大学生述情障碍的潜在类别类型与抑郁症状及社交焦虑的关联

韩晶晶; 张珊珊; 信廉欢

doi:10.16835/j.cnki.1000-9817.2021.12.019

大学生述情障碍的潜在类别类型与抑郁症状及社交焦虑的关联

doi: 10.16835/j.cnki.1000-9817.2021.12.019

沈阳师范大学教育科学学院，辽宁 110034

基金项目:

全国教育科学规划教育部重点选题项目 DHA210344

详细信息

作者简介:
韩晶晶(1997-)，女，辽宁沈阳人，在读硕士，主要研究方向为应用心理学

通讯作者:
张珊珊，E-mail：zhangxiaobai2@163.com

中图分类号: G444 B844.2 G647.8
计量
- 文章访问数: 643
- HTML全文浏览量: 325
- PDF下载量: 56
- 被引次数: 0
出版历程
- 收稿日期: 2021-04-30
- 修回日期: 2021-08-15
- 网络出版日期: 2021-12-23
- 刊出日期: 2021-12-25

Latent classes of alexithymia in college students and depressive symptoms, social interaction anxiety

College of Education Science, Shenyang Normal University, Shenyang(110034), China

摘要

摘要: 目的识别大学生述情障碍的潜在类别及其与社交焦虑、抑郁症状的关联，为促进大学生积极情绪发展和心理健康提供理论依据。方法于2020年9月，在河北省、吉林省、辽宁省4所高校方便整群抽取1 338名大学生进行横断面调查，使用多伦多述情障碍量表(TAS-20)、交往焦虑量表(SIAS)以及流调中心抑郁自评量表(CES-D)进行问卷调查，对数据主要进行潜在剖面分析及Logistic回归分析。结果大学生述情障碍分为情感表达良好组(33.3%)、情感辨别良好组(9.6%)和情感表达困难组(57.1%)3个潜在类别。多元Logistic回归分析结果显示，对人口学变量进行控制后，情感表达良好、情感辨别良好与抑郁症状(β值分别为-1.92，-1.44，P值均 < 0.01)、社交焦虑(β值分别为-0.71，-2.04，P值均 < 0.01)呈负相关。结论大学生述情障碍呈现类别分布，各潜在类别与社交焦虑、抑郁症状关联不同。高校应在心理健康教育工作中制定针对大学生情绪调节能力培养的干预方案，缓解大学生社交焦虑及抑郁症状，促进心理积极发展。
- 情绪 /
- 抑郁 /
- 焦虑 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To identify the potential categories of alexithymia in college students, and further analyze the relationship between different potential categories and social anxiety and depression, so as to provide theoretical basis for promoting the development of positive emotions and mental health of college. Methods A cross-sectional survey was conducted among 1 338 students randomly selected from a cluster of four universities in Hebei, Jilin, Liaoning Provinces in September 2020 by convenience sampling method. Chinese Version of Twenty-item Toronto Alexithymia Scale, Social Interaction Anxiety Scale, Center for Epidemiologic Studies Depression were used for survey, potential profile analysis and Logistic regression analysis were performed on the data. Results College students with alexithymia could be divided into three potential categories: good emotion expression group(33.3%), good emotion discrimination group(9.6%), and difficulty in emotion expression group(57.1%). Logistic regression analysis showed that after controlling for demographic variables, the group with good emotional expression was negatively correlated with depression symptoms (β=-1.92, -1.44, P < 0.01), and social anxiety (β=-0.71, -2.04, P < 0.01). Conclusion Alexithymia of college students shows a category distribution, and each potential category of alexithymia has different associations with social anxiety and depression symptoms. To improve the mental health, teachers in colleges and universities in the mental health education work to develop targeted training of emotional regulation ability of college students to formulate intervention programs, relieve the symptoms of social anxiety and depression of college students, promote their positive psychological development.
- Emotions /
- Depression /
- Anxiety /
- Mental health /
- Regression analysis /
- Students

HTML全文

表 1 大学生述情障碍的潜在剖面分析拟合指数(n=1 338)

Table 1. Fitting index of potential profile analysis for alexithymia of college students(n=1 338)

模型	Log(L)值	AIC值	BIC值	aBIC值	Entropy值	LMR值	BLRT值	类别概率
1	-36 493.09	73 062.18	73 259.74	73 139.03
2	-34 307.29	68 730.58	69 032.12	68 847.88	0.89	0.00	0.00	0.41/0.59
3	-33 792.07	67 740.14	68 145.65	67 897.88	0.91	0.00	0.00	0.33/0.10/0.57
4	-33 300.09	66 796.18	67 305.68	66 994.38	0.90	0.00	0.00	0.25/0.08/0.53/0.14
5	-33 011.65	66 259.29	66 872.77	66 479.93	0.85	0.23	0.00	0.15/0.30/0.09/0.32/0.14

