功能失调性态度对大学生抑郁症状的预测作用  

Predictive value to depressive symptoms of dysfunctional attitudes in collegc students:A multi-wave longitudinal study

作　　者：朱熊兆[1] 蔡琳[1] 蚁金瑶[1] 姚树桥[1] 罗英姿[2] 

机构地区：[1]中南大学湘雅二医院医学心理学研究所,长沙410011 [2]中南大学科研部,长沙410083

出　　处：《中国心理卫生杂志》2011年第8期606-609,共4页Chinese Mental Health Journal

基　　金：十一五国家科技支撑计划(2007BAI17B00)

摘　　要：目的:探讨功能失调性态度对大学生抑郁症状发生的预测作用。方法:采用方便取样,选取湖南省长沙市某两所高校大一至大三的学生644名。用功能失调性态度问卷(DAS-A)、流调中心用抑郁量表(CES-D)、学生日常社会和学业事件量表(GASHSS)进行基线评定,用CES-D和GASHSS进行每月1次共6次的追踪测查。采用多层线性模型对数据进行统计分析。结果:功能失调性态度水平对追踪过程中抑郁症状水平的主效应显著(b=1.24,P<0.001),功能失调性态度水平与应激性生活事件水平对追踪过程中抑郁症状水平的交互作用显著(b=0.02,P<0.01),随着生活事件应激强度的增加,其抑郁症状明显增加。结论:功能失调性态度可能是抑郁症状的一个预测因子,高水平功能失调性态度的个体在经历应激性生活事件后更易表现出抑郁症状。Objective： To examine the predictive role of dysfunctional attitudes in the development of depres- sive symptoms. Methods： Totally 644 college students were selected by convenient sampling. They were assessed with the the Dysfunctional Attitude Scale （DAS-A）, the Chinese version of the Center for Epidemiologic Studies Depression Scale （CES-D） and the Academic, Social Hassles Scale for Students （ GASHSS）. Then CES-D and GASHSS were completed once a month in the subsequent six months. The hierarchical lineal modeling （HLM） was used in the data analysis. Results： Dysfunctional attitudes showed significant main effects on depressive symptoms （b = 1.24, F = 27.61, P 〈 0. 001）. Dysfunctional attitudes and stress showed a significant interaction on depressive symptoms （b = 0.02, F = 8.28, P 〈 0.01）, and higher levels of stress were associated with greater increases in de- pressive symptoms. Conclusion： Dysfunctional attitudes may be a significant predictor of depressive symptoms, and individuals with higher levels of dysfunctional attitudes are at greater risks of having depressive symptoms following the occurrence of nezative life events.

关 键 词：功能失调性态度 抑郁 多层线性模型 

分 类 号：R749.41[医药卫生—神经病学与精神病学] B844.3[医药卫生—临床医学]