摘要
目的:了解在校大学生抑郁障碍的危险因素。方法采用整群抽样方法,选取徐州市某2所高校大学生1527人,使用贝克抑郁自评问卷(BDI)、儿童期虐待史自评量表(PRCA)、简式大五人格问卷(NEO-FFI-R)、社会支持评定量表( SSRS)、青少年生活事件量表( ASLEC)、世界卫生组织生存质量简表( WHOQOL-BREF)、人口社会经济学资料调查问卷等进行测试,采用美国精神疾病诊断与统计手册第四版( DSM-Ⅳ)和DSM-Ⅳ轴Ⅰ障碍用临床定式检查( SCID-Ⅰ/P)进行抑郁障碍的诊断。结果 Logistic多因素回归分析结果显示,神经质和儿童期虐待是抑郁障碍的危险因素( OR=1.141,95%CI:1.089~1.196;OR=1.065,95%CI:1.004~1.130),外向性和生命质量好是抑郁障碍的保护性因素(OR=0.957,95%CI:0.917~0.999;OR=0.948,95%CI:0.899~0.999)。结论大学生抑郁障碍的形成与儿童期经历、个性特征、生活质量等因素有关。
Objective To explore the risk factors for depression in college students.Methods A total of 1 527 college students from 2 universities in Xuzhou were selected by cluster sampling and assessed by the Beck Depression Inverotory ( BDI) , Personal Report of Childhood Abuse(PRCA), Revised NEO Five-Factor Inventory(NEO-FFI-R), Social Support Rating Scale ( SSRS) , Adolescent Self-Rating Life Events Check List ( ASLEC ) , World Health Organization Quality of Life Brief Scale ( WHOQOL-BREF) and demographic,sociological and economic data questionnaire.The students with the positive results of BDI were diagnosed with DSM-Ⅳand SCID-I/P.Results The results of Logistic multivariate analysis showed that the risk factors for college students to sutfer from depression included neuroticism and childhood abuse (OR=1.141,95%CI:1.089~1.196;OR=1.065,95%CI:1.004~1.130), and the protective factors included extraversion and good quality of life (OR=0.957,95%CI:0.917~0.999;OR=0.948,95%CI:0.899~0.999).Conclusion The depression in college students is related to childhood abuse, personality characteristics and quality of life.
出处
《精神医学杂志》
2015年第5期339-341,共3页
Journal of Psychiatry
基金
江苏省卫生厅医学科研面上项目(编号:H200876)
关键词
抑郁障碍
危险因素
大学生
Depression
Risk factor
College student