大学生抑郁情绪求助行为现状调查及分析  

Current status and analysis of undergraduate students' help-seeking behaviors for depressive

作　　者：袁璠 喻思红 杨冰香 周洋[2] 方舒 杨芳 Yuan Fan;Yu Sihong;Yang Bingxiang;Zhou Yang;Fang Shu;Yang Fang(School of Health Sciences,Wuhan University,Wuhan 430071,China;Mental Health Center,Tongji Medical College of Huazhong University of Science & Technology,Wuhan 430022,China)

机构地区：[1]武汉大学健康学院,430071 [2]华中科技大学同济医学院附属武汉精神卫生中心,430022

出　　处：《中华现代护理杂志》2019年第21期2750-2755,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金研究项目(71503192);武汉市卫生和计划生育委员会科研项目(WG17D02).

摘　　要：目的了解并分析大学生抑郁求助行为现状.方法采用便利抽样法,2016年11月-2017年3月,在武汉大学全校范围内选取871名大学生为调查对象.采用自制一般资料问卷、家庭关怀度指数问卷(APGAR)、流调用抑郁调查量表(CES-D)、复合性国际诊断访谈表(CIDI2.1)、实际求助行为问卷(AHSQ)对其进行调查.结果 348名(43.3%)大学生报告在过去的12个月经历过抑郁情绪问题并汇报了实际求助行为;其中,94名(27.0%)表示未向任何人寻求帮助;254名(73.0%)表示寻求过帮助."最近1年是否经历过重大生活事件"在寻求"亲密伴侣""朋友""师长同学"帮助上存在差异,差异有统计学意义(P<0.05),家庭功能越好的大学生更愿意向父母寻求帮助,差异有统计学意义(P=0.005),"是否存在因心理问题而产生的不适"在寻求"精神卫生专业人员""热线/网络资源"帮助上存在差异,差异有统计学意义(P<0.05).CES-D得分越高的大学生越倾向于寻求"热线/网络资源"的帮助,差异有统计学意义(P<0.0.结论大学生抑郁症状高发,主要通过"其他非专业人员"及"热线/网络资源"方式寻求帮助,应提高大学生心理卫生服务的利用能力.Objective To investigate and explore actual help-seeking behaviors for depressive symptoms among college students. Methods By convenience sampling, a total of 871 undergraduate students from the whole Wuhan university from November 2016 to March 2017 were selected and investigated by using the self-designed General Information Questionnaire, Family APGAR Index(APGAR), Center for Epidemiologic Studies Depression Scale(CES-D),Comprehensive International Diagnostic Interview(CIDI 2.1) Actual Help Seeking Questionnaire(AHSQ). Results Totally 348(43.3%)college students reported that they had depressive problems and the situation about actual help-seeking behaviors had been reported over the part 12 months. Among those 348 respondents, 94(27.0%)students reported that they had never sought for help;254(73.0%) reported they had sought for help. There was statistical difference of "whether had been through major life events in the past one year" in seeking help from "close companion","friends", and "teachers and classmates"(P<0.05), the college students with better family function tend to seek help from their parents, the difference was statistically significant (P=0.005), there was statistical difference of "whether discomfort existed caused by psychological problems" in seeking help from "professional personnel in mental health","hotline/internet resource"(P< 0.05);the college students with higher CES-D scores tend to seek help from "hotline/internet resources",the difference was statistically significant (P<0.05). Conclusions There is a high prevalence of depressive symptoms in college students, and they seek help mainly from "other nonprofessional personnel" and"hotline/internet resources". Their ability of making use of the public psychological health services should be improved.

关 键 词：抑郁 求助行为 大学生 调查研究 

分 类 号：R749.4[医药卫生—神经病学与精神病学]