下载: 导出CSV

表 2 不同人口学变量大学生述情障碍潜在类别分布比较

Table 2. Analysis and comparison of potential categories of alexithymia among college students with different demographic variables

人口学指标	选项	人数	情感表达良好组	情感辨别良好组	情感表达困难组	χ²值	P值
性别	男	573	178(31.1)	55(9.6)	340(59.3)	261.93	＜0.01
	女	765	267(34.9)	74(9.7)	424(55.4)
专业	文科	1 055	375(35.5)	87(8.2)	593(56.3)	445.43	＜0.01
	理科	283	70(24.7)	42(14.9)	171(60.4)
生源地	城市	634	238(37.5)	55(8.7)	341(53.8)	3.66	0.05
	农村	704	207(29.4)	74(10.5)	423(60.1)
独生子女	是	675	251(37.2)	67(9.9)	357(52.9)	0.11	0.74
	否	663	194(29.3)	62(9.4)	407(61.4)
留守经历	是	560	174(31.1)	60(10.7)	326(58.2)	36.17	0.21
	否	778	271(34.8)	69(8.9)	438(56.3)
注： ()内数字为构成比/%。

下载: 导出CSV

表 3 大学生述情障碍潜类别分组与抑郁症状及社交焦虑的Logistic回归分析(n=1 338)

Table 3. Logistic regression analysis of latent category grouping of alexithymia and depressive symptoms and social anxiety of college students(n=1 338)

自变量	抑郁症状					社交焦虑
自变量	β值	标准误	Wald χ²值	OR值(OR值95%CI)	P值	β值	标准误	Wald χ²值	OR值(OR值95%CI)	P值
情感表达困难				1.00					1.00
情感表达良好	-1.92	0.15	172.79	0.15(0.11~0.20)	＜0.01	-0.71	0.14	26.94	0.49(0.38~0.64)	＜0.01
情感辨别困难	-1.44	0.22	43.96	0.24(0.16~0.36)	＜0.01	-2.04	0.35	33.25	0.13(0.07~0.26)	＜0.01

下载: 导出CSV

参考文献(21)

