中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
11期
1111-1114
,共4页
武娇%吴云涛%冯淑秀%蒙衡%陈辉
武嬌%吳雲濤%馮淑秀%矇衡%陳輝
무교%오운도%풍숙수%몽형%진휘
自杀意念%负性生活事件%抑郁%中介分析%大学生
自殺意唸%負性生活事件%抑鬱%中介分析%大學生
자살의념%부성생활사건%억욱%중개분석%대학생
Suicide ideation%Negative life event%Depression%Mediation analysis%College student
目的 探讨负性生活事件与大学生自杀意念的关系及其抑郁的介导作用.方法 采用整群抽样方法,调查某综合性大学本科生共1145名,通过症状自评量表(SCL-90)评定大学生近1周内自杀意念和抑郁症状,通过基本情况问卷了解大学生经历的负性生活事件,包括重大疾病、学习困难、经济困难和人际冲突,并通过中介分析探讨抑郁在负性生活事件与自杀意念关系中的介导作用.结果 负性生活事件中重大疾病(OR=2.5,P=0.028)、人际冲突(OR=7.2,P=0.002)和经济困难(OR=1.6,P=0.026)均导致自杀意念的产生,学业困难与自杀意念无相关性(OR=1.8,P=0.090).调整抑郁变量后,重大疾病和人际冲突对自杀意念的影响不再具有统计学意义,而经济困难对抑郁无影响,学业问题对抑郁和自杀意念均无影响,故抑郁是重大疾病和人际冲突与自杀意念的完全中介变量,而抑郁在经济困难、学业问题与自杀意念的关系无中介作用.结论 抑郁在不同负性生活事件和自杀意念的关系路径中所起的中介作用不同.
目的 探討負性生活事件與大學生自殺意唸的關繫及其抑鬱的介導作用.方法 採用整群抽樣方法,調查某綜閤性大學本科生共1145名,通過癥狀自評量錶(SCL-90)評定大學生近1週內自殺意唸和抑鬱癥狀,通過基本情況問捲瞭解大學生經歷的負性生活事件,包括重大疾病、學習睏難、經濟睏難和人際遲突,併通過中介分析探討抑鬱在負性生活事件與自殺意唸關繫中的介導作用.結果 負性生活事件中重大疾病(OR=2.5,P=0.028)、人際遲突(OR=7.2,P=0.002)和經濟睏難(OR=1.6,P=0.026)均導緻自殺意唸的產生,學業睏難與自殺意唸無相關性(OR=1.8,P=0.090).調整抑鬱變量後,重大疾病和人際遲突對自殺意唸的影響不再具有統計學意義,而經濟睏難對抑鬱無影響,學業問題對抑鬱和自殺意唸均無影響,故抑鬱是重大疾病和人際遲突與自殺意唸的完全中介變量,而抑鬱在經濟睏難、學業問題與自殺意唸的關繫無中介作用.結論 抑鬱在不同負性生活事件和自殺意唸的關繫路徑中所起的中介作用不同.
목적 탐토부성생활사건여대학생자살의념적관계급기억욱적개도작용.방법 채용정군추양방법,조사모종합성대학본과생공1145명,통과증상자평량표(SCL-90)평정대학생근1주내자살의념화억욱증상,통과기본정황문권료해대학생경력적부성생활사건,포괄중대질병、학습곤난、경제곤난화인제충돌,병통과중개분석탐토억욱재부성생활사건여자살의념관계중적개도작용.결과 부성생활사건중중대질병(OR=2.5,P=0.028)、인제충돌(OR=7.2,P=0.002)화경제곤난(OR=1.6,P=0.026)균도치자살의념적산생,학업곤난여자살의념무상관성(OR=1.8,P=0.090).조정억욱변량후,중대질병화인제충돌대자살의념적영향불재구유통계학의의,이경제곤난대억욱무영향,학업문제대억욱화자살의념균무영향,고억욱시중대질병화인제충돌여자살의념적완전중개변량,이억욱재경제곤난、학업문제여자살의념적관계무중개작용.결론 억욱재불동부성생활사건화자살의념적관계로경중소기적중개작용불동.
Objective To understand the relationship between negative life events and suicide ideation,and how it was influenced by the mediating effect of depression.Methods 1145 college students from one university were selected using cluster sampling.Both Symptom Check List (SCL-90) and Qestionnaire were administered to measure depression and suicide ideation in the past week and on the prevalence of negative life events and related information.Recent negative life events would include physical illness,academic problem,financial problem and interpersonal conflict etc.Multiple logistic regressions were used to identify the mediating effect of depression.Results Physical illness (OR=2.5,P=0.028),interpersonal conflict (OR=7.2,P=0.002) and financial problem (OR =1.6,P =0.026) were significantly associated with suicide ideation,but academically-related problems did not seem to be significantly associated with suicide ideation (OR=1.8,P=0.090).After adjusted for depression,both physical illness and interpersonal conflicts were not but financial problem remained significantly associated with suicide ideation (OR =1.7,P =0.014).Our data showed that depression fully mediated the relationship between physical illness,interpersonal conflict and suicide ideation,but did not mediate the relationship between financial problem and suicide ideation.Conclusion Depression played different mediating roles between different negative life events and suicide ideation.The findings from this study might be able to provide some clues for the prevention interventions on college students.
