高职院校大学生不同时相童年期虐待经历与抑郁症状的关联

王伟; 樊昌盛; 徐慧琼; 李书琴; 万宇辉

doi:10.16835/j.cnki.1000-9817.2022.10.015

高职院校大学生不同时相童年期虐待经历与抑郁症状的关联

doi: 10.16835/j.cnki.1000-9817.2022.10.015

1.
苏州卫生职业技术学院临床医学院，江苏 215000
2.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系

基金项目:

苏州市科技计划项目 SKJYD2021051

苏州卫生职业技术学院青年科技专项 szwzy202013

详细信息

作者简介:
王伟(1992-)，男，安徽宿州人，硕士，助教，主要研究方向为青少年发育与行为

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 G717.8
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- 被引次数: 0
出版历程
- 收稿日期: 2022-04-13
- 修回日期: 2022-06-29
- 网络出版日期: 2022-10-28
- 刊出日期: 2022-10-25

The association between different timing of childhood abuse experiences and depressive symptoms in college students

1.
Department of Chinical Medicine, Suzhou Vocational Health College, Suzhou(215000), Jiangsu Province, China

摘要

摘要: 目的了解高职院校大学生抑郁症状流行现况及其与不同时相童年期虐待经历的关联，为预防大学生抑郁症状提供循证依据。方法采用整群抽样方法，于2020年10—12月，选取苏州市某高职院校6 366名在校生为研究对象，通过问卷调查其童年期虐待经历以及抑郁症状发生情况。结果大学生抑郁症状中男生检出率为28.3%，女生为22.2%，差异有统计学意义(χ²=22.73，P < 0.01)。控制相关混杂因素的作用，多因素Logistic回归分析显示，持续童年期虐待经历与大学男生抑郁症状发生呈正相关[OR值(95%CI)=1.70(1.17~2.45)]；小学及以前和中学虐待经历与大学女生抑郁症状发生均呈正相关[OR值(95%CI)分别为1.38(1.01~1.73)，1.47(1.10~1.96)](P值均＜0.01)。结论童年期虐待经历是高职院校大学生抑郁症状的重要因素，且不同时相童年期虐待经历影响大学女生发生抑郁症状的作用更显著。
- 虐待儿童 /
- 抑郁 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective The present study aimed to determine the prevalence of depressive symptoms and examined its association with different timing childhood abuse in college students, so as to provide a evidenced-based reference for depressive symptoms prevention among college students. Methods With cluster sampling method, a total of 6 366 students from a vocational college in Suzhou were enrolled to investigate the experience of childhood abuse and depressive symptoms from October to December 2020. Results The prevalence of depressive symptoms in college students was 28.3% for boys and 22.2% for girls, with significant sex difference(χ²=22.73, P < 0.01). After controlled for confounding factors, multifactorial Logistic regression analysis showed that persistent childhood abuse experience was an independent risk factor for the occurrence of depressive symptoms in college boys [OR(95%CI)=1.70(1.17-2.45)], and primary and previous, secondary and persistent abuse experiences were independent risk factors for the occurrence of depressive symptoms in college girls [OR(95%CI)=1.38(1.01-1.73), 1.47(1.10-1.96)](P < 0.01). Conclusion The experience of childhood abuse is an important risk factor for depressive symptoms of college students, and the effect of different timing childhood abuse on the occurrence of depressive symptoms in college girls is more significant.
- Child abuse /
- Depression /
- Mental health /
- Regression analysis /
- Students
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 不同人口统计学特征大学生抑郁症状检出率比较

Table 1. Comparison of detection rates of depressive symptoms with different demographic characteristics

