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










TRƢƠ
̀
NG ĐA
̣
I HO
̣
C GIA
́
O DU
̣
C NGUYÊ
̃
N THI
̣

̃
N THI
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MAI TM HIỂU THỰC TRNG CC BIỂU HIN TRẦM CM
CỦA HỌC SINH TRUNG HỌC CƠ SỞ QUN HONG MAI, H NI Chuyên ngành: TÂM LÝ HỌC LÂM SNG TRẺ EM V VỊ THNH NIÊN

LUN VĂN THC SĨ TÂM LÝ HỌC
Ngƣời hƣớng dẫn khoa học: GS.TS. BAhr Weiss
PGS.TS. Đặng Hoàng Minh

H NI - 2013

3

Lời cảm ơn!
***



4
DANH MỤC CHỮ VIẾT TẮT STT


1
BECK
Beck Depression Inventtory  BDI
2
HS

3
HSTHCS

4
RLTC

5
THCS

6
VTN

7
YSR
Youth Self Report
8
WHO

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MỤC LỤC

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
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
ii

iii

v

vi
MỞ ĐẦU……………………………………………………………….
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Chƣơng 1: CƠ SỞ LÝ LUN CỦA VẤN ĐỀ NGHIÊN CỨU……
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
5

5

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
8

12
1.
13


6

33

34

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Chƣơng 3: KẾT QU NGHIÊN CỨU
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
42

42
 
43
 
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3
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
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
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
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
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
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
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
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o


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
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
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


57

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            


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            




37

38

39

42
 
43
 
44

45

46

49
 theo thang Lo âu  


51
 
51

52

52






















 , 





















,  200 












 ,  5% 





 , 

















[4],[33]. 
























 [5]. 
 0,4 8,3%, 







 15 
20%[32].



















. 










































riêng, 














 , 



 , , 


phong, , 


























[3],[8],[16],[23].

10
,  











 tâm 










(2003), 












 6,7%  iên c [6].








 (2011), 





, 
 ,  , chúng tôi




  tài: “Tìm hiểu thực trạng cc biểu hin trầm cảm cu
̉
a ho
̣
c sinh
trung ho
̣
c cơ sơ
̉
quâ
̣
n Hoa
̀
ng Mai, H Ni”.  s nghiên cu chúng
tôi khuyn ngh 


















Mai, .






    

,




,  
 

.

11
3. Khách thể, đối tƣợng nghiên cứu và phạm vi đề tài
3.1. Đối tượng nghiên cứu


- 
(



, 




5. Nhiệm vụ nghiên cƣ
́
u
5.1. 









 


.
5.2. 




 


















.
6. Giơ
́
i ha
̣
n phạm vi nghiên cứu









 , 












 . 

 ,   30

7. Các phƣơng pháp nghiên cứu








́
ng go
́
p nghiên cƣ
́
u
- 

















 
.
- 








: 



13
CHƢƠNG 1
CƠ SƠ
̉
LY
́
LUÂ
̣
N CU
̉
A VÂ
́
N ĐÊ
̀
NGHIÊN CƢ
́
U
1.1. Một số vấn đề chung về trầm cảm
1.1.1. Khi nim





















. 









 , 
 














 ,  .





















 .  : 1/ 




 , ; 2/  , 




; 3/  

























 , 






,  , 

















2 

. 




































 , 







14
, 







 , 



 (panic disorder),  (

,


 ) .

























 .  
 , 





 , 
















 , , , 







, 



. 




  , 

 ,  ,  ,






, 







, , anh, .
1.1.2. Châ
̉













 . 


















 



4 (DSM-IV)[21],[28].






 10 (ICD-10)  ,








  3 








 7 








:
- 

15
- 
- 






















 , 
.












:
- 2/3 






- 2/7 







- 3/7 






- 







, 
- 2 














, .
 , 






 , 





 . 


















 , 


u 









 [21].

16
 -












- 
- , 






- 





















. 






, 














.  


























. 































 , :  , 



 , 











, , 



. 
 [21].












 , 
 , 



 , 


, 





.








 ,  , 


















, , , 

, 

.








, 






 , , 



 , 
. 












 , 



 10-15% 












 [9],[17],[20]. 







, 80-
100% 









[4],[13]. 












, 


 , 





 . 
, , 





[17],[20].
1.1.3.3. 

























 . 

, 














, 












 [17],[20]. 














 



.  , trên 95% 













 , 








, 





  , 














,






. 







, 













, 

 



, 


























 (, 



 , 
,  an, 

) 






















 , 36-41% 








[13].
1.1.3.5. 












. 







, 


 3 :
- 





 :  , bi quan




, 









 , 





 , 










, .
- Khi  :  , , 






. 





 


. 











 . Nghiên




.K.Goodwin(1990) 97% 















 , 





,
[20],[31].










, 
















 .




























, , 

, 

3].










 , 






,  , 








. 













 , 



, 




























,  , 








 






[5].
 













 . 
 , 

 , . 


: 















 































, 

[17],[34].
1.1.4.1. 









Shield (1969) 

17 







 28 






  : 41% 








 4% 
âu.  50% 
















 25% 



, 


50-70% 



. 







 .  , 

21

















 , 

, 



















 , 






, 

, 



 , , 





[34].
1.1.4.3.  

 




  . 












 , 





 




 . 1978, 


















 

 . 


 3 



 , 

















. 










 . 








, 










, 







.
1.2. Lịch s nghiên cứu về t lệ học sinh c biểu hiện trầm cảm
1.2.1. Trên thê
́
giơ
́














. 







22
 24-29 

. 










 3-5%[4]. Theo


(1992) 20-30% 












3-4% . 





















 , 41% 



 , 20%








[30].
 , 


 8300 










 em, 

 (1998) 


0,3% . 

 1-
2%  , 2-5%  (

, 1990), 
14-25%  








(Kessler et al.,1998; Lewinsohn et al., 1998). , 









3-8%.
























, 75% 
 40% tr . 



23
 13% 
59% .




,  (

1,9% n 3,4% 








), 






Loan, 2,9% 5,2% (Kirmayer & Jarvis, 2006).










 ,  1,6%-
8,9% (

, 2001), 

























, 

, 












(, 



, 




















.
 , 


, 





, 

















. 












 





(2002), 





2,8% khi
























, 

0,33%, 

3,3%.
 , 










 



 : 

















 , 











  8,35%
(





1999).





















 18,8% 
 , 9,1% 
































 , 









- 




-              




Trích đoạn Tiến độ thực hiện đề tài Điểm số trung bình của thang trầm cảm Beck Điểm số trung bình của thang Phàn nàn cơ thể Tỉ lệ trẻ mắc các vấn đề về trầm cảm theo các thang đo Kết luận về tỉ lệ trẻ mắc trầm cảm

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