目的 了解高职学校学生抑郁症状的流行情况,分析童年期虐待和校园欺凌对大学生抑郁症状的影响。方法 2020年10月在苏州某高校选取在校大学生6 366名进行问卷调查。使用“童年期虐待评定量表”评价童年期虐待;采用“抑郁症状自评量表”评价大学生抑郁症状的发生情况;采用“Olweus欺负问卷”中的校园欺凌相关条目评价大学生校园欺凌的发生情况。结果 大学生抑郁症状检出率为23.6%。有童年期虐待和校园欺凌经历组与对照组相比,大学生抑郁症状检出率差异均有统计学意义(χ2=17.47,P<0.001;χ2=5.16,P=0.002)。logistic回归模型联合作用分析结果显示,在有童年期虐待经历的情况下,有校园欺凌经历抑郁症状发生风险更大(OR=1.83,95%CI:1.30~2.57)。结论 童年期虐待与校园欺凌是大学生抑郁症状的重要危险因素,减少童年期虐待和校园欺凌的发生,有助于促进大学生身心健康发展。
Abstract
Objective To understand the prevalence of depressive symptoms among vocational college students,and analyze the impact of childhood abuse and campus bullying on depressive symptoms of college students. Methods In October 2020,a questionnaire survey was conducted among 6 366 college students selected from a university in Suzhou.The "Childhood Abuse Rating Scale" was used to evaluate childhood abuse;The incidence of depressive symptoms in college students was evaluated with the Self Rating Depression Scale;The campus bullying related items in the "Olweus Bullying Questionnaire" were used to evaluate the occurrence of college students' campus bullying. Results The prevalence of depressive symptoms among college students was 23.6%.Compared with the control group,the group with childhood abuse and campus bullying experience had statistically significant difference in the detection rate of depressive symptoms among college students (χ2=17.47,P<0.001;χ2=5.16,P=0.002).The combined effect analysis of logistic regression model showed that in the case of childhood abuse,there was a greater risk of depression symptoms from school bullying (OR=1.83,95% CI:1.30-2.57). Conclusion Childhood maltreatment and campus bullying are important risk factors for college students' depressive symptoms.Reducing the incidence of childhood maltreatment and campus bullying is helpful to promote the development of college students' physical and mental health.
关键词
童年期虐待 /
校园欺凌 /
抑郁症状 /
大学生 /
青少年心理卫生
Key words
Childhood abuse /
School bullying /
Depressive symptoms /
College students /
Adolescent mental health
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参考文献
[1] 杨克鑫,胡晓飞,王铭洲,等.抑郁症状在大学生社会支持与生活满意度之间的中介效应[J].职业与健康,2020,36(11): 1566-1569.
[2] 王蜜源,韩芳芳,刘佳,等.大学生抑郁症状检出率及相关因素的META分析[J].中国心理卫生杂志,2020,34(12): 1041-1047.
[3] Ordaz SJ,Goyer MS,Ho TC,et al.Network basis of suicidal ideation in depressed adolescents[J].Affect Disord,2018,226:92-99.
[4] Tocker L,Ben-Amitay G,Horesh-Reinman N,et al.Predictors of clinical outcomes in sexually abused adolescents[J].J Child Sex Abus,2017,26(4): 487-505.
[5] Kuehner C.Why is depression more common among women than among men[J].Lancet Psychiatry,2017(4):146-158.
[6] 赵幸福,张亚林,李龙飞,等.中文版儿童期虐待问卷的信度和效度[J].中国组织工程研究,2005,9(20): 105-107.
[7] 王征宇,迟玉芬.抑郁自评量表(SDS)[J].上海精神医学杂志,1984,(2):71-72.
[8] 彭畅,刘小群,杨孟思,等.中文版Olweus欺负问卷同胞欺负信效度评价[J].中国公共卫生,2020,36(3):4.
[9] Lun KW,Chan CK,Ip PK,et al.Depression and anxiety among university students in Hong Kong[J].Hong Kong Med J,2018,24(5):466-472.
[10] Hou H,Feng X,Li Y,et al.Suboptimal health status and psychological symptoms among Chinese college students: a perspective of predictive,preventive and personalised health[J].EPMA J,2018,9(4):367-377.
[11] Ramón-Arbués E,Gea-Caballero V,Granada-López JM,et al.The Prevalence of Depression,Anxiety and Stress and Their Associated Factors in College Students[J].Int J Environ Res Public Health,2020,17(19):7001.
[12] Esmaeelzadeh S,Moraros J,Thorpe L,et al.The association between depression,anxiety and substance use among Canadian post-secondary students[J].Neuropsychiatr Dis Treat,2018,14(1):3241-3251.
[13] 李海峰,杨光,夏德涛,等.医学院校大学生抑郁现状的logistic回归分析[J].中国卫生统计,2020,37(6): 870-873.
[14] Fox KR,Millner AJ,Franklin JC.Classifying nonsuicidal overdoses: Nonsuicidal self-injury,suicide attempts,or neither[J].Psychiatry Res,2016,244(1):235-242.
[15] 王武宽,王晶,冶梦楠,等.南昌市城市青少年校园欺凌状况及与抑郁的关联性分析[J].现代预防医学,2021,16(48): 2933-2937.
[16] Christ C,Waal MM,Dekker JJM,et al.Linking childhood emotional abuse and depressive symptoms: The role of emotion dysregulation and interpersonal problems[J].PLoS One,2019,14(2):e0211882.
[17] Nelson J,Klumparendt A,Doebler P,et al.Childhood maltreatment and characteristics of adult depression: meta-analysis[J].BrJ Psychiatry,2017,210(2):96-104.
[18] Lereya ST,Copeland WE,Costello EJ,et al.Adult mental health consequences of peer bullying and maltreatment in childhood: two cohorts in two countries[J].Lancet Psychiatry,2015,2(6):524-531.
[19] Macalli M,Orri M,Tzourio C,et al.Contributions of childhood peer victimization and/or maltreatment to young adult anxiety,depression,and suicidality: a cross-sectional study[J].BMC Psychiatry,2021,21(1):354.
[20] Kaltiala-Heino R,Fröjd S,Marttunen M.Involvement in bullying and depression in a 2-year follow-up in middle adolescence[J].Eur Child Adolesc Psychiatry,2010,19(1):45-55.
[21] Chen X,Zhang S,Huang G,et al.Associations Between Child Maltreatment and Depressive Symptoms Among Chinese College Students: An Analysis of Sex Differences[J].Front Psychiatry,2021,12:656646.
基金
苏州市科技计划项目(SKJYD2021051);苏州卫生职业技术学院青年科技专项(szwzy202013);江苏省大学生创新训练计划(202012688021Y)