大学生童年期积极及不良经历与不确定心理压力的关联

邓宇; 侯皓; 严娜; 张曹辰; 沈彩奕; 陈梦娇; 王威

doi:10.16835/j.cnki.1000-9817.2022.09.018

大学生童年期积极及不良经历与不确定心理压力的关联

doi: 10.16835/j.cnki.1000-9817.2022.09.018

邓宇¹,
侯皓²,
严娜²,
张曹辰²,
沈彩奕²,
陈梦娇³,
王威^2, ,

1.
徐州医科大学第一临床医学院, 江苏 221000
2.
徐州医科大学公共卫生学院
3.
徐州医科大学医学技术学院

基金项目:

国家自然科学基金 82003484

江苏省博士后科研资助 2020Z177

江苏省大学生创新创业训练计划项目 202010313047Y

详细信息

作者简介:
邓宇(2000-), 男, 江苏省人, 在读本科

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: G444 B844.2 G647.8
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- 文章访问数: 468
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- 被引次数: 0
出版历程
- 收稿日期: 2022-04-21
- 修回日期: 2022-06-16
- 网络出版日期: 2022-09-23
- 刊出日期: 2022-09-25

Associations between positive and negative childhood experiences and uncertainty stress in college students

1.
The First Clinical Medical College, Xuzhou Medical University, Xuzhou (221000), Jiangsu Province, China

摘要

摘要: 目的了解大学生不确定心理压力现状以及童年期经历与不确定心理压力的关联, 为大学生不确定心理压力的干预提供依据。方法 2021年3—5月, 采用多阶段分层整群抽样选取江苏与湖北省1 816名大学生作为研究对象, 采用电子结构化问卷收集研究对象的一般情况、童年期积极经历、童年期不良经历以及不确定心理压力。运用Logistic回归探究童年期积极经历及不良经历与不确定心理压力的关联。结果大学生不确定心理压力的报告率为27.5%(500名)。Logistic回归结果显示, 存在儿童虐待者的不确定心理压力发生风险是不存在组的2.10倍(OR=2.10, 95%CI=1.64~2.70), 有自我意识的青少年的不确定心理压力发生风险是没有自我意识组的37%(OR=0.37, 95%CI=0.24~0.57), 有积极的可预测生活的大学生不确定心理压力的发生风险是没有组的32%(OR=0.32, 95%CI=0.13~0.77)(P值均 < 0.05)。结论大学生是不确定心理压力影响的敏感人群, 积极童年期经历的缺乏和高度不良的童年期经历都是不确定心理压力发生的相关因素。建议尽早筛查遭受高度不良童年期经历伤害与缺少积极童年期经历的青少年, 以保护其身心健康。
- 精神卫生 /
- 压力 /
- 生活变动事件 /
- 学生 /
- 回归分析
Abstract: Objective To understand the association between positive and negative childhood experiences with uncertainty stress in college students. Methods From March to May 2021, 1 816 college students in Jiangsu and Hubei Province were randomly selected, and an electronic structured questionnaire was used to collect the general characteristics, positive and adverse childhood experience, and uncertainty stress. Logistic regression was used to explore the association between positive and negative childhood experiences with uncertainty stress. Results The reported rate of uncertainty stress among 1 816 college students was 27.5%(n=500). Logistic regression results showed that the risk of uncertainty stress among students with childhood abuse experience was 2.10 times higher than that of control group(OR=2.10, 95%CI=1.64-2.70). The probability of uncertainty stress in students with high self-awareness was 37% of those with low self awareness(OR=0.37, 95%CI=0.24-0.57). The probability of uncertainty stress in students with positive predictable life was 32% of those without(OR=0.32, 95%CI=0.13-0.77). Conclusion College students are vulnerable population for psychological stress. Both positive and adverse childhood experience are associated with the occurrence of uncertainty stress. Early screening for with adverse childhood experiences in adolescents is recommended to protect physical and mental health.
- Mental health /
- Pressure /
- Life change events /
- Students /
- Regression analysis
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同人口学特征大学生不确定心理压力检出率比较

Table 1. Comparison of detection rates of uncertainty stress among college students with different characteristics

人口学指标	选项	人数	不确定性压力人数	χ²值	P值
性别	男	554	165(29.8)	2.02	0.16
	女	1 262	335(26.5)
年龄/岁	< 20	553	151(27.3)	0.02	0.99
	20	656	181(27.6)
	>20	607	168(27.7)
年级	大一	278	73(26.3)	4.32	0.23
	大二	829	242(29.2)
	大三	666	178(26.7)
	大四	43	7(16.3)
是否独生子女	是	906	241(26.6)	0.79	0.38
	否	910	259(28.5)
民族	汉族	1 763	485(27.5)	0.02	0.90
	少数民族	53	15(28.3)
性取向	异性恋	1 625	440(27.1)	1.95	0.58
	同性恋	40	13(32.5)
	双性恋	108	35(32.4)
	其他	43	12(27.9)
月生活费/元	≤1 000	92	38(41.3)	9.33	0.03
	1 001~	1 438	387(26.9)
	2 001~	226	60(26.5)
	≥3 001	60	15(25.0)
注：()内数字为检出率/%。

下载: 导出CSV

表 2 大学生不确定心理压力影响因素Logistic回归分析(n=1 816)

Table 2. Logistics regression analysis of uncertain factors affecting psychological stress(n=1 816)

自变量和常量	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
生活费/元
1 001~2 000	-0.61	0.23	7.15	0.01	0.55(0.35~0.85)
2 001~3 000	-0.58	0.27	4.64	0.03	0.56(0.33~0.95)
≥3 001	-661.00	0.38	3.11	0.08	0.52(0.25~1.08)
自我意识	-0.99	0.22	20.66	< 0.01	0.37(0.24~0.57)
支持性关系	-1.42	1.14	1.56	0.21	0.24(0.03~2.25)
积极的可预测生活	-1.15	0.46	6.36	0.01	0.32(0.13~0.77)
儿童虐待	0.74	0.13	33.69	< 0.01	2.10(1.64~2.70)
常量	2.92	1.21	5.79	0.02	18.46

下载: 导出CSV

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