大学生述情障碍和应对方式与抑郁的关系  

Relationship among alexithymia,coping styles and the depression among undergraduates

作　　者：杜爱玲[1] 姚桂英[2] 杨世昌[3] 高红丽[3] 马仁娥[3] 闫春平[3] 

机构地区：[1]新乡医学院第二附属医院,河南453002 [2]新乡医学院护理学院 [3]新乡医学院心理学系

出　　处：《中国学校卫生》2011年第3期297-299,共3页Chinese Journal of School Health

基　　金：河南省医学科技攻关项目(200903095);河南省高等学校青年骨干教师资助项目(2009GGJS-082);新乡医学院重点学科开放课题资助项目(ZD200972)

摘　　要：目的探索大学生述情障碍、应对方式与抑郁的关系,为大学生抑郁的预防干预提供依据。方法采用多伦多述情障碍表、特质应对问卷和流调用抑郁量表,对整群抽取的河南省某高校的733名本科生进行问卷调查。结果男、女大学生抑郁水平差异无统计学意义(P>0.05);农村生源大学生抑郁水平显著高于县城及城市生源大学生(P值均<0.05);自觉经济条件差的大学生抑郁水平显著高于自觉家庭条件好的大学生(P<0.01)。在控制人口学等变量基础上,述情障碍、消极应对方式与积极应对方式对大学生抑郁有直接影响,可以解释总变异的38%;述情障碍还通过对消极应对与积极应对影响,对大学生抑郁产生间接作用,间接效应分别占总效应的19.7%和27.9%。结论大学生的应对方式与述情障碍对抑郁可能有直接影响,应对方式作为"中介变量"调节述情障碍与抑郁的关系。ObjectiveTo explore the relationship of the alexithymia,coping styles and depression among undergraduates.MethodsA total of 733 undergraduates were surveyed by Toronto Alexithymia Scale（TAS）,Trait Coping Style Questionnaire（TCSQ） and Center for Epidemiological Studies Depression Scale（CES-D）.ResultsNo statistically significant difference by genders was found in the scores of depression of undergraduates.The scores of depression of undergraduates from rural area was significantly higher than those from urban area（P〈0.05）.The undergraduates self-reported poor economic condition got significantly higher scores of depression than those self-reported good economic condition.A 38% variance of depression could be explained by alexithymia and coping styles after controlling the demographic variables.Alexithymia and coping styles had direct effects on depression,furthermore,alexithymia had indirect effects on depression through coping styles,and the proportions of indirect effects were respectively 19.7% and 27.9% of the total through positive and negative coping styles.ConclusionAlexithymia and coping styles might have direct effects on depression,moreover,coping styles can mediate the relationships between alexithymia and depression as a mediated variable.

关 键 词：情绪障碍 适应 心理学 抑郁 回归分析 学生 

分 类 号：R395.6[哲学宗教—心理学] R749.42[医药卫生—医学心理学]