[1]	SIFNEOS P E. Alexithymia: past and present[J]. Am J Psychiatr, 1996, 135(1): 137-142. http://www.ncbi.nlm.nih.gov/pubmed/8659637
[2]	张春雨, 张进辅, 张静秋, 等. 述情障碍成因的认知及社会机制[J]. 心理科学进展, 2011, 19(3): 398-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201103014.htm ZHANG C Y, ZHANG J F, ZHANG J Q, et al. A review of researches on cognitive and social mechanism of alexithymia[J]. Adv Psychol Sci, 2011, 19(3): 398-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201103014.htm
[3]	BAGBYR M, QUILTYL C, TAYLORG J. Are there subtypes of alexithymia?[J]. Person Indiv Diff, 2009, 47(5): 413-418. doi: 10.1016/j.paid.2009.04.012
[4]	杨雪莉, 梁宗保. 述情障碍的研究现状及干预[J]. 心理研究, 2016, 9(1): 9-14. doi: 10.3969/j.issn.2095-1159.2016.01.002 YANG X L, LIANG Z B. The research status and intervention of alexithymia[J]. Psychol Res, 2016, 9(1): 9-14. doi: 10.3969/j.issn.2095-1159.2016.01.002
[5]	朱湘茹, 张慧君, 刘畅, 等. 述情障碍和无聊倾向性在神经质与焦虑、抑郁之间的中介效应[J]. 中国心理卫生杂志, 2009, 23(5): 345-348. doi: 10.3969/j.issn.1000-6729.2009.05.010 ZHU X R, ZHANG H J, LIU C, et al. Mediating effects of alexithymia and boredom proneness on the links between neuroticism, anxiety and depression[J]. Chin Ment Health J, 2009, 23(5): 345-348. doi: 10.3969/j.issn.1000-6729.2009.05.010
[6]	张亚利, 李森, 俞国良. 述情障碍与青少年攻击行为: 无聊倾向的中介作用[J]. 中国临床心理学杂志, 2020, 28(2): 383-386, 399. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202002034.htm ZHANG Y L, LI S, YU G L. Alexithymia and aggression among adolescents: the mediating role of boredom proneness[J]. Chin J Clin Psychol, 2020, 28(2): 383-386, 399. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202002034.htm
[7]	胡一文. 大学生述情障碍与自杀倾向的相关性[J]. 神经疾病与精神卫生, 2012(1): 39-41. doi: 10.3969/j.issn.1009-6574.2012.01.013 HU Y W. Correlation between alexithymia and suicidal tendency of college students[J]. Nervous Dis Ment Health, 2012(1): 39-41. doi: 10.3969/j.issn.1009-6574.2012.01.013
[8]	陈慧. 述情障碍与焦虑、抑郁的关系: 无聊倾向性的中介作用[J]. 中国临床心理学杂志, 2016, 24(4): 648-651. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201604016.htm CHEN H. The relationship between alexithymia and emotional symptoms: mediating effects of boredom proneness[J]. Chin J Clin Psychol, 2016, 24(4): 648-651. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201604016.htm
[9]	张敏, 岳鹏飞. 述情障碍亚类型大学生的防御方式特点研究[J]. 内江师范学院学报, 2020, 35(6): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-NJSG202006001.htm ZHANG M, YUE P F. On the characteristics of defensive styles of college students with subtypes of alexithymia[J]. J Neijiang Normal Univ, 2020, 35(6): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-NJSG202006001.htm
[10]	岳鹏飞, 张敏. 述情障碍亚类型的内隐自杀意念研究[J]. 信阳师范学院学报(哲学社会科学版), 2020, 40(2): 70-74, 93. https://www.cnki.com.cn/Article/CJFDTOTAL-XYSZ202002012.htm YUE P F, ZHANG M. Implicit suicidal ideation of alexithymia subtypes[J]. J Xinyang Normal Univ(Philosophy Soc Sci Edit), 2020, 40(2): 70-74, 93. https://www.cnki.com.cn/Article/CJFDTOTAL-XYSZ202002012.htm
[11]	凌宇, 钟明天, 蚁金瑶, 等. 述情障碍特征对青少年应激与抑郁症状的调节作用[J]. 中国临床心理学杂志, 2012, 20(2): 168-171. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201202009.htm LING Y, ZHONG M T, YI J Y, et al. Moderating role of alexithymia in adolescents' stress and depression symptoms[J]. Chin J Clin Psychol, 2012, 20(2): 168-171. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201202009.htm
[12]	MARCHESI C, BRUSAMONTI E, MAGGINI C. Are alexithymia, depression and anxiety distinct constructs in affective disorders?[J]. J Psychosom Res, 2000, 49: 43-49. doi: 10.1016/S0022-3999(00)00084-2
[13]	蚁金瑶, 姚树桥, 朱熊兆. TAS-20中文版的信度、效度分析[J]. 中国心理卫生杂志, 2003, 17(11): 763-767. doi: 10.3321/j.issn:1000-6729.2003.11.011 YI J Y, YAO S Q, ZHU X Z. The Chinese version of the TAS-20: reliability and validity[J]. Chin Ment Health J, 2003, 17(11): 763-767. doi: 10.3321/j.issn:1000-6729.2003.11.011
[14]	LEARY M R. Social anxiousness: the construct and its measurement[J]. J Person Assess, 1983, 47(1): 66-75. doi: 10.1207/s15327752jpa4701_8
[15]	RADLOFF L S. The use of the center for epidemiologic studies depression scale in adolescents and young adults[J]. Youth Adolesc, 1991, 20(2): 149-166. doi: 10.1007/BF01537606
[16]	COLLINS L M, LANZE S T. Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences[M]. New York, NY: Wiley, 2013.
[17]	周浩, 龙立荣. 共同方法偏差的统计检验与控制方法[J]. 心理科学进展, 2004, 12(6): 942-950. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200406017.htm ZHOU H, LONG L R. Statistical remedies for common method biases[J]. Adv Psychol Sci, 2004, 12(6): 942-950. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200406017.htm
[18]	董圣鸿, 鞠芊芊, 邱甜甜, 等. 不同类型述情障碍的团体辅导干预效果[J]. 中国临床心理学杂志, 2017, 25(2): 304-309. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201702024.htm DONG S H, JU Q Q, QIU T T, et al. Intervention effect of group treatment on different types of alexithymia[J]. Chin J Clin Psychol, 2017, 25(2): 304-309. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201702024.htm
[19]	夏朝云, 王东波, 潘小娅. 多伦多述情障碍自陈量表在大学生中的适用性研究[J]. 浙江医学, 2001, 23(2): 756-758. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE200112017.htm XIA C Y, WANG D B, PAN X Y. Adaptation of Toronto Alexithymia Self-report Scale in college students[J]. Zhejiang Med J, 2001, 23(2): 756-758. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE200112017.htm
[20]	RIEFFE C, OOSTERVELD P, TERWOGT M M. An alexithymia questionnaire for children: Factorial and concurrent validation results[J]. Person Indiv Diff, 2006, 40(1): 123. https://www.sciencedirect.com/science/article/abs/pii/S019188690500231X
[21]	张朝辉, 宋景贵, 张亚林. 躯体化障碍患者的心理健康状况、社会支持及应对方式的研究[J]. 中国临床心理学杂志, 2011, 19(5): 639-641. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201105023.htm ZHANG Z H, SONG J G, ZHANG Y L. Influences of social supporting and coping style on mental health in patients with somatization disorder[J]. Chin J Clin Psychol, 2011, 19(5): 639-641. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201105023.htm