中文摘要：

目的：调查在校小学生，初步了解儿童焦虑抑郁共存现象的现状。方法：使用焦虑性情绪障碍筛查表（SCARED）和儿童抑郁障碍自评量表（DSRSC）调查长沙市某小学2—6年级的565名学生。结果：SCARED筛查阳性的有140名；DSRSC筛查阳性的有97名；两个量表都高于划界分的43名（7．61％）。在焦虑性障碍儿童中，30．71％合并抑郁；在抑郁障碍儿童中，44．33％合并焦虑。焦虑抑郁共存组在Achenbach儿童行为量表（CBCL）的退缩分量表得分（平均秩次297．7）高于单纯焦虑组（220．8）、单纯抑郁组（202．2），躯体主诉（268．2）高于焦虑组（232．2）、抑郁组（206．2），焦肜抑郁（277．2）高于焦虑组（227．7）、抑郁组（219．2），x^2=16．72—22．71，P〈0．01。自我意识量表行为分量表共存组（9．1±3．3）和焦虑组（9．7±2．9）低于抑郁组（10．6±3．2），焦虑分量表共存组（5．8±2．7）低于焦虑组（8．0±2．5）、抑郁组（9．2±3．0），合群（5．07±2．11）低于焦虑组（6．28±1．68）、抑郁组（6．63±1．84），幸福与满足（5．1±1．8）低于焦虑组（6．1±1．7）、抑郁组（6．0±2．0），F=4．45—74．34，P〈0．01。结论：在儿童中焦虑、抑郁问题存在较普遍，焦虑、抑郁共存比例高，焦虑抑郁共存儿童的内化性问题比单纯焦虑／抑郁者更严重，自我意识水平更低，在学校心理健康教育工作中应予以积极干预。

英文摘要：

Objective： To investigate the comorbidity of depression and anxiety in primary school students. Methods ：565 pupils ranged from 2 to 6 grade in a primary school were tested by The Screen for Child Anxiety Related Emotional Disorders （SCARED） and Depression Serf-Rating Scale for Children （ DSRSC）. Results： There were 140 pupils with a total score higher than cut-off point of SCARED; 97 pupils with a total score higher than cut-off point of DSRSC ; 43 pupils with total scores higher than cut-off point of both SCARED and DSRSC, and the positive rate of comorbidity of anxiety and depression was 7. 61%. 30. 71 percent of children with anxiety disorder was considered comorbiding depression ; 44.33 percent of children with depressive disorder was considered comorbiding anxiety. Children with comorbidities had higher scores in Withdrawn（mean rank 297. 7 ） than Anxiety group（220. 8） and Depressive group（202. 2 ） ; Somatic Complaints（268. 2 ） than Anxiety group （232.2） and Depressive group （ 206. 2 ） , Anxious/Depressed （ 277.2 ） than Anxiety group （ 227.7 ） and Depressive group（ 219. 2 ） of CBCL（x^2 = 16. 72 - 22. 71, P 〈 0.01 ）. The subscale of ＂behavior＂ in Comorbidity group （ 9. 1 ＋ 3.3 ） and Anxiety group （ 9. 7 ± 2. 9 ） had less scores than Depressive group （ 10. 6 ± 3.2 ） ; ＂Anxious＂ scores in Comorbidity group （ 5.8 ± 2. 7 ） less than Anxiety group（ 8.0 ± 2. 5 ）, and Depressive group （ 9. 2 ± 3.0 ） ; ＂Popular＂ （ 5.07 ± 2. 11 ） less than Anxiety group （ 6. 28 ± 1.68 ） and Depressive group （ 6.63 ± 1.84 ） , ＂Happiness and satisfy＂ （ 5.1 ± 1.8 ） less than Anxiety group （ 6. 1 ± 1.7 ） and Depressive group （ 6.0 ± 2. 0 ） of Piers-Harris Children ＇s Self-concept Scale （ F = 4. 45 - 74. 34, P 〈 0. 01 ） .Condustons： Anxiety and depression were generally occurred in children. Children with comorbidity of anxiety and depression had more severe internalizing problems and less self- con