大学生的抑郁状态及生存质量与人格特质的关系  

Relation of depressive status and life quality to personality traits in college students

作　　者：张文悦[1] 郭天蔚[1] 郭卓[1] 马文昊[1] 马学红[2] 杨学琴[1] 胡凌娟[1] 陈捷[1] 杨昕婧[1] 图娅[1] 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《中国心理卫生杂志》2015年第8期635-640,共6页Chinese Mental Health Journal

基　　金：科技部国际合作项目-基于综合干预的抑郁状态下脑功能同步性研究及评价(2007DFA30780);北京市科技计划-首都十大危险疾病科技成果推广-电针抑郁症治疗临床优化方案的推广应用(Z121100005512024)

摘　　要：目的:探讨大学生的抑郁状态、生存质量与人格特质的关系,为保障大学生的心理健康提供帮助。方法:选取大学生2270人,采用流调中心用抑郁自评量表(CES-D)测量抑郁状态(将CES-D评分≥16分者归于抑郁组,<16分者归于非抑郁组),世界卫生组织生存质量简表(WHOQOL-BREF)评价主观生活质量,大五人格量表简化版(NEO-FFI)评价人格特质(神经质、外向性、开明性、随和性和责任心)。以CES-D总评分、4个维度评分以及WHOQOL-BREF量表总评、4领域评分为因变量,五种人格特质为自变量做多重线性回归,探讨人格特质对受试者抑郁状态和主观生存质量的预测作用。结果:受试大学生CES-D平均分为(11.4±8.8),抑郁组(n=474)生存质量总评、健康总评及WHOQOL-BREF各领域评分均低于非抑郁组(n=1416)(均P<0.001)。同非抑郁组相比,抑郁组的神经质评分较高[(38.9±6.9)vs(28.9±6.3)],外向性、开明性、随和性和责任心评分均较低[(34.3±6.1)vs(41.2±6.2),(39.6±6.5)vs(40.6±5.5),(41.5±5.3)vs(45.3±4.6),(38.6±6.7)vs(43.7±6.3)],均P<0.05。多重线性回归分析显示,大五人格量表中,神经质评分与CES-D量表总评分和4个维度评分均正向关联(β=0.49、0.29、0.52、0.33、0.30),与WHOQOL-BREF总评分和4领域评分均为负向关联(β=-0.10、-0.08、-0.13、-0.18、-0.12、-0.10);结论:本研究提示大学生的情绪状态和主观生存质量与人格特质中的神经质存在相关性,神经质程度高的个体易产生负面情绪,主观生存质量评价降低。Objective： To investigate the relationship among depressive status, assessments of life quality and personality traits of undergraduates. Methods： In this survey, 2270 undergraduates were recruited. The Center for Epidemiologic Studies Depression Scale （CES-D） was used to measure depressive status （CES-D≥ 16 was defined as depressive status while CES-D 〈 16 was defined as non-depressive status）. The World Health Organization Quality of Life Abbreviated Version （WHOQOL-BREF） was used to measure the assessments of life quality, Big Five Personality Inventory （NEO-FFI to measure personality traits. Multiple linear regression was used to analyze the predicting effect of personality traits on depression status and subjective assessments of life quality. Results： The mean score of CES-D was （11.40 ±8.77）. In WHOQOL-BREF, the subjects in depressive status group（n =474） showed lower scores on overall assessment of life quality, overall satisfaction of health and four domains compared with those in non-depressive status group（n = 1416） （Ps 〈 0. 001）. Compared with non-depressive status group, scores of neuroticism in depressive status group were higher[ （38.9 ± 6.9） vs. （28.9 ± 6. 3） ], while scores of extraversion, openness, agreeableness, and conscientiousness were lower [ （34. 3 ±6. 1） vs. （41.2± 6. 2）, （39. 6 ± 6. 5） vs. （40. 6 ± 5. 5）, （41.5 ± 5.3） vs. （45. 3± 4. 6）, （38. 6± 6. 7） vs. （43.7 ± 6. 3） ], Ps 〈 0. 05]. Stepwise regression analysis demonstrated that scores of neuroticism were positively associated with total and factor scores of CES-D scale （/3 = 0.49, 0. 29, 0. 52, 0.33, 0. 30） while showing negative association with scores of overall and four domains of WHOQOL-BREF （β = -0. 10, - 0.08, - 0. 13, - 0. 18, - 0. 12, - 0. 10）. Conclusion： It suggests that undergraduates present favorable mental health condition and relatively high level of assessment of life quali- ty, Neuroticism may be associated with d

关 键 词：大学生 抑郁 人格 生存质量 现况调查 

分 类 号：R749.41[医药卫生—神经病学与精神病学] B848[医药卫生—临床医学]