医学生的自伤行为与手机依赖及抑郁症状  

Self-harm in medical college students and its relation with mobile phone dependence and depressive symptoms

作　　者：陶舒曼[1,2] 伍晓艳[1,2] 刘业好 张昱堃[1,2] 张诗晨[1,2] 陶芳标[1,2] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032 [2]安徽人口健康与优生省级实验室,合肥230032

出　　处：《中国心理卫生杂志》2014年第6期472-477,共6页Chinese Mental Health Journal

基　　金：国家高技术研究发展计划(863计划)项目--青少年亚健康多维评定方法的建立与应用研究(项目负责人;陶芳标;项目编号;2006AA02Z427)

摘　　要：目的：调查医学生中自伤行为的现状,探讨其与手机依赖和抑郁症状的关联性.方法：在某医科大学选取2376名大一至大三年级学生作为研究对象,通过询问调查条目“最近一年是否做过以下8种故意伤害自己的行为”来评定自伤行为,使用青少年手机使用依赖自评问卷（SQAPMPU）和抑郁自评量表（SDS）对大学生手机依赖行为和抑郁症状进行评估.结果：医学生自伤行为的检出率为12.9％ （307/2376）.有手机依赖行为和抑郁症状的医学生中,自伤行为的检出率（17.9％ vs.11.0％;21.1％vs.11.0％）更高（P〈0.001）;医学生手机依赖（OR=1.74）、抑郁症状（OR=2.05）均与自伤行为呈正向关联,并对自伤行为存在相乘交互作用（OR =2.31）,但不存在相加交互作用[RERI =0.33 （95％ CI：-2.17～2.83）、AP =0.12（95％CI：-0.70～0.94）及Index S=1.22 （95％CI：0.28～5.38）].结论：自伤行为在医学生中的发生率较高;手机依赖和抑郁症状与自伤行为正向关联,并对自伤行为存在相乘交互作用.Objective： To explore the prevalence of self-harm and its relation to mobile phone dependence and depressive symptoms in medical college students. Methods： A total of 2376 students involved freshman, sophomore and junior were recruited from a medical university. Their self-harm behavior was assessed with a question of 1-Iave you ever harmed yourself in a way that was deliberate but not intended as a means to take your life in the last year？＂. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and Self-rating Depression Scale were applied to measure mobile phone dependence and depressive symptoms. Results： The self-reported rate of self-harm was 12. 9% （307/2376）. The students with mobile phone dependence and depressive symptoms reported higher rates of self-harm （ 17.9% vs. 11.0%, 21.1% vs. 11.0% ; P 〈0. 001）. Mobile phone dependence and depressive symptoms were positively related to self-harm （OR = 1.74, 2. 05）, the multiplicative interaction between mobile phone dependence and depressive symptoms on self-harm was significant （ OR = 2. 31）, but the additive in- teraction was not significant. The value of three indicators referred to RER1, AP and Index S were 0. 33 （95% CI： -2. 17 -2. 83）, 0. 12 （95% CI： - 0. 70 - 0. 94） and 1.22 （95 % CI： 0. 28 - 5.38）. Conclusion： The results show that the prevalence of self-harm is higher in medical college students. Mobile phone dependence and depressive symptoms are related to self-harm in medical college students, respectively. The multiplicative interaction between mobile phone dependence and depressive symptoms on self-harm is significant.

关 键 词：自我伤害行为 便携式电话 依赖(心理学) 抑郁 交互作用 现况调查 

分 类 号：C913.5[经济管理] R749.41[社会学]