人口学指标	选项	人数	抑郁症状人数	χ²值	P值
性别	男	1 411	400(28.3)	22.73	＜0.01
	女	4 955	1 102(22.2)
年级	大一	3 651	891(24.4)	3.12	0.08
	大二	2 715	611(22.5)
家庭居住地	农村	2 892	632(21.9)	8.91	＜0.01
	城镇	3 474	870(25.0)
家庭经济状况	较差	1 485	326(22.0)	18.17	＜0.01
	中等	4 478	1 047(23.4)
	较好	403	129(32.0)
独生子女	是	2 547	655(25.7)	10.61	＜0.01
	否	3 819	847(22.2)
父亲受教育程度	初中及以下	3 745	819(21.9)	15.01	＜0.01
	高中及以上	2 621	683(26.1)
母亲受教育程度	初中及以下	4 342	976(22.5)	9.44	＜0.01
	高中及以上	2 024	526(26.0)
童年期虐待	无	4 914	1 100(22.4)	17.47	＜0.01
	有	1 452	402(27.7)
注：()内数字为检出率/%。

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表 2 不同时相虐待经历大学生抑郁症状检出率

Table 2. Gender differences in detection rate of depressive symptoms in different periods of abuse experiences

童年期虐待	男生		女生
童年期虐待	人数	检出人数	人数	检出人数
无	1 058	286(27.0)	3 856	814(21.1)
小学及以前	131	35(26.7)	444	120(27.0)
中学	81	25(30.9)	248	70(28.2)
持续	141	54(38.3)	407	98(24.1)
注： ()内数字为检出率/%。

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参考文献(24)

