The Relationship Between Psychosocial Sub-health And KAB Puberty, Growth And Development

ObjectiveTo describe adolescent development status of physiology and psychology, puberty stage, knowledge, attitudes and behaviors of puberty (puberty-KAB) and status of family care; to explore the relationship between adolescent psychological sub-health and puberty stage, and the relationship between puberty-KAB and family care; to discuss the relationship among puberty development, family care degree and puberty-KAB and to evaluate the empirical validity of Multidimensional Sub-health Questionnaire of Adolescents (MSQA).Subjects & MethodsThe descriptive analysis and correlation analysis were applied in the survey. A survey titled The Status of Adolescent Physiological and Psychological Development was conducted to include 4031 adolescents aging from 10 to 19 years old from April to June in 2011. A range of different instruments were employed such as Puberty Development Scale, Puberty-KAB, Multidimensional Sub-health Questionnaire of Adolescents (MSQA) and so on. All the instruments were used to assess adolescent developmental status from physiology, psychology and related factors. All the data were analyzed by SPSS 13.0 Statistical methods. Results1. As the age increased, adolescents became more physiologically mature and the puberty development of girls was remarkable earlier than that of boys;2. There was a correlation between family care and adolescent gender while the correlation between family care and puberty stage was not found;3. The scores of puberty-KAB were significantly different in gender and puberty stage and positively correlated with puberty stage;4. Puberty-KAB had a parallel development with adolescent physiology and both became mature gradually with aging;5. Puberty-KAB was positively correlated with family care and family care was an important factor of puberty-KAB development;6. Adolescent psychological sub-health was negatively correlated with family care;7. Adolescent psychological sub-health was negatively correlated with puberty-KAB;8. Adolescent psychological sub-health was not significantly correlated with gender but correlated with puberty stage and with the development of puberty, the psychological status turned unhealthy;9. The scores of psychological sub-health were significantly different in parents marital status, family income, school performance, smoking, drinking, drunk, disease history, region, grade and location of school;10. The internal consistent reliability and test-retest reliability of MSQA-psychology were good, and the scores of MSQA-psychology were significantly correlated with that of Strengths and Difficulties Questionnaire (SDQ), which demonstrated the structure and stability of MSQA-psychology were good. Both of the two questionnaires can be used to evaluate the same population group and presented the same trend, however, the identification rates of psychological disorders were different.Conclusions 1. As the age increased, adolescents became more physiologically mature and the puberty development of girls was remarkable earlier than that of boys;2. Puberty-KAB had a parallel development with adolescent physiology and Puberty-KAB was positively correlated with family care;3. Adolescent psychological status was impacted by puberty stage, family care and puberty-KAB; with the development of puberty, psychological status tended to be unhealthy while as family care and puberty-KAB increased, the psychological status became more healthy;4. MSQA-psychology had good reliability and validity and can be used to assess adolescent psychosocial health, but the results should be reported and analyzed depending on different age groups, regions and grades.