大学生人格障碍及影响因素分析  

Personality disorder and its influencing factors among college students

作　　者：陈燕芬[1] 张迪[2] 寇长贵[1] 史杰萍[1] 于雅琴[1] 黄悦勤[3] 

机构地区：[1]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021 [2]吉林市第二中心医院 [3]北京大学精神卫生研究所

出　　处：《中国公共卫生》2011年第9期1077-1078,共2页Chinese Journal of Public Health

摘　　要：目的了解在校大学生人格障碍现状及影响因素,为人格障碍的病因预防和心理健康教育提供参考依据。方法采用人格诊断问卷第4版(PDQ-4)和世界卫生组织复合性国际诊断交谈表3.0版(WHO-CIDI-3.0)对1 745名在校大学生进行问卷调查。结果大学生人格障碍阳性检出率为4.58%;多因素Logistic回归分析结果显示,父亲的心理状况差(OR=3.165,P<0.01)、家庭冲突频率高(OR=5.232,P<0.05)、父母间争吵打骂频率高(OR=0.049,P<0.05)、父亲曾有自杀行为(OR=7.730,P<0.05)和自我内部评价差(OR=3.094,P<0.01)是大学生人格障碍影响因素。结论在校大学生人格障碍阳性检出率较高,人格障碍形成与家庭环境、童年时期经历及社会交往影响因素有关。Objective To explore the prevalence of personality disorder and its influencing factors among university students and to provide evidence for early intervention. Methods Stratified random proportional sampling was used to select 1 745 students for the survey. Personality Diagnostic Questionnaire-4th vision （PDQ-4） and version 3.0 of the Composite International Diagnostic Interview of World Health Organization （WHO-CIDI-3.0） were applied with a self-administered questionnaire investigation and face-to-face standardized interview. Results The positive rate of personality disorder was 4. 58%. The influencing factors of personality disorder were family background, childhood environment, and degrees of social support in single factor analysis. Based on logistic analyses, risk factors for personality disorder were parents＇ bad psychologic status（ odds ratio[ OR] = 3. 165, P 〈 0. 01 ）, high frequency of conflict in the family （ OR = 5. 232, P 〈 0. 05 ） quarrel between parents （ OR = 0. 049, P 〈 0. 05 ）, fathers＇ suicide history （ OR = 7. 730, P 〈 0. 05 ）, and bad internal self-evaluation（ OR = 3. 094, P 〈 0. 01 ）. Conclusion Positive rate of personality disorder in university students is high. Family background, childhood environment, degrees of social support are influencing factors of personality disorder.

关 键 词：人格障碍 检出率 影响因素 大学生 

分 类 号：R749[医药卫生—神经病学与精神病学]