自我污名对残障大学生抑郁的影响

唐蔚东; 张季芳; 杨梦碟

doi:10.16835/j.cnki.1000-9817.2023.01.020

自我污名对残障大学生抑郁的影响

doi: 10.16835/j.cnki.1000-9817.2023.01.020

河北中医学院团委，石家庄 050200

详细信息

作者简介:
唐蔚东(1979-)男，河北廊坊人，在读博士，主要研究方向为学生思想政治教育

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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出版历程
- 收稿日期: 2022-07-26
- 修回日期: 2022-10-27
- 网络出版日期: 2023-02-06
- 刊出日期: 2023-01-25

Influence of self-stigma on depression of disabled college students

Youth League Committee Hebei University of Chinese Medicine, Shijiazhuang(050200), China

摘要

摘要: 目的探讨自我污名与残障大学生抑郁情绪的因果关系及内在作用机制, 为推动残障大学生心理健康发展提供参考。方法于2021年10月(T1)和2022年4月(T2)使用整群抽样方法选取河北开放大学特殊教育学院4个专业291名肢体残疾大学生开展2次追踪测试, 使用残联自我污名量表、领悟社会支持量表以及流调用抑郁自评量表进行线上问卷调查, 建立以领悟社会支持为中介的交叉滞后模型。结果残障大学生T1、T2时期抑郁平均得分为(43.51±8.26, 46.82±9.13)分。交叉滞后模型结果显示, T1自我污名能够正向预测大学生T2抑郁(β=0.17, P < 0.01)。跨群组分析表明, T1领悟社会支持在T1自我污名与T2残障大学生抑郁间发挥纵向中介作用; 自我污名可正向预测大学生抑郁, 女生(β=0.42)比男生(β=0.29)更强; 领悟社会支持可负向预测抑郁, 女生(β=-0.36)比男生(β=-0.19)更强(P值均 < 0.01)。结论自我污名与残障大学生抑郁情绪间具有纵向因果关系, 依照性别特征干预大学生领悟社会支持对调节抑郁情况具备一定实践意义。
- 自我 /
- 残疾人 /
- 抑郁 /
- 精神卫生 /
- 学生
Abstract: Objective To explore the causal relationship between self-stigma and depression among college students with disabilities, so as to provide reference for mental health promotion among disabled college students. Methods In October, 2021(T1) and April, 2022(T2), 291 college students from four majors of School of Special Education of Hebei Open University were selected by cluster sampling method to conduct two follow-up tests, and online questionnaires were conducted by using Disability Self-Stigma Scale, Perceived Social Support Scale and Center for Epidemiological Survey, Depression Scale, and the mediation of perceived social support was established in the cross-lag model. Results The average scores of depressive symptoms of disabled college students in T1 and T2 were (43.51±8.26, 46.82±9.13).The cross-lag model showed that T1 self-stigma could positively predict T2 depressive (β=0.17, P < 0.01).Cross-group analysis showed that T1 perceived social support plays a longitudinal mediating role between T1 self-stigma and T2 depressive.Predictive effects of self-stigma on depressive symptoms in female students (β=0.42) was stronger than that in males (β=0.29)(P < 0.01).Predictive effects of perceived social support on depressive in female students (β=-0.36) was stronger than that of the males (β=-0.19)(P < 0.01). Conclusion There is a causal relationship between self-stigma and depressive symptoms among college students with disabilities.Intervention aim at promoting perceived social support might help to control depressive symptoms.
- Ego /
- Disabled persons /
- Depression /
- Mental health /
- 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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图 1 自我污名与残障大学生抑郁的交叉滞后模型

Figure 1. The cross-lagged model of self anonymity and depression of disabled college students

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图 2 男生领悟社会支持在自我污名对抑郁影响中的纵向中介模型

Figure 2. Longitudinal mediation model of social support in the impact of self stigma on depression in the male students

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图 3 女生领悟社会支持在自我污名对抑郁影响中的纵向中介模型

Figure 3. Longitudinal intermediary model of social support in the impact of self stigma on depression in the female students

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表 1 残障大学生自我污名与领悟社会支持及抑郁的相关系数(r值，n=291)

Table 1. Correlation coefficient among self stigma, perceived social support and depression of disabled college students (r, n=291)

变量	自我污名(T1)	自我污名(T2)	抑郁(T1)	抑郁(T2)	领悟社会支持(T1)
自我污名(T2)	0.59
抑郁(T1)	0.23	0.21
抑郁(T2)	0.15	0.19	0.46
领悟社会支持(T1)	-0.22	-0.21	-0.51	-0.36
领悟社会支持(T2)	-0.12	-0.17	-0.31	-0.49	0.38
注： P值均 < 0.01。

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表 2 交叉滞后模型性别异质性结果比较

Table 2. Comparison of gender heterogeneity results in cross lag model

模型	模型拟合							模型比较
模型	χ²值	df	CFI	TLI	RMSE	AIC	EVIC	△χ²值	△df	P值
3	305.78	8	0.97	0.93	0.02	395.67	0.49	-	-	-
4	327.91	15	0.96	0.95	0.02	392.21	0.25	24.93	8	< 0.05
5	345.23	27	0.97	0.94	0.03	548.34	0.34	42.37	21	< 0.05
注： CFI为拟合优度指数，TLI为Tucker-Lewis指数，RMSE为近似误差均方根，AIC为赤池信息准则，EVIC为交叉验证指数。

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