摘要目的 调查10 ～13岁儿童近1年受虐情况,探讨受虐与儿童精神障碍患病率、焦虑抑郁水平以及儿童自我意识的关系.方法 1500名10 ～ 13岁儿童首先经过儿童受虐筛查表筛查,对筛查结果阳性儿童进一步通过调查者面访核实,确定受虐儿童的同时按照相同年龄和性别匹配1名未受虐儿童作为对照.全部受虐组和对照组学生需要接受精神障碍诊断和心理卫生量表评估.结果 在被调查的学生中,过去1年在家庭中遭受虐待的比例为23.73％,男性30.44％,女性17.44％,两性间受虐率差异有统计学意义(x2=5.95,P＜0.01),男学生遭受家庭虐待的比例是女学生2倍.全部接受调查的学生中仅遭受单一虐待方式的比例为14.6％,遭受两种虐待方式的学生比例为5％,遭受3种虐待方式的学生比例为3％.受虐组学生焦虑障碍患病率高于对照组(9.26％,3.45％,x2=3.19P=0.0015),受虐组学生破坏性行为障碍的患病率高于对照组(18.53％,9.22％,x2=3.61,P=0.0001).受虐组学生儿童焦虑障碍自评量表焦虑总分高于对照组；受虐组学生自我意识量表总分低于对照组学生.结论 10 ～ 13岁儿童中家庭虐待行为广泛存在；受虐待学生精神卫生状况和自我意识差.

abstractsObjective To investigate domestic child abuse within one year before the survey being conducted in Grades 4-6 preliminary school students and explore the relationship between domestic child abuse and mental health problems including prevalence of mental disorders,anxiety,depression as well as children's selfawareness in this sample.Methods Screen Questionnaire of Child Abuse was used to screen all the students participated in the survey.For those students whose screen results were positive,further face to face interview was needed to verify the abuse history.Once a child was identified as abused one,a student without abuse history would be matched by sex and the same age.Both groups with abused history and without abuse history over past year were evaluated by the two child psychiatrists with diagnostic an statistical manual of mental disorder (DSM-Ⅳ) and mental health scales.Results 1500 10-13 year-old children received child abuse screening.23.73％ students surveyed over the past year suffered child abuse in the family.The proportion of boys who were victims of domestic child abuse was 30.44％ while 17.44％ to girls (x2 =5.95,P ＜ 0.01).The proportion of male students who were victims of domestic abuse was two times that of female students.For all participants,14.6％ had been suffered one-way abuse,5％ for two-way abuse,and 3％ for three-way abuse.Prevalence of anxiety disorder in abused students was higher than in non-abused ones (9.26％ vs 3.45％,x2 =3.19,P=0.0015).Similarly,the rate of disruptive behavior disorder in abused students was higher than in non-abused ones(18.53％vs 9.22％ x2 =3.61,P=0.0001).The total scores of The Screen for Child Anxiety Related Emotional Disorder was higher in abused students group than in non-abused students group while the total scores of Piers-Harris Children's self-concept Scale was lower in abused student group than in non-abused student group.Conclusion Domestic child abuse in 10-13 old-age students is a widespread phenomenon and abuse history over last year is associated with current mental health level.