大学生手机成瘾评分的变化轨迹与焦虑抑郁的关系  

Relationship between mobile phone addiction score and anxiety and depression in college students

作　　者：班梦姣[1] 王永杰[1] BAN Mengjiao;WANG Yongjie(School of Public Health,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学公共卫生学院,济南250012

出　　处：《中国学校卫生》2020年第7期1022-1025,共4页Chinese Journal of School Health

基　　金：山东省高等学校思想政治教育研究专项项目(18CSZJ40);山东大学人文社科研究专项项目(2019dxssz01)。

摘　　要：目的探讨大学生手机成瘾评分变化的轨迹,并分析不同轨迹与焦虑和抑郁的关联,为寻找焦虑抑郁的危险因素以及缓解大学生手机成瘾提供依据。方法采用分层整群抽样法,对山东大学2017级1562名学生进行5次随访问卷调查。使用手机成瘾倾向量表(Mobile Phone Addiction Tendency Scale,MPATS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)进行调查,通过潜在类线性混合模型识别手机成瘾评分变化轨迹,并通过Logistic回归分析不同轨迹与抑郁和焦虑之间的关联。结果学生末次调查时手机成瘾评分为(42.9±5.4)分,焦虑、抑郁的检出率分别为33.7%(526名),40.2%(628名);手机成瘾评分变化轨迹被分为稳定组、高水平-下降组、低水平-快速上升组、中水平-上升组和高水平-上升组共5类,各组人数分别为701名(44.9%),309名(19.8%),96名(6.2%),232名(14.9%),224名(14.3%)。以手机成瘾评分变化轨迹稳定组作为参照,手机成瘾评分变化轨迹为高水平-上升组和低水平-快速上升组的学生发生焦虑(OR=3.19,95%CI=2.32~4.40;OR=8.38,95%CI=5.09~13.77)、抑郁(OR=3.29,95%CI=2.40~4.52;OR=4.49,95%CI=2.82~7.16)的风险增加。结论高校心理教育部门应从干预大学生手机使用入手,尤其要关注手机成瘾倾向上升较为严重的个体,从而降低大学生群体焦虑、抑郁等心理健康问题的发生。Objective To explore the trajectory of mobile phone addiction score and to investigate the relationship between subgroups of trajectory and anxiety with depression in college students,and to provide evidence for risk factors of anxiety and depression and mobile phone addiction prevention college students.Methods A total of 1562 college students were recruited from 2017 in Shandong University were followed longitudinally for five times by means of stratified cluster sampling.Mobile Phone Addiction Tendency Scale,Self-rating Anxiety Scale,and Self-rating Depression Scale were used,and latent class linear mixed models were used to identify the trajectory of mobile phone addiction score and Logistic regression models were used to explore the relationship between subgroups of trajectory with anxiety and depression.Results At the last survey,the mean mobile phone addiction score was(42.9±5.4)and the prevalence of anxiety and depression was 33.7%(n=526)and 40.2%(n=628),respectively.The trajectories of mobile phone addiction score were classified into five groups:stable,high level-decreasing group,low level-rapid increasing group,moderate level-increasing group,and high level-increasing group.The number and proportion of the five groups were 701(44.9%),309(19.8%),96(6.2%),232(14.9%),224(14.3%),respectively.Compared with students of stable group,students in the moderate level-increasing and high level-increasing groups had higher risk of anxiety(OR=3.19,95%CI=2.32-4.40;OR=8.38,95%CI=5.09-13.77)and depression(OR=3.29,95%CI=2.40-4.52;OR=4.49,95%CI=2.82-7.16).Conclusion Mental health education in universities should start with mobile phone intervention,especially those with severe increasing tendency of mobile phone addiction,which would subsequently decrease the prevalence of anxiety and depression in college students.

关 键 词：便携式电话 行为 成瘾 焦虑 抑郁 精神卫生 学生 

分 类 号：G444[哲学宗教—心理学] B844.2[哲学宗教—发展与教育心理学]