A Study On Mental Health Of Guarded Students In Rural Area

ObjectiveThis research aims to explore :1. the prevalence of mental disorder among the guarded students in Chongqing rural area .2. the variables related to mental disorder and their effects on mental disorder.3. the difference of life events and coping styles between the guarded students and the non-guarded students and the relationship these life events and coping styles with mental health.4.Personality differences between the guarded students and the non-guarded students.Methods1.1020 randomly Stratified students in rural area OF Chongqing city were investigated with MHT and self-designed questionnaire.2.From the 1020 students'sample, 246 guarded students and 102 non-guarded randomly chosen students who are more than 14 years old were assessed using adolescent self-rating life events checklist and coping styles questionnaire.3. From the 1020 students'sample, 139 guarded students and 139 non-guarded students chosen randomly were assessed using Eysenck Personality Questionnaire (child)。Results1.Among the 1,020 students in rural area, the detection rate of mental disorder was 5.5%. There was a significant difference between the guarded students and the non-guarded students on the detection rate of mental disorder (guarded 6.2%,non-guarded 3.4%,P<0.05). The guarded students had significant higher scores than the non-guarded students over MHT and the factors of self-blame(42.7±1.1, 33.6±1.6,P<0.01; 5.9±0.2, 4.6±0.3,P<0.01).2.By logistic regression analysis, we found such factors are risk factors for mental disorder as: the guarded students'sex, their relations with parents, their attitude on parents'leaving hometown, and the rearing attitude of their custodians.3.The guarded students scored significantly higher than the non-guarded students on the life events factors as interpersonal relation , being punished and health adaptation (8.8±0.4,7.6±0.5;7.9±0.4, 6.3±0.6; 4.4±0.2,3.0±0.3,P<0.01～0.05).4.The guarded students scored significantly higher than the non-guarded students on the negative coping style of the Coping styles factors (6.2±0.6,3.9±0.2;6.6±0.5,5.0±0.2;5.9±0.5,4.6±0.2; 7.3±0.2,4.8±0.2,P<0.01).5.The factors in MHT moderately correlated with the negative coping styles and the life events except for the losing factor(r=0.26～0.48,P<0.01). The factors in life events and coping styles explained 36%-55% variation of the scores of MHT, study anxiety, hostility, interpersonal sensitivity. The fantasy factor of negative coping styles best forecasted and explained the score of MHT.6. The guarded students scored significantly higher than the non-guarded students over the factors of EPQ related to psychoticism(P), neuroticism(N), (5.6±3.2,3.3±2.70;15.6±4.5,8.7±4.7). The guarded students scored significantly lower than the non-guarded students on the factors of EPQ related to lie(L)(10.5±4.3,13.0±4.5).7.The factors of Personality explained 21%-49% difference of the scores of MHT, study anxiety, hostility, interpersonal sensitivity,body symptom, hypersensitiveness. The neuroticism(N) best forecasted and explained the score of MHT.Conclusion1.The detection rate of mental disorder of the guarded students are significantly higher than the rate of the non-guarded students.This stituationcalls for special attention.2. The guarded students have more life events and they tend to adopt such immature coping styles as self-blame,fantasy and withdrawal and rationalization to deal with their problems.3. Both life events and coping styles are the important factors on mental health of secondary school guarded students.The life events related to interpersonal relation and study pressure are the powerful predictors for mental health. The negative coping style has considerable influence on mental health.4.There are Personality differences between the guarded students and the non-guarded students, and these differences call for special attention.