积极和消极同伴事件与大学生心理健康问题的关联

殷霞; 童莹莹; 苏普玉

doi:10.16835/j.cnki.1000-9817.2025072

积极和消极同伴事件与大学生心理健康问题的关联

doi: 10.16835/j.cnki.1000-9817.2025072

1.
安徽农业大学外国语学院，合肥 230036
2.
安徽医科大公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

基金项目:

国家自然科学基金项目 82173539

详细信息

作者简介:
殷霞(1994-)，女，安徽安庆人，硕士，讲师，主要研究方向为大学生心理健康促进

通讯作者:
苏普玉，E-mail: supuyu@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 C913.5 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2024-09-02
- 修回日期: 2025-01-05
- 网络出版日期: 2025-04-03
- 刊出日期: 2025-03-25

Relationship of positive and negative peer events with mental health problems among college students

YIN Xia¹,
TONG Yingying²,
SU Puyu^{2
, ,}

1.
School of Foreign Languages, Anhui Agricultural University, Hefei(230036), Anhui Province, China

摘要

摘要: 目的了解积极和消极同伴事件与大学生心理健康问题的关联，为提高大学生心理健康水平提供科学依据。方法采用方便抽样和整群随机抽样相结合的方法，于2023年10—11月份在安徽省2所高校共抽取1 640名大一至大三年级学生，使用问卷星线上调查大学生的同伴积极和消极事件、自我感知孤独和压力水平、焦虑症状和抑郁症状。采用方差分析和χ²检验进行组间比较，采用多变量二分类Logistic回归和线性回归分析大学生同伴积极事件和消极事件与心理健康问题的关联。结果有35.4%的大学生报告曾经历过一种消极同伴事件，91.3%报告曾经历过一种积极同伴事件。控制协变量后，多因素回归分析发现，有1，≥2次消极同伴事件与大学生孤独得分均呈正相关(β值分别为1.36，4.04)、与焦虑症状(OR值分别为2.24，4.33)和抑郁症状(OR值分别为2.19，4.01)的风险增加均相关；经历≥2次消极同伴事件与大学生压力得分呈正相关(β=1.12)；经历过5~6，7次积极同伴事件与大学生孤独得分(β值分别为-1.79，-2.44)、压力得分(β值分别为-0.75，-1.12)均呈负相关；经历过7次积极同伴事件与大学生焦虑症状和抑郁症状的风险降低均相关(OR值分别为0.74, 0.80)(P值均 < 0.05)。经历消极同伴事件数量与大学生孤独得分(β=0.80)、压力得分(β=0.24)、焦虑症状(OR=1.30)和抑郁症状(OR=1.27)的风险均呈正相关；经历积极同伴事件数量与孤独得分(β=-0.39)、压力得分(β=-0.19)、焦虑症状(OR=0.92)和抑郁症状(OR=0.93)的风险均呈负相关(P值均 < 0.05)。调节效应分析发现，在不同积极同伴事件数量分组中，报告1，≥2次消极同伴事件与大学生孤独得分均呈正相关(β=1.08~4.96)、与焦虑症状(OR=1.79~6.20)和抑郁症状(OR=1.78~6.77)的风险增加均相关(P值均 < 0.05)；且相应β系数和OR值在0~4次积极同伴事件中最高，其次为报告5~6次积极同伴事件，在报告7次积极同伴事件组别中最低。结论消极同伴事件与大学生心理问题呈正相关，积极同伴事件与心理健康问题呈负相关，积极同伴事件能够缓解消极同伴事件对心理健康问题的影响。
- 精神卫生 /
- 人际关系 /
- 回归分析 /
- 学生
Abstract: Objective To understand relationship of positive and negative peer events with mental health problems among college students, so as to provide a scientific basis for improving mental health level of college students. Methods A total of 1 640 freshmen to juniors were randomly selected from two universities in Anhui Province from October to November 2023 by a combination of convenience sampling and cluster random sampling method. The positive and negative peer events, self-perceived loneliness and stress levels, anxiety and depression symptoms of students were investigated by using the questionnaire star online. Group comparisons were conducted by using analysis of variance and Chi-square test, and multivariate binary Logistic regression and linear regression were used to analyze relationship of positive and negative peer events with mental health problems among college students. Results About 35.4% of college students reported that they experienced at least one type of negative peer events, and 91.3% reported that they experienced at least one type of positive peer events. After controlling for covariates, multivariate regression analysis found that experiencing 1, ≥2 types of negative peer events were positively correlated with loneliness scores of college students (β=1.36, 4.04), as well as an increased risk of anxiety symptoms (OR=2.24, 4.33) and depression symptoms (OR=2.19, 4.01); and experiencing ≥2 types of negative peer events was positively correlated with stress scores of college students (β=1.12)(P < 0.05). Experiencing 5-6 and 7 types of positive peer events were negatively correlated with loneliness scores of college students (β=-1.79, -2.44) and stress (β=-0.75, -1.12); and experiencing 7 types of positive peer events were associated with a lower risk of anxiety symptoms (OR=0.74) and depressive symptoms (OR=0.80) (P < 0.05). The number of negative peer events was positively correlated with loneliness scores (β=0.80) and stress scores(β=0.24), as well as the risk of anxiety symptoms (OR=1.30) and depressive symptoms (OR=1.27) among college students (P < 0.05). The number of positive peer events involved was negatively correlated with loneliness scores(β=-0.39) and stress scores(β=-0.19), as well as the risk of anxiety (OR=0.92) and depressive symptoms (OR=0.93) among college students (P < 0.05). The analysis of the moderating effect found that in different groups of positive peer events, reporting 1, ≥2 negative peer events were positively correlated with loneliness scores of college students (β=1.08-4.96), as well as an increased risk of anxiety symptoms (OR=1.79-6.20) and depression symptoms (OR=1.78-6.77) (P < 0.05); and β and OR coefficients were highest in the group reporting 0-4 types of positive peer events, followed by the group reporting 5-6 types of positive peer events, with lowest coefficients in the group reporting 7 types of positive peer events. Conclusions Negative peer events are positively correlated with psychological problems in college students, and positive peer events are negatively correlated with mental health problems. Positive peer events could alleviate the impact of negative peer events on mental health problems.
- Mental health /
- Interpersonal relations /
- Regression analysis /
- Students
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表 1 不同数量积极和消极同伴事件大学生焦虑抑郁症状报告率比较

Table 1. Comparison of anxiety and depression symptom reporting rates among college students with different numbers of positive and negative peer events

事件	选项/次	人数	统计值	焦虑症状	抑郁症状
消极同伴事件	0	1 059		264(24.9)	285(26.9)
	1	312		132(42.3)	139(44.6)
	≥2	269		162(60.2)	164(61.0)
			χ²值	130.81	120.84
			P值	< 0.01	< 0.01
积极同伴事件	0~4	409		162(39.6)	169(41.3)
	5~6	731		250(34.2)	264(36.1)
	7	500		146(29.2)	155(31.0)
			χ²值	10.88	10.46
			P值	< 0.01	< 0.01
注： ()内数字为报告率/%。

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表 2 大学生积极和消极同伴事件与心理健康问题多因素回归分析(n=1 640)

Table 2. Multivariate linear regression analysis of positive and negative peer events with mental health problems among college students(n=1 640)

自变量	选项/次	线性回归[β值(95%CI)]		Logistic回归[OR值(95%CI)]
自变量	选项/次	孤独	压力	焦虑症状	抑郁症状
消极同伴	0	1.00	1.00	1.00	1.00
事件	1	1.36(0.85~1.88)^**	0.25(-0.03~0.54)	2.24(1.71~2.94)^**	2.19(1.68~2.88)^**
	≥2	4.04(3.50~4.59)^**	1.12(0.82~1.42)^**	4.33(3.25~5.77)^**	4.01(3.01~5.35)^**
积极同伴	0~4	1.00	1.00	1.00	1.00
事件	5~6	-1.79(-2.31~-1.28)^**	-0.75(-1.02~-0.48)^**	0.83(0.64~1.08)	0.87(0.68~1.13)
	7	-2.44(-3.01~-1.88)^**	-1.12(-1.42~-0.82)^**	0.74(0.55~0.98)^*	0.80(0.61~0.98)^*
注： ^* P < 0.05，^** P < 0.01。

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表 3 不同积极同伴事件数量分组中消极同伴事件与大学生心理健康问题多因素回归分析(n=1 640)

Table 3. Multivariate linear regression analysis of negative peer events with mental health problems among college students stratified by positive peer events(n=1 640)

积极同伴事件/次	消极同伴事件/次	线性回归[β值(95%CI)]		Logistic回归[OR值(95%CI)]
积极同伴事件/次	消极同伴事件/次	孤独	压力	焦虑症状	抑郁症状
0~4	0	1.00	1.00	1.00	1.00
	1	2.12(0.85~3.38)^*	0.67(-0.12~1.10)	3.36(1.76~6.45)^**	4.17(2.07~7.97)^**
	≥2	4.96(3.70~6.02)^**	1.47(0.93~2.00)^*	6.20(3.30~11.64)^**	6.77(3.54~12.94)^**
5~6	0	1.00	1.00	1.00	1.00
	1	1.65(0.91~2.38)^**	0.53(0.10~0.95)^*	2.52(1.69~3.77)^**	2.26(1.50~3.34)^**
	≥2	4.11(3.26~4.95)^**	1.07(0.58~1.55)^**	4.64(2.94~7.32)^**	4.14(2.63~6.51)^**
7	0	1.00	1.00	1.00	1.00
	1	1.08(0.26~1.89)^*	0.03(-0.47~0.52)	1.79(1.09~2.94)^*	1.78(1.10~2.90)^*
	≥2	3.87(2.99~4.74)^**	0.84(0.28~1.40)^**	3.63(2.15~6.11)^**	3.03(1.82~5.06)^**
注： ^* P < 0.05，^** P < 0.01。

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