【摘要】：目的探究成長環(huán)境的城市化水平、兒童期忽視、軀體虐待和缺乏父母陪伴對(duì)大學(xué)生情緒問題和軀體癥狀的影響。方法納入某綜合性大學(xué)4620名二年級(jí)本科生進(jìn)行問卷調(diào)查。以6條目Kessler心理痛苦量表(the 6-item Kessler psychological distress scale,K6)和患者健康問卷軀體癥狀群量表(patient health questionnaire-15,PHQ-15)分別評(píng)估情緒問題和軀體癥狀;以自編問卷調(diào)查出生地城市化水平及15歲前主要居住地變更情況;以改編自世界精神衛(wèi)生復(fù)合式國際診斷檢查(the World Mental Health Composite International Diagnostic Interview,WMH-CIDI)兒童期部分的5條目被撫養(yǎng)人忽視問卷和1項(xiàng)被毆打條目回顧性評(píng)估16歲前忽視及軀體虐待情況;以自編問卷調(diào)查兒童期缺乏父和(或)母陪伴的經(jīng)歷。結(jié)果廣義線性模型多因素回歸分析顯示,情緒問題的影響因素有女性(β=0.894,P0.001)、農(nóng)村成長(β=0.378,P=0.001)、兒童期忽視(β=0.279,P0.001)和兒童期軀體虐待(β=0.550,P0.001)。軀體癥狀的影響因素有女性(β=2.638,P0.001)、農(nóng)村成長(β=0.395,P=0.015)、兒童期忽視(β=0.487,P0.001)和兒童期軀體虐待(β=0.483,P=0.005)。情緒問題和軀體癥狀之間呈正相關(guān)(r=0.545,P0.001)。結(jié)論女性、農(nóng)村成長、兒童期逆境經(jīng)歷可增加大學(xué)生情緒問題、軀體癥狀的癥狀數(shù)目和嚴(yán)重程度。大學(xué)生的情緒問題和軀體癥狀在嚴(yán)重程度上呈正相關(guān)。
[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.
【作者單位】： 四川大學(xué)華西醫(yī)院心理衛(wèi)生中心 四川大學(xué)華西醫(yī)院精神醫(yī)學(xué)研究室;四川大學(xué)心理健康教育中心;
【基金】：國家自然科學(xué)基金(編號(hào):81271479)
【分類號(hào)】：R749

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