| 大学生不同时期不良经历与抑郁症的关系 |
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| 引用本文： | 刘薇,何首杰,李十月,杨旭,燕虹. 大学生不同时期不良经历与抑郁症的关系[J]. 中国学校卫生, 2017, 38(5): 686. DOI: 10.16835/j.cnki.1000-9817.2017.05.014 |
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| 作者姓名： | 刘薇 何首杰 李十月 杨旭 燕虹 |
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| 作者单位： | 武汉大学健康学院,湖北,430071 |
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| 摘 要： | 探讨大学生不同时期不良经历与抑郁症的关系,为预防大学生抑郁症提供参考.方法 采用分层整群抽样方法抽取湖北省6所高校5 913名在校本科生,采用网络调查问卷,问卷内容包括大学生基本信息、家庭有关信息、不同时期不良经历以及是否患有抑郁症.率之间的比较用x2/Fisher检验,多元Logistic回归分析相关影响因素.结果 5 913名大学生中,自我报告被医生诊断患有/患过抑郁症的有82名,患病率为1.4%.2 198名(37.2%)有童年期不良经历,l 757名(29.7%)有青少年期不良经历,5 158名(87.2%)有上大学后的挫折经历.1 329名(22.5%)同时有童年期和青少年期不良经历,1 160名(19.6%)同时有童年期和青少年期不良经历以及上大学后挫折经历.童年期不良经历与抑郁症有关,童年期有不良经历者患抑郁症的可能性是童年期无不良经历者的2.351倍(95%CI=1.475~ 3.747),而青少年期不良经历、上大学后的挫折经历以及各时期不良经历的叠加均与抑郁症无关(P值均>0.05).结论 需积极关注有童年期不良经历的大学生,给予一定的心理辅导和社会支持,预防或减少抑郁情绪的产生.
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| 关 键 词： | 抑郁症 精神卫生 回归分析 学生 |
Association of adverse experiences during different period with depressive disorder diagnosis among college students |
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| Abstract: | Objective To explore the relationship between adverse experiences during different period with depressive symptoms among college students,to provide basis for depression prevention.Methods A stratified cluster sampling method was used to select undergraduates from six universities in Hubei province.Data was collected through online survey.General information,family background,adverse experiences during different period and diagnosis of depressive disorder was reported by participants.Chi-square and multivariate logistic regression was used.Results Totally 5 913 eligible questionnaire were analyzed.About 82(1.4%) of the students reported depressive disorder diagnosis.Approximately 2 198(37.2%) of students reported adverse experiences during childhood,1 757(29.7%) reported adverse experiences during adolescence,and 5 158(87.2%) reported frustrating experiences during college.Among them,1 329(22.5%) reported adverse experiences both in childhood and adolescence,and 1 160(19.6%) reported adverse experiences in all three periods.Adverse childhood experiences were positively related with depressive disorder diagnosis (OR=2.351,95%CI=1.475-3.747).Adverse adolescence experiences,frustrating experiences in college and adverse experiences in two or more periods had no relation with depressive disorder(P>0.05).Conclusion More attention should be paid among college students who had adverse childhood experiences,including psychological counseling and social support,to effectively prevent depressive symptoms and depressive disorder. |
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