大学生儿童期心理虐待和同伴侵害状况及其与抑郁症状和自杀意念的关系  

Childhood psychological maltreatment and peer victimization and their relationship with depressive symptoms and suicidal ideation in college students

作　　者：吴正慧 赵占锋 李功平 WU Zhenghui;ZHAO Zhanfeng;LI Gongping(Mental Health Education Center of Beibu Gulf University,Qinzhou 535011,Guangxi Zhuang Autonomous Region,China;Teachers College of Guizhou University of Engineering Science,Bijie 551700,Guizhou Province,China)

机构地区：[1]北部湾大学心理健康教育中心,广西钦州535011 [2]贵州工程应用技术学院师范学院,贵州毕节551700

出　　处：《中国心理卫生杂志》2023年第7期596-602,共7页Chinese Mental Health Journal

基　　金：贵州省2022年度哲学社会科学规划课题(22GZYB59);2022年度广西高校中青年教师科研基础能力提升项目(2022KY0402);广西教育科学“十四五”规划2021年度“双减”专项课题(2021ZJY1278);贵州省2021年度教育科学规划课题(2021B182)。

摘　　要：目的:了解大学生在儿童期遭受心理虐待和同伴侵害的情况,分析其与抑郁症状和自杀意念的关联性。方法:选取广西、四川、河南、贵州和重庆五省市6所高校的2995名大学生,采用儿童心理虐待量表(CPMS)、Olweus儿童欺负问卷(OBVQ)受害分问卷、流调用抑郁自评量表(CES-D)和Achenbach青少年自评量表(YSR)的2个关于自杀意念/企图的条目调查心理虐待、同伴侵害、抑郁症状、自杀意念。结果:同时遭受儿童期心理虐待和同伴侵害者占比14.8%。回归分析结果显示,相对于未遭受儿童期心理虐待者,遭受儿童期心理虐待者遭受同伴侵害的风险增加了2.92倍;相较于未遭受人际侵害者,仅遭受儿童期心理虐待者、仅遭受同伴侵害者、遭受儿童期心理虐待和同伴侵害者发生抑郁症状(OR=3.59、2.32、9.43)和自杀意念(OR=4.42、1.92、9.98)的风险增加。结论:儿童期心理虐待和同伴侵害有一定比例的共发,是大学生抑郁症状和自杀意念的风险因素。Objective:To examine the childhood psychological maltreatment and peer victimization among col-lege studentsr,and to explore the association with depressive symptoms and suicidal ideation.Methods:Totally 2995 college students from 6 universities from Guangxi,Sichuan,Henan,Guizhou and Chongqing were en-rolled.The Child Psychological Maltreatment Scale(CPMS),Questionnaire of Victim from Olweus Bully/Victim Questionnaire(OBVQ),Center for Epidemiological Survey-Depression Scale(CES-D)and two items on suicidal i-deation/attempt of Youth Self-Report(YSR)were used to measure psychological maltreatment,peer victimization,depressive symptoms,and suicidal ideation.Results:Totally 14.8%of the college students reported both childhood psychological maltreatment and peer victimization.Regression analysis revealed that those who experienced psycho-logical maltreatment had a 2.92-fold increased risk of peer victimization relative to those who did not experience psychological maltreatment.Compared to those who did not experience interpersonal victimization,those who experienced psychological maltreatment only,experienced peer victimization only,and experienced both psychological maltreatment and peer victimization had increased risks of depressive symptoms(OR=3.59,2.32,9.43)and sui-cidal ideation(OR=4.42,1.92,9.98).Conclusion:There is co occurrence between childhood psychological mal-treatment and peer victimization,and they are risk factors for depressive symptoms and suicidal ideation in college students.

关 键 词：儿童期心理虐待 同伴侵害 抑郁症状 自杀意念 

分 类 号：R749.41[医药卫生—神经病学与精神病学] C913.9[医药卫生—临床医学]