高职院校大学生不同时相童年期虐待经历与抑郁症状的关联

  目的  了解高职院校大学生抑郁症状流行现况及其与不同时相童年期虐待经历的关联，为预防大学生抑郁症状提供循证依据。  方法  采用整群抽样方法，于2020年10—12月，选取苏州市某高职院校6 366名在校生为研究对象，通过问卷调查其童年期虐待经历以及抑郁症状发生情况。  结果  大学生抑郁症状中男生检出率为28.3%，女生为22.2%，差异有统计学意义(χ2=22.73，P < 0.01)。控制相关混杂因素的作用，多因素Logistic回归分析显示，持续童年期虐待经历与大学男生抑郁症状发生呈正相关OR值(95%CI)=1.70(1.17~2.45)]；小学及以前和中学虐待经历与大学女生抑郁症状发生均呈正相关OR值(95%CI)分别为1.38(1.01~1.73)，1.47(1.10~1.96)](P值均＜0.01)。  结论  童年期虐待经历是高职院校大学生抑郁症状的重要因素，且不同时相童年期虐待经历影响大学女生发生抑郁症状的作用更显著。

The association between different timing of childhood abuse experiences and depressive symptoms in college students

  Objective  The present study aimed to determine the prevalence of depressive symptoms and examined its association with different timing childhood abuse in college students, so as to provide a evidenced-based reference for depressive symptoms prevention among college students.  Methods  With cluster sampling method, a total of 6 366 students from a vocational college in Suzhou were enrolled to investigate the experience of childhood abuse and depressive symptoms from October to December 2020.  Results  The prevalence of depressive symptoms in college students was 28.3% for boys and 22.2% for girls, with significant sex difference(χ2=22.73, P < 0.01). After controlled for confounding factors, multifactorial Logistic regression analysis showed that persistent childhood abuse experience was an independent risk factor for the occurrence of depressive symptoms in college boys OR(95%CI)=1.70(1.17-2.45)], and primary and previous, secondary and persistent abuse experiences were independent risk factors for the occurrence of depressive symptoms in college girls OR(95%CI)=1.38(1.01-1.73), 1.47(1.10-1.96)](P < 0.01).  Conclusion  The experience of childhood abuse is an important risk factor for depressive symptoms of college students, and the effect of different timing childhood abuse on the occurrence of depressive symptoms in college girls is more significant.