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儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响

卜庆亮 严娜 罗运娇 张曹辰 王威

卜庆亮, 严娜, 罗运娇, 张曹辰, 王威. 儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响[J]. 中国学校卫生, 2023, 44(8): 1182-1185. doi: 10.16835/j.cnki.1000-9817.2023.08.014
引用本文: 卜庆亮, 严娜, 罗运娇, 张曹辰, 王威. 儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响[J]. 中国学校卫生, 2023, 44(8): 1182-1185. doi: 10.16835/j.cnki.1000-9817.2023.08.014
BU Qingliang, YAN Na, LUO Yunjiao, ZHANG Caochen, WANG Wei. Interactive effect of childhood abuse and uncertainty stress on depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1182-1185. doi: 10.16835/j.cnki.1000-9817.2023.08.014
Citation: BU Qingliang, YAN Na, LUO Yunjiao, ZHANG Caochen, WANG Wei. Interactive effect of childhood abuse and uncertainty stress on depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1182-1185. doi: 10.16835/j.cnki.1000-9817.2023.08.014

儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响

doi: 10.16835/j.cnki.1000-9817.2023.08.014
基金项目: 

国家自然科学基金项目 72174208

国家自然科学基金项目 72004233

江苏省教育科学"十四五"规划一般课题项目 D/2021/01/163

详细信息
    作者简介:

    卜庆亮(1983-), 男, 江苏徐州人, 硕士, 助理研究员, 主要研究方向为医学教育、心理健康与思想政治教育

    通讯作者:

    王威, E-mail: weiwang90@163.com

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: B844.2 R179 R193

Interactive effect of childhood abuse and uncertainty stress on depressive symptoms among college students

  • 摘要:   目的  了解大学生儿童期虐待经历与不确定心理压力与抑郁症状的关联, 为大学生的心理干预提供依据。  方法  于2021年3—5月按照多阶段分层随机整群抽样法, 从徐州、南京、武汉抽取1 830名大学生, 采用童年期不良经历量表(ACEs)、不确定心理压力量表、10项流调中心抑郁自评量表(CESD-10)开展线上问卷调查。  结果  存在儿童期虐待经历、高不确定心理压力和抑郁症状者分别为361(19.73%), 507(27.70%), 607人(33.17%)。控制混杂因素后, 多因素Logistic回归分析结果显示, 存在儿童期虐待经历的大学生产生抑郁症状的风险是不存在儿童期虐待经历者的2.84倍(OR=2.84, 95%CI=2.17~3.71), 存在高不确定心理压力的大学生产生抑郁症状的风险是不存在高不确定心理压力者的7.88倍(OR=7.88, 95%CI=6.21~9.99)。交互作用分析结果显示, 儿童期虐待经历与不确定心理压力对大学生抑郁症状不存在相乘交互作用, 但存在相加交互作用: 超额危险度(RERI)(95%CI)=12.73(3.24~22.23), 归因比(AP)(95%CI)=0.57(0.37~0.76), 交互作用指数(S)(95%CI)=2.47(1.53~3.98)。  结论  高不确定心理压力和儿童期虐待经历对大学生抑郁症状具有相加交互作用。针对儿童期虐待经历、不确定心理压力进行科学的管理有助于降低大学生发生抑郁症状的风险。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同人口学特征大学生抑郁症状检出率比较

    Table  1.   Comparison of depressive symptoms of college students with different demographic characteristics

    人口统计学指标 人数 抑郁症状人数 χ2 P
    性别
      男 559 190(33.99) 0.24 0.62
      女 1 271 417(32.81)
    年龄/岁
      <20 556 181(32.55) 1.28 0.53
      20 658 229(34.80)
      >20 616 197(31.98)
    独生子女
      是 914 292(31.95) 1.23 0.27
      否 916 315(34.39)
    地区
      城市 1 035 350(33.82) 0.45 0.50
      农村 795 257(32.33)
    专业
      医学类 1 479 487(32.93) 0.20 0.65
      非医学类 351 120(34.19)
    性取向
      异性恋 1 639 525(32.03) 9.50 0.02
      同性恋 40 17(42.50)
      双性恋 108 45(41.67)
      其他 43 20(46.51)
    月生活费/元
      <1 000 93 34(36.56) 1.11 0.77
      1 001~2 000 1 448 473(32.67)
      2 001~3 000 227 80(35.24)
      >3 001 62 20(32.26)
    父亲文化程度
      初中及以下 799 278(34.79) 4.71 0.19
      高中、中专或中职 589 175(29.71)
      大专或本科 421 147(34.92)
      硕士或博士 21 7(33.33)
    母亲文化程度
      初中及以下 962 326(33.89) 0.91 0.82
      高中、中专或中职 533 172(32.27)
      大专或本科 319 105(32.92)
      硕士或博士 16 4(25.00)
    注:()内数字为检出率/%。
    下载: 导出CSV

    表  2  大学生儿童期虐待经历与不确定心理压力对抑郁症状的相乘交互作用(n=1 830)

    Table  2.   The multiplicative interaction between childhood abuse experience and uncertainty stress on depressive symptoms of college students(n=1 830)

    自变量 β 标准误 Wald χ2 P OR值(95%CI)
    儿童期虐待经历 1.04 0.17 37.87 <0.01 2.83(2.03~3.94)
    不确定心理压力 2.06 0.14 223.17 <0.01 7.86(6.00~10.30)
    儿童期虐待经历×不确定心理压力 0.01 0.29 <0.01 0.98 1.01(0.57~1.78)
    下载: 导出CSV
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  • 收稿日期:  2023-03-13
  • 修回日期:  2023-06-13
  • 刊出日期:  2023-08-25

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