儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响

卜庆亮; 严娜; 罗运娇; 张曹辰; 王威

doi:10.16835/j.cnki.1000-9817.2023.08.014

儿童期虐待经历与不确定心理压力对大学生抑郁症状的影响

doi: 10.16835/j.cnki.1000-9817.2023.08.014

1.
徐州医科大学纪委办, 江苏 221004
2.
徐州医科大学公共卫生学院

基金项目:

国家自然科学基金项目 72174208

国家自然科学基金项目 72004233

江苏省教育科学"十四五"规划一般课题项目 D/2021/01/163

详细信息

作者简介:
卜庆亮(1983-), 男, 江苏徐州人, 硕士, 助理研究员, 主要研究方向为医学教育、心理健康与思想政治教育

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: B844.2 R179 R193
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出版历程
- 收稿日期: 2023-03-13
- 修回日期: 2023-06-13
- 刊出日期: 2023-08-25

Interactive effect of childhood abuse and uncertainty stress on depressive symptoms among college students

1.
Inspecting Discipline Commission Office, Xuzhou Medical University, Xuzhou (221004), Jiangsu Province, China

摘要

摘要: 目的了解大学生儿童期虐待经历与不确定心理压力与抑郁症状的关联, 为大学生的心理干预提供依据。方法于2021年3—5月按照多阶段分层随机整群抽样法, 从徐州、南京、武汉抽取1 830名大学生, 采用童年期不良经历量表(ACEs)、不确定心理压力量表、10项流调中心抑郁自评量表(CESD-10)开展线上问卷调查。结果存在儿童期虐待经历、高不确定心理压力和抑郁症状者分别为361(19.73%), 507(27.70%), 607人(33.17%)。控制混杂因素后, 多因素Logistic回归分析结果显示, 存在儿童期虐待经历的大学生产生抑郁症状的风险是不存在儿童期虐待经历者的2.84倍(OR=2.84, 95%CI=2.17~3.71), 存在高不确定心理压力的大学生产生抑郁症状的风险是不存在高不确定心理压力者的7.88倍(OR=7.88, 95%CI=6.21~9.99)。交互作用分析结果显示, 儿童期虐待经历与不确定心理压力对大学生抑郁症状不存在相乘交互作用, 但存在相加交互作用: 超额危险度(RERI)(95%CI)=12.73(3.24~22.23), 归因比(AP)(95%CI)=0.57(0.37~0.76), 交互作用指数(S)(95%CI)=2.47(1.53~3.98)。结论高不确定心理压力和儿童期虐待经历对大学生抑郁症状具有相加交互作用。针对儿童期虐待经历、不确定心理压力进行科学的管理有助于降低大学生发生抑郁症状的风险。
- 虐待儿童 /
- 精神卫生 /
- 抑郁 /
- 回归分析 /
- 学生
Abstract: Objective To understand the relationship between childhood abuse and uncertainty stress among college students and their interaction with depressive symptoms, so as to provide evidence for psychological intervention among college students. Methods A total of 1 830 college students from Xuzhou, Nanjing and Wuhan were selected by multistage stratified cluster random sampling method to conduct a questionnaire survey from March to May 2021 using Adverse Childhood Experience Scale, Uncertainty Stress Scale, and 10-Item Center for Epidemiological Studies Depression Scale. Results Overall, 361 (19.73%), 507 (27.70%) and 607 (33.17%) college students had childhood abuse experiences, high uncertainty stress and depressive symptoms respectively. After controlling for confounding factors, multivariate Logistic regression analysis showed that the risk of depressive symptoms in college students with childhood abuse experiences was 2.84 times higher than those without childhood abuse experiences (OR=2.84, 95%CI=2.17-3.71). The risk of depressive symptoms among college students with high uncertainty stress was 7.88 times higher than those without high uncertainty stress (OR=7.88, 95%CI=6.21-9.99). The results of interaction analysis showed that childhood abuse and uncertainty stress had no multiplication interaction but additive interaction on depressive symptoms of college students: RERI (95%CI)=12.73(3.24-22.23), AP (95%CI)=0.57(0.37-0.76), S (95%CI)=2.47(1.53-3.98). Conclusion High uncertainty stress and childhood abuse have additive interaction on depression symptoms of college students. Eliminating childhood abuse and scientific management of uncertainty stress can reduce the risk of depressive symptoms among college students.
- Child abuse /
- Mental health /
- Depression /
- Regression analysis /
- Students
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表 1 不同人口学特征大学生抑郁症状检出率比较

Table 1. Comparison of depressive symptoms of college students with different demographic characteristics

人口统计学指标	人数	抑郁症状人数	χ²值	P值
性别
男	559	190(33.99)	0.24	0.62
女	1 271	417(32.81)
年龄/岁
＜20	556	181(32.55)	1.28	0.53
20	658	229(34.80)
＞20	616	197(31.98)
独生子女
是	914	292(31.95)	1.23	0.27
否	916	315(34.39)
地区
城市	1 035	350(33.82)	0.45	0.50
农村	795	257(32.33)
专业
医学类	1 479	487(32.93)	0.20	0.65
非医学类	351	120(34.19)
性取向
异性恋	1 639	525(32.03)	9.50	0.02
同性恋	40	17(42.50)
双性恋	108	45(41.67)
其他	43	20(46.51)
月生活费/元
＜1 000	93	34(36.56)	1.11	0.77
1 001~2 000	1 448	473(32.67)
2 001~3 000	227	80(35.24)
＞3 001	62	20(32.26)
父亲文化程度
初中及以下	799	278(34.79)	4.71	0.19
高中、中专或中职	589	175(29.71)
大专或本科	421	147(34.92)
硕士或博士	21	7(33.33)
母亲文化程度
初中及以下	962	326(33.89)	0.91	0.82
高中、中专或中职	533	172(32.27)
大专或本科	319	105(32.92)
硕士或博士	16	4(25.00)
注：()内数字为检出率/%。

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表 2 大学生儿童期虐待经历与不确定心理压力对抑郁症状的相乘交互作用(n=1 830)

Table 2. The multiplicative interaction between childhood abuse experience and uncertainty stress on depressive symptoms of college students(n=1 830)

自变量	β值	标准误	Wald χ²值	P值	OR值(95%CI)
儿童期虐待经历	1.04	0.17	37.87	＜0.01	2.83(2.03~3.94)
不确定心理压力	2.06	0.14	223.17	＜0.01	7.86(6.00~10.30)
儿童期虐待经历×不确定心理压力	0.01	0.29	＜0.01	0.98	1.01(0.57~1.78)

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