大学生手机多任务行为与抑郁症状的纵向关联  

Longitudinal associations between smartphone multitasking and depressive symptoms in college students

作　　者：朱冬青 陶舒曼 谢阳 万宇辉[1,3] 伍晓艳 邹立巍[3] 陶芳标 ZHU Dongqing;TAO Shuman;XIE Yang;WAN Yuhui;WU Xiaoyan;ZOU Liwei;TAO Fangbiao(Department of Maternal,Child&Adolescent Health,School of Public Health,Anhui Medical University,Hefei(230032),Anhui Province,China;不详)

机构地区：[1]安徽医科大学儿少卫生与妇幼保健学系,合肥230032 [2]安徽医科大学第二附属医院眼科 [3]出生人口健康教育部重点实验室/环境与人口健康安徽省重点实验室 [4]合肥综合性国家科学中心大健康研究院健康大数据与群体医学研究所

出　　处：《中国学校卫生》2024年第4期465-469,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(82073578,82304169)。

摘　　要：目的探讨大学生手机多任务行为与抑郁症状间的纵向关联性,为促进大学生心理健康发展提供循证依据。方法于2021年10—12月采用多阶段随机整群抽样方法,在太原市、重庆市和深圳市各招募1所高校的大学生进行基线调查,并于2022年5月开展随访调查,与基线调查匹配后有效人数为967名。使用青少年手机多任务行为评定问卷和患者健康问卷-9项分别评估大学生手机多任务行为和抑郁症状。采用χ2检验比较不同人口统计学特征大学生抑郁症状的差异,采用二元Logistic回归模型分析大学生手机多任务行为与抑郁症状的关联性。结果大学生基线和随访抑郁症状检出率分别为35.2%和42.3%。以基线手机多任务指数低水平组为参照,基线手机多任务指数中等水平组和高水平组与基线抑郁症状(中等水平组:OR=1.74,95%CI=1.22~2.50;高水平组:OR=2.77,95%CI=1.94~3.95)及随访期抑郁症状(中等水平组:OR=1.41,95%CI=1.01~1.95;高水平组:OR=1.64,95%CI=1.17~2.29)均呈正相关(P值均<0.05)。与手机多任务指数持续低水平组相比,手机多任务指数保持中高水平(OR=2.94,95%CI=1.83~4.71)、增加(OR=2.07,95%CI=1.31~3.27)或减少(OR=2.02,95%CI=1.27~3.19)均会增加随访期抑郁症状的发生风险;大学生手机多任务指数增加与新发抑郁症状发生风险呈正相关(OR=1.87,95%CI=1.07~3.27)(P值均<0.05)。结论大学生手机多任务行为与抑郁症状的发生风险增加有关。应减少大学生手机多任务行为,降低抑郁症状的发生,促进大学生心理健康。Objective To explore the longitudinal correlation between smartphone multitasking and depressive symptoms,so as to provide an evidence-based basis for promoting the mental health of college students.Methods A total of 967 college students were recruited from one university in Taiyuan,Chongqing,and Shenzhen cities,China,by using multi-stage randomized cluster sampling from October to December 2021 at baseline,and a follