蒙古族高校学生非自杀性自伤行为与抑郁焦虑的关联

李陆

doi:10.16835/j.cnki.1000-9817.2022.01.021

蒙古族高校学生非自杀性自伤行为与抑郁焦虑的关联

doi: 10.16835/j.cnki.1000-9817.2022.01.021

李陆

内蒙古大学体育学院，呼和浩特 010021

详细信息

作者简介:
李陆(1983-)，湖北咸宁人，男，硕士，副教授，主要研究方向为体育教育训练和心理健康

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中图分类号: G444 B844.2 G647.8
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出版历程
- 收稿日期: 2021-08-16
- 修回日期: 2021-09-28
- 刊出日期: 2022-01-25

Non-suicidal self-injury behavior and its relationship with depression and anxiety in Mongolian college students

LI Lu

School of Physical Education, Inner Mongolia University, Hohhot (010021), China

摘要

摘要: 目的了解高校蒙古族学生非自杀性自伤行为状况及其与抑郁焦虑的关联，为高校蒙古族学生保持心理健康及干预提供参考。方法 2019年4月采用分层整群抽样的方法，在呼和浩特市5所高校选取8 422名蒙古族大学生进行非自杀性自伤行为(NSSI)及抑郁和焦虑状况的调查，采用Logistic回归进行关联分析。结果蒙古族大学生NSSI检出率为22.94%(1 932名)，焦虑症状检出率为11.11%(936名)，抑郁症状检出率为28.57%(2 406名)。男生、非医学专业、内向型性格、与父母关系不和睦家庭学生的NSSI检出率较高，组间差异均有统计学意义(χ²值分别为9.20，100.14，60.71，53.05，P值均 < 0.01)。大四年级、非医学专业、内向型性格、与父母关系不和睦家庭学生的焦虑检出率较高，组间差异均有统计学意义(χ²值分别为28.45，92.88，60.22，66.10，P值均 < 0.01)。大四年级、非医学专业、内向型性格、父母关系不和谐家庭学生的抑郁检出率较高，组间差异均有统计学意义(χ²值分别为57.06，58.45，108.88，136.30，P值均 < 0.01)。Logistic回归分析显示，抑郁(OR=1.47, 95%CI=1.31~1.67)、焦虑(OR=2.83, 95%CI=2.45~3.29)与NSSI的发生均呈正相关(P值均 < 0.01)。结论高校蒙古族学生非自杀性自伤行为和抑郁、焦虑状况检出率较高，且非自杀性自伤行为与抑郁和焦虑之间存在正相关。应重视高校蒙古族学生心理健康问题的疏导和教育。
- 自我伤害行为 /
- 抑郁 /
- 焦虑 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To understand the non-suicidal self-injury(NSSI) behavior among Mongolian college students and its relations with depression and anxiety, and to provide reference for mental health prevention and intervention. Methods In April 2019, a stratified cluster sampling method was used to select 8 422 Mongolian college students from 5 colleges and universities in Hohhot. NSSI, depression and anxiety were collected. Results The proportion of NSSI, anxiety and depressive symptoms among Mongolian college students were 22.94%, 11.11%, and 28.57%, respectively. Male, non-medical major, introverted personality, and family disharmony were associated with higher detection rates of NSSI (χ²=9.20, 100.14, 60.71, 53.05, P < 0.01). The detection rate of anxiety among students in the fourth grade, non-medical majors, introverted personality, and disharmonious family was significantly higher compared to peers (χ²=28.45, 92.88, 60.22, 66.10, P < 0.01). The detection rate of depression among students in the fourth grade, non-medical major, introverted personality, and discordant parental relationships was higher (χ²=57.06, 58.45, 108.88, 136.30, P < 0.01). Logistic regression analysis showed that depression (OR=1.47, 95%CI=1.31-1.67), anxiety (OR=2.83, 95%CI=2.45-3.29) were positively correlated with the risk of NSSI (P < 0.01). Conclusion Non-suicidal self-injury behavior, depression and anxiety in Mongolian college students is high, and there are significant positive correlations between NSSI with depression and anxiety. Mental health education and intervention among college Mongolian students should be paid colse attention.
- Self-injurious behavior /
- Depression /
- Anxiety /
- Mental health /
- Regression analysis /
- Students /
- Minority groups
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表 1 不同组别蒙古族高校学生非自杀性自伤行为抑郁焦虑检出率比较

Table 1. Comparison of non-suicidal self-injury behavior and depression and anxiety status among Mongolian students in colleges and universities

组别	选项	人数	统计值	NSSI	焦虑	抑郁
性别	男	3 679		902(24.52)	398(10.82)	1 079(29.33)
	女	4 743		1 030(21.72)	538(11.34)	1 327(27.98)
			χ²值	9.20	0.58	1.85
			P值	< 0.01	0.45	0.17
年级	大一	5 532		1 288(23.28)	553(10.00)	1 444(26.1)
	大二	1 972		446(22.62)	251(12.73)	632(32.05)
	大三	800		169(21.13)	107(13.38)	278(34.75)
	大四	118		29(24.58)	25(21.19)	52(44.07)
			χ²值	2.15	28.45	57.06
			P值	0.54	< 0.01	< 0.01
专业	医学	4 540		849(18.70)	366(8.06)	1 139(25.09)
	非医学	3 882		1 083(27.90)	570(14.68)	1 267(32.64)
			χ²值	100.14	92.88	58.45
			P值	< 0.01	< 0.01	< 0.01
是否独生	是	3 065		714(23.30)	328(10.70)	851(27.77)
子女	否	5 357		1 218(22.74)	608(11.35)	1 555(29.03)
			χ²值	0.34	0.83	1.52
			P值	0.56	0.36	0.22
性格类型	内向	2 441		694(28.43)	368(15.08)	878(35.97)
	中性	3 332		713(21.40)	345(10.35)	922(27.67)
	外向	2 649		525(19.82)	223(8.42)	606(22.88)
			χ²值	60.71	60.22	108.88
			P值	< 0.01	< 0.01	< 0.01
与父母	不和睦	108		35(32.41)	25(23.15)	60(55.56)
关系	一般	917		292(31.84)	164(17.88)	386(42.09)
	和睦	7 397		1 605(21.70)	747(10.10)	1 960(26.50)
			χ²值	53.05	66.10	136.30
			P值	< 0.01	< 0.01	< 0.01
注：()内数字为检出率/%。

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表 2 蒙古族学生抑郁焦虑对非自杀性自伤行为影响的Logistic回归分析(n=8 422)

Table 2. Logistic regression analysis of the influencing of depression and anxiety of Mongolian students in colleges and universities on non-suicidal self-injury behavior(n=8 422)

常量与自变量	选项	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
常量		-1.19	0.20	32.52	< 0.01	0.30
性别	男					1.00
	女	-0.16	0.05	8.51	< 0.01	0.85(0.77~0.96)
专业	医学					1.00
	非医学	0.42	0.05	66.25	< 0.01	1.50(1.35~1.67)
性格类型	内向型					1.00
	中性型	-0.29	0.06	22.15	< 0.01	0.75(0.66~0.86)
	外向型	-0.28	0.06	21.56	< 0.01	0.74(0.64~0.86)
与父母关系	不和睦					1.00
	一般	0.04	0.22	0.04	0.84	1.03(0.67~1.61)
	和睦	-0.28	0.22	1.78	0.17	0.75(0.49~1.15)
抑郁状况	无					1.00
	有	0.38	0.06	47.25	< 0.01	1.47(1.31~1.67)
焦虑状况	无					1.00
	有	1.05	0.06	200.25	< 0.01	2.83(2.45~3.29)

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