包括6,083名男性和5,344名女性，涵盖“小学-初中-高中”学段，并收集8,839名监护人和1,656名教师的有效信息。采用描述性分析和卡方检验的方法，用于探讨心理健康相关症状和健康风险行为的关联，针对长处与困难量表，进行了一致性检验。研究显示心理健康问题存在性别差异，与男生相比，初高中女生的抑郁、焦虑和压力情绪检出率更高。从小学到高中，心理健康检出率呈递增趋势。一致性检验结果表明，女生的自我报告与监护人的评估更为一致，而学生和老师的报告之间的一致性随年级增高而降低。青少年心理健康问题的早期发现、针对性的采取干预措施和提升学校心理健康服务是非常必要的。应当建立学校心理健康监测制度、加强师生相关培训，推进的“家庭-学校-医疗卫生机构”三位一体的干预模式，以有效地解决心理健康问题日益增长的现状。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.161


Comprehensively Strengthen and Improve Students’ Mental Health System in the New Era
As an important part of the overall health and well-being of mankind, mental health is an important public health issue that affects the future of human society. The Special Action Plan for Comprehensively Strengthening and Improving the mental health work of Students in the New Era (2023–2025) marks that China's attention to children and adolescents' mental health work has reached a new height. This study expounded the background and significance of the Special Action Plan, its setting process, main content, key points and highlights, and its implementation, which will enhance the international understanding of the implementation strategy of China's mental health work, especially the great potential of school health work in the field of mental health.
全面加强和改善新时代学生心理健康体系
心理健康是人类整体健康和福祉的重要组成部分，是影响人类社会未来的重要公共卫生问题。《全面加强和改进新时代学生心理健康工作专项行动计划(2023-2025年)》标志着中国对儿童青少年心理健康工作的重视达到了一个新的高度。本研究阐述了《专项行动计划》出台的背景和意义、制定过程、主要内容、重点和亮点以及后续实施情况，将增进国际社会对中国心理健康工作实施战略的认识，特别是学校卫生工作在心理健康领域的巨大潜力。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.162


The Role of Peer Support in Promoting Mental Health of Chinese Adolescents
The mental health concerns of China's children and adolescents are increasingly coming to the fore. While research on mental health has been conducted in institutions of higher education, there has been a lack of research on peer support for adolescent mental health. The benefits of peer support among children and young people have been well-documented in academic settings, particularly concerning academic support around the world. This article mainly uses literature research method to analyze and summarize the literature on peer support for adolescent mental health. It mainly analyzes the impact of peer support activities on adolescent mental health and puts forward corresponding suggestions. This article provides an update on the progress and future application of peer support for adolescent mental health in China. The international and domestic development prospects of adolescent mental health peer support are promising. Adolescent mental health peer support provides a unique opportunity for young people to connect with others who understand their experiences and can offer meaningful support and guidance. Adolescents can consolidate their knowledge and gain an increased sense of responsibility and personal growth through this process. Overall, peer support can provide a valuable contribution to educational settings and positively impact the lives of young people.
同伴支持在促进中国青少年心理健康中的作用
本文旨在探讨中国青少年心理健康领域中同伴支持的重要性和影响。尽管高等教育中对心理健康问题进行了广泛研究，但对青少年心理健康中同伴支持的探讨仍然相对不足。国内外学术界已经充分证明了儿童和青少年之间同伴支持的益处。本文主要采用文献研究法，对青少年心理健康领域中的同伴支持文献进行了系统的分析和综述。重点分析了同伴支持活动对青少年心理健康的具体影响，并提出了相关的建议。研究结论表明，同伴支持在中国青少年心理健康中具有重要的作用和广阔的应用前景。这种支持为青少年提供了与能够理解他们经历并提供实质性支持与指导的人联系的机会。通过这一过程，青少年不仅能够增强知识，还能增加责任感和个人成长。总体而言，同伴支持对教育环境有积极贡献，对青少年的生活产生积极影响。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.163