The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students
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摘要:
目的 探讨手机成瘾与焦虑症状在大学生儿童期心理虐待和抑郁症状之间的作用，为提高大学生心理健康水平提供依据。 方法 于2023年2—5月，采取分层随机抽样的方法，选取安徽省芜湖市1所高校大一至大三的学生1 799名，采用2项患者健康问卷(PHQ-2)、儿童心理虐待量表(CPMS)、大学生手机成瘾倾向量表(MPATS)和2项一般焦虑症(GAD-2)进行问卷调查。分析各研究变量之间的相关性，并探讨手机成瘾与焦虑症状的链式中介效应。 结果 大学生抑郁症状检出率为9.7%，儿童期心理虐待检出率为28.6%。抑郁症状与儿童期心理虐待、手机成瘾、焦虑症状均呈正相关(r值分别为0.28，0.32，0.27)，儿童期心理虐待与手机成瘾、焦虑症状均呈正相关(r值分别为0.29，0.71)，手机成瘾与焦虑症状呈正相关(r=0.30)(P值均 < 0.01)。儿童期心理虐待能有效预测抑郁症状、手机成瘾和焦虑症状(β值分别为0.08，0.06，0.66，P值均 < 0.01)；手机成瘾、焦虑症状在儿童期心理虐待和抑郁症状之间存在链式中介效应(效应量占25.27%，P < 0.05)，总间接中介效应占总效应的比例为72.44%。 结论 手机成瘾与焦虑症状在儿童期心理虐待和抑郁症状之间具有链式中介作用。关注大学生儿童期心理虐待、手机成瘾行为和焦虑情绪可能有助于预防大学生抑郁症状的发生。 Abstract:Objective To explore the role of mobile phone addiction and anxiety symptoms in the relationship between childhood psychological abuse and depressive symptoms among college students, in order to provide a basis for mental health promotion. Methods From February to May 2023, a stratified random sampling method was used to select 1 799 freshmen to juniors from a university in Wuhu City, Anhui Province. The questionnaire survey was conducted using the 2-item Patient Health Questionnaire (PHQ-2), Child Psychological Maltreatment Scale (CPMS), Mobile Phone Addiction Tendency Scale (MPATS), 2-item General Anxiety Disorder (GAD-2). Correlations among each variable were analyzed, and the chain mediating effect of mobile phone addiction and anxiety symptoms was explored. Results The detection rate of depressive symptoms among college students was 9.7%, and the positive detection rate of childhood psychological abuse was 28.6%. Depressive symptoms were positively correlated with childhood psychological abuse, mobile phone addiction and anxiety symptoms (r=0.28, 0.32, 0.27, P < 0.01). Childhood psychological abuse was positively correlated with mobile phone addiction and anxiety symptoms (r=0.29, 0.71, P < 0.01). Mobile phone addiction and anxiety symptoms were positively correlated (r=0.30, P < 0.01). Childhood psychological abuse could effectively predict depressiove symptoms, mobile phone addiction and anxiety symptoms (β=0.08, 0.06, 0.66, P < 0.01). Mobile phone addiction and anxiety symptoms had a chain mediating effect between childhood psychological abuse and depression symptoms, with a total indirect mediating effect (effect=25.27%, P < 0.05), accounting for 72.44% of the total effect. Conclusions Mobile phone addiction and anxiety symptoms play a chain mediating role between childhood psychological abuse and depressive symptoms. Focusing on childhood psychological abuse, mobile phone addiction and anxiety among college students are beneficial for depression symptoms prevention. -
Key words:
- Behavior, addictive /
- Torture /
- Depression /
- Mental health /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。2) 潘志银和童嘉妮为共同第一作者。 -
图 1 大学生手机成瘾儿童期心理虐待焦虑抑郁症状的链式中介效应模型
Figure 1. Chain mediated effect model of mobile phone addiction, psychological abuse in children, anxiety and depression symptoms in college students
表 1 大学生抑郁症状、儿童期心理虐待、手机成瘾、焦虑症状得分间的相关性分析
Table 1. Comparison of detection rates of depression symptoms and childhood abuse among college students with different demographic characteristics
人口统计学指标 选项 人数 抑郁症状 儿童期心理虐待 检出人数 χ2值 P值 检出人数 χ2值 P值 性别 男 859 83(9.7) 0.01 0.93 277(32.2) 10.54 <0.01 女 940 92(9.8) 238(25.3) 专业 医学 1 317 117(8.9) 3.98 0.04 355(27.0) 6.72 <0.01 非医学 482 58(12.0) 160(33.2) 年级 大一 542 60(11.1) 2.09 0.35 155(28.6) 0.74 0.69 大二 736 71(9.6) 204(27.7) 大三 521 44(8.4) 156(29.9) 独生子女 是 622 58(9.3) 0.18 0.68 189(30.4) 1.44 0.23 否 1 177 117(9.9) 326(27.7) 居住地 城市 487 38(7.8) 4.65 0.09 148(30.4) 1.18 0.56 县/城镇 596 55(9.2) 170(28.5) 农村 716 82(11.5) 197(27.5) 家庭类型 核心 1 274 109(8.6) 6.83 <0.01 354(27.8) 1.51 0.21 非核心 525 66(12.6) 161(30.7) 父亲文化程度 高中以下 1 065 120(11.3) 7.05 <0.01 326(30.6) 5.03 0.03 高中及以上 734 55(7.5) 189(25.7) 母亲文化程度 高中以下 1 192 127(10.7) 3.46 0.06 359(30.1) 3.84 <0.05 高中及以上 607 48(7.9) 156(25.7) 注：( )内数字为检出率/%；核心家庭指家庭结构为父母和子女，其余皆为非核心家庭。 
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