成长环境和儿童期创伤对大学生情绪问题和躯体症状影响的研究
发布时间：2018-12-25 15:07
【摘要】：目的探究成长环境的城市化水平、儿童期忽视、躯体虐待和缺乏父母陪伴对大学生情绪问题和躯体症状的影响。方法纳入某综合性大学4620名二年级本科生进行问卷调查。以6条目Kessler心理痛苦量表(the 6-item Kessler psychological distress scale,K6)和患者健康问卷躯体症状群量表(patient health questionnaire-15,PHQ-15)分别评估情绪问题和躯体症状;以自编问卷调查出生地城市化水平及15岁前主要居住地变更情况;以改编自世界精神卫生复合式国际诊断检查(the World Mental Health Composite International Diagnostic Interview,WMH-CIDI)儿童期部分的5条目被抚养人忽视问卷和1项被殴打条目回顾性评估16岁前忽视及躯体虐待情况;以自编问卷调查儿童期缺乏父和(或)母陪伴的经历。结果广义线性模型多因素回归分析显示,情绪问题的影响因素有女性(β=0.894,P0.001)、农村成长(β=0.378,P=0.001)、儿童期忽视(β=0.279,P0.001)和儿童期躯体虐待(β=0.550,P0.001)。躯体症状的影响因素有女性(β=2.638,P0.001)、农村成长(β=0.395,P=0.015)、儿童期忽视(β=0.487,P0.001)和儿童期躯体虐待(β=0.483,P=0.005)。情绪问题和躯体症状之间呈正相关(r=0.545,P0.001)。结论女性、农村成长、儿童期逆境经历可增加大学生情绪问题、躯体症状的症状数目和严重程度。大学生的情绪问题和躯体症状在严重程度上呈正相关。
[Abstract]:Objective to explore the effects of urbanization, childhood neglect, physical abuse and lack of parental companionship on college students' emotional problems and physical symptoms. Methods A questionnaire survey was conducted among 4620 sophomores in a comprehensive university. Emotional problems and somatic symptoms were evaluated by 6-item Kessler psychological distress scale (the 6-item Kessler psychological distress scale,K6) and somatic symptom group scale (patient health questionnaire-15,PHQ-15) of patient health questionnaire. The level of urbanization in birthplace and the change of main residence before 15 years old were investigated by self-designed questionnaire. A retrospective assessment of neglect and physical abuse before the age of 16 was conducted with a five-item dependent neglect questionnaire adapted from the World Mental Health complex International Diagnostic examination (the World Mental Health Composite International Diagnostic Interview,WMH-CIDI) and a beaten entry. A self-designed questionnaire was used to investigate the experience of lack of paternity and / or parenthood in childhood. Results the multivariate regression analysis of generalized linear model showed that the influencing factors of emotional problems were female (尾 = 0.894 P0.001), rural growth (尾 = 0.378 P0.001), childhood neglect (尾 = 0.279, P 0.001) and childhood neglect (尾 = 0.279, P 0.001). P0.001) and physical abuse in childhood (尾 = 0.550 P0.001). The influencing factors of somatic symptoms were female (尾 = 2.638 P0.001), rural growth (尾 = 0.395 P0. 015), childhood neglect (尾 = 0. 487 P0.001) and physical abuse in childhood (尾 = 0. 483 P0. 005). There was a positive correlation between emotional problems and somatic symptoms (r = 0.545, P 0.001). Conclusion female, rural growth and childhood adverse experiences can increase the number and severity of emotional problems and somatic symptoms of college students. There is a positive correlation between emotional problems and somatic symptoms of college students.
【作者单位】： 四川大学华西医院心理卫生中心 四川大学华西医院精神医学研究室;四川大学心理健康教育中心;
【基金】：国家自然科学基金(编号:81271479)
【分类号】：R749
[Abstract]:Objective to explore the effects of urbanization, childhood neglect, physical abuse and lack of parental companionship on college students' emotional problems and physical symptoms. Methods A questionnaire survey was conducted among 4620 sophomores in a comprehensive university. Emotional problems and somatic symptoms were evaluated by 6-item Kessler psychological distress scale (the 6-item Kessler psychological distress scale,K6) and somatic symptom group scale (patient health questionnaire-15,PHQ-15) of patient health questionnaire. The level of urbanization in birthplace and the change of main residence before 15 years old were investigated by self-designed questionnaire. A retrospective assessment of neglect and physical abuse before the age of 16 was conducted with a five-item dependent neglect questionnaire adapted from the World Mental Health complex International Diagnostic examination (the World Mental Health Composite International Diagnostic Interview,WMH-CIDI) and a beaten entry. A self-designed questionnaire was used to investigate the experience of lack of paternity and / or parenthood in childhood. Results the multivariate regression analysis of generalized linear model showed that the influencing factors of emotional problems were female (尾 = 0.894 P0.001), rural growth (尾 = 0.378 P0.001), childhood neglect (尾 = 0.279, P 0.001) and childhood neglect (尾 = 0.279, P 0.001). P0.001) and physical abuse in childhood (尾 = 0.550 P0.001). The influencing factors of somatic symptoms were female (尾 = 2.638 P0.001), rural growth (尾 = 0.395 P0. 015), childhood neglect (尾 = 0. 487 P0.001) and physical abuse in childhood (尾 = 0. 483 P0. 005). There was a positive correlation between emotional problems and somatic symptoms (r = 0.545, P 0.001). Conclusion female, rural growth and childhood adverse experiences can increase the number and severity of emotional problems and somatic symptoms of college students. There is a positive correlation between emotional problems and somatic symptoms of college students.
【作者单位】： 四川大学华西医院心理卫生中心 四川大学华西医院精神医学研究室;四川大学心理健康教育中心;
【基金】：国家自然科学基金(编号:81271479)
【分类号】：R749
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