中医体质类型与大学生心理压力的相关性

王雅馨; 谢佳东; 时修雯; 阚梦寒; 郭庚骅; 张睿; 张浩文

doi:10.16835/j.cnki.1000-9817.2023.06.019

中医体质类型与大学生心理压力的相关性

doi: 10.16835/j.cnki.1000-9817.2023.06.019

1.
南京中医药大学针灸推拿学院/养生康复学院，南京210023
2.
南京中医药大学人工智能与信息技术学院

基金项目:

国家自然科学基金项目 82004239

江苏省大学生创新创业训练计划校级项目 103152021021

详细信息

作者简介:
王雅馨(2001-)，女，安徽枞阳人，在读本科，主要研究方向为中医体质养生研究

通讯作者:
张浩文，E-mail：zhwdoctor@njucm.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R363.2⁺6 B844.2 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-03-06
- 修回日期: 2023-04-04
- 网络出版日期: 2023-06-28
- 刊出日期: 2023-06-25

Correlation analysis of traditional Chinese medicine constitution classification and psychological pressure among college students

1.
College of Acupuncture and Massage/College of Health and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing(210023), China

摘要

摘要: 目的分析大学生中医体质类型与心理压力的相关性，为大学生心理压力预警及干预提供参考。方法于2022年9—12月，采用方便抽样方法通过线上调查南京市6所高校1 157名大学生分别采用中医体质量表和心理压力量表调查大学生中医体质类型和心理压力状况的数据，利用随机森林模型对大学生心理压力相关因素进行重要性排序，采用χ²检验、Pearson相关分析及多因素Logistic回归分析大学生心理压力的关联因素。结果随机森林结果显示，大学生心理压力重要性因素排名前3的中医体质类型分别为气郁质、血瘀质、平和质。Pearson相关分析显示，气郁质(r=0.75)、血瘀质(r=0.66)、气虚质(r=0.62)的体质得分与心理压力值呈正相关，平和质(r=-0.65)体质得分与心理压力值呈负相关(P值均 < 0.01)。多因素Logistic回归分析结果显示，气郁质、血瘀质与心理压力过大呈正相关。结论气郁质、血瘀质及气虚质可作为大学生心理压力预警及干预的主要偏颇体质，平和质可作为大学生心理压力的保护性体质。应重点关注偏颇体质大学生的心理健康。
- 体质 /
- 精神卫生 /
- 压力 /
- 回归分析 /
- 学生
Abstract: Objective Analyzing the correlation between TCM (traditional Chinese medicine) constitution classification and psychological pressure among college students, to provide a reference for its incorporation into an early warning and intervention program. Methods From September to December 2022, this study assessed the use of TCM and psychological pressure among 1 157 college students from six universities in Nanjing, China, who were selected using the convenience sampling method and online surveys. Factors associated with psychological stress among college students was ranked by the random forest model. The Chi-square test, pearson correlation analysis and binary Logistic regression were performed to analyze the factors associated with psychological pressure among college students. Results The results of the random forest showed that the top three TCM constitutions of psychological stress among this population included qi stagnation, blood stasis and balanced constitutions. The Pearson correlation analysis showed that the scores of qi stagnation (r=0.75), blood stasis (r=0.66) and qi deficiency (r=0.62) constitutions were positively correlated with psychological pressure, while the scores of balanced constitution (r=-0.65) were negatively correlated with psychological pressure (P < 0.01). Multivariate Logistic regression analyses showed that qi stagnation and blood-stasis constitutions were positively correlated with psychological pressure. Conclusion Qi stagnation, blood stasis and qi-deficiency constitutions can be used as early warning constitutions and indicators for interventions aimed at addressing psychological pressure among college students, and in this respect, a balanced constitution can be regarded as a protective factor. Greater attention should be paid to the mental health of college students with a biased constitution.
- Body constitution /
- Mental health /
- Pressure /
- 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心理压力过大检出率比较

Table 1. Comparison of detection rates of excessive psychological pressure among college students with different demographic characteristics

人口统计学指标	选项	人数	心理压力过大	χ²值	P值
性别	男	454	86(18.94)	25.39	< 0.01
	女	703	228(32.43)
专业性质	医学	397	148(25.19)	31.43	< 0.01
	非医学	760	166(21.84)
年级	一	286	83(29.02)	3.55	0.47
	二	493	130(26.37)
	三	267	78(29.21)
	四	82	17(20.73)
	五	29	6(20.69)
体质类型	平和质	427	39(9.13)	110.96	< 0.01
	偏颇体质	730	275(37.67)
注：()内数字为检出率/%。

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表 2 大学生中医体质与心理压力得分及相关系数(x ±s)

Table 2. College students' traditional Chinese medicine constitutions and psychological stress scores and corrlation coefficients(x ±s)

心理压力	人数	平和质	气虚质	气郁质	湿热质	痰湿质	特禀质	血瘀质	阳虚质	阴虚质
正常	843	71.84±12.44	25.76±16.03	19.77±15.83	23.79±17.79	21.40±16.25	17.63±14.91	18.71±13.83	27.27±18.62	26.96±16.16
过大	314	53.81±13.40	46.91±15.84	46.95±16.77	40.26±17.13	42.27±16.76	30.56±16.59	38.34±15.93	45.93±18.17	42.16±14.54
r值		-0.65	0.62	0.75	0.49	0.60	0.48	0.66	0.50	0.51
P值		< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01

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表 3 大学生心理压力相关因素的Logistic回归分析(n=1 157)

Table 3. Logistic regression analysis of the factors related to the psychological pressure of college students(n=1 157)

自变量	β值	标准误	OR值(95%CI)	P值
气虚质	1.90	0.26	6.69(4.00~11.19)	< 0.01
气郁质	2.80	0.28	16.48(9.52~28.52)	< 0.01
湿热质	1.47	0.27	4.36(2.57~7.41)	< 0.01
痰湿质	1.87	0.30	6.47(3.57~11.71)	< 0.01
特禀质	1.29	0.38	3.62(1.73~7.57)	< 0.01
血瘀质	2.65	0.41	14.09(6.28~31.65)	< 0.01
阳虚质	1.73	0.23	5.66(3.62~8.85)	< 0.01
阴虚质	1.15	0.27	3.17(1.85~5.42)	< 0.01
注：中医体质分型以平和质为参照。

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