[1]	CHRIST C, DE WAAL M M, DEKKER J J M, et al. Linking childhood emotional abuse and depressive symptoms: the role of emotion dysregulation and interpersonal problems[J]. PLoS One, 2019, 14(2): e0211882. doi: 10.1371/journal.pone.0211882
[2]	DUVAL F, MOKRANI M C, ERB A, et al. Relationship between chronobiological thyrotropin andprolactin responses to protirelin (TRH) and suicidal behavior in depressed patients[J]. Psychoneuroendocrinology, 2017, 85: 100-109. doi: 10.1016/j.psyneuen.2017.07.488
[3]	TOCKER L, BEN-AMITAY G, HORESH-REINMAN N, et al. Predictors of clinical outcomes in sexually abused adolescents[J]. J Child Sex Abus, 2017, 26(4): 487-505. doi: 10.1080/10538712.2017.1300204
[4]	CHRIST C, DE WAAL M M, DEKKER J J M, et al. Linking childhood emotional abuse and depressive symptoms: the role of emotion dysregulation and interpersonal problems[J]. PLoS One, 2019, 14(2): e0211882.
[5]	LI Q, GUO L, ZHANG S, et al. The relationship between childhood emotional abuse and depressive symptoms among Chinese college students: the multiple mediating effects of emotional and behavioral problems[J]. J Affect Disord, 2021, 288: 129-135. doi: 10.1016/j.jad.2021.03.074
[6]	赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J]. 中国组织工程研究, 2005, 9(20): 105-107. doi: 10.3321/j.issn:1673-8225.2005.20.052 ZHAO X F, ZHANG Y L, LI L F, et al. Reliability and validity of the Chinese edition of the Childhood Abuse Questionnaire[J]. Chin J Tissue Eng, 2005, 9(20): 105-107. (in Chinese) doi: 10.3321/j.issn:1673-8225.2005.20.052
[7]	王征宇, 迟玉芬. 抑郁自评量表(SDS)[J]. 上海精神医学, 1984(2): 71-72. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402007.htm WANG Z Y, CHI Y F. Depression Self-Assessment Scale (SDS)[J]. Shanghai Arch Psychiatry, 1984(2): 71-72. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402007.htm
[8]	陶芳标, 胡燕, 苏普玉, 等. 心理卫生评定量表手册(1999—2010)[M]. 郑州: 郑州大学出版社, 2011: 318-324. TAO F B, HU Y, SU P Y, et al. Manual of mental health assessment scales(1999-2010)[M]. Zhengzhou: Zhengzhou University Press, 2011: 318-324. (in Chinese)
[9]	FERRARI A J, CHARLSON F J, NORMAN R E, et al. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010[J]. PLoS Med, 2013, 10(11): e1001547. doi: 10.1371/journal.pmed.1001547
[10]	FERRARI A J, SOMERVILLE A J, BAXTER A J, et al. Global variation in the prevalence and incidence of major depressive disorder: a systematic review of the epidemiological literature[J]. Psychol Med, 2013, 43(3): 471-481. doi: 10.1017/S0033291712001511
[11]	LIU Y, ZHANG N, BAO G, et al. Predictors of depressive symptoms in college students: a systematic review and Meta-analysis of cohort studies[J]. J Affect Disord, 2019, 244: 196-208. doi: 10.1016/j.jad.2018.10.084
[12]	WANG Z H, YANG H L, YANG Y Q, et al. Prevalence of anxiety and depression symptom, and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic: a large cross-sectional study[J]. J Affect Disord, 2020, 275: 188-193. doi: 10.1016/j.jad.2020.06.034
[13]	余小东, 余金聪, 吴清峰, 等. 5935名中等职业学校学生抑郁、焦虑和压力与成瘾物质使用行为的关系研究[J]. 中华预防医学杂志, 2017, 51(3): 226-231. doi: 10.3760/cma.j.issn.0253-9624.2017.03.007 YU X D, YU J C, WU Q F, et al. The relationship among depression, anxiety, stress and addictive substance use behavior in 5935 secondary vocational students[J]. Chin J Prev Med, 2017, 51(3): 226-231. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2017.03.007
[14]	RAMÓN-ARBUÉS E, GEA-CABALLERO V, GRANADA-LÓPEZ J M, et al. The prevalence of depression, anxiety and stress and their associated factors in college students[J]. Int J Environ Res Public Health, 2020, 17(19): 7001. doi: 10.3390/ijerph17197001
[15]	ESMAEELZADEH S, MORAROS J, THORPE L, et al. The association between depression, anxiety and substance use among Canadian post-secondary students[J]. Neuropsychiatr Dis Treat, 2018, 14: 3241-3251. doi: 10.2147/NDT.S187419
[16]	SCHALINSKI I, TEICHER M H, NISCHK D, et al. Type and timing of adverse childhood experiences differentially affect severity of PTSD, dissociative and depressive symptoms in adult inpatients[J]. BMC Psychiatry, 2016, 16: 295. doi: 10.1186/s12888-016-1004-5
[17]	RICE S M, KEALY D, SEIDLER Z E, et al. Male-type depression symptoms in young men with a history of childhood sexual abuse and current hazardous alcohol use[J]. Psychiatry Res, 2021, 304(4): 114110.
[18]	HATCHER A M, GIBBS A, JEWKES R, et al. Effect of childhood poverty and trauma on adult depressive symptoms among young men in peri-urban South African settlements[J]. J Adolesc Health, 2019, 64(1): 79-85. doi: 10.1016/j.jadohealth.2018.07.026
[19]	KHAN A, MCCORMACK H C, BOLGER E A, et al. Childhood maltreatment, depression, and suicidal ideation: critical importance of parental and peer emotional abuse during developmental sensitive periods in males and females[J]. Front Psychiatry, 2015, 6: 42.
[20]	DUNN E C, MCLAUGHLIN K A, SLOPEN N, et al. Developmental timing of child maltreatment and symptoms of depression and suicidal ideation in young adulthood: results from the national longitudinal study of adolescent health[J]. Depress Anx, 2013, 30(10): 955-964.
[21]	SAPOLSKY R M, KREY L C, MCEWEN B S. Prolonged glucocorticoid exposure reduces hippocampal neuron number: implications for aging[J]. J Neurosci, 1985, 5(5): 1222-1227. doi: 10.1523/JNEUROSCI.05-05-01222.1985
[22]	GEUZE E, VERMETTEN E, BREMNER J D. MR-based in vivo hippocampal volumetrics: 2. findings in neuropsychiatric disorders[J]. Mol Psychiatry, 2005, 10(2): 160-184. doi: 10.1038/sj.mp.4001579
[23]	TEICHER M H, SAMSON J A. Annual research review: enduring neurobiological effects of childhood abuse and neglect[J]. J Child Psychol Psychiatry, 2016, 57(3): 241-266. doi: 10.1111/jcpp.12507
[24]	TEICHER M H, SAMSON J A, ANDERSON C M, et al. The effects of childhood maltreatment on brain structure, function and connectivity[J]. Nat Rev Neurosci, 2016, 17(10): 652-666. doi: 10.1038/nrn.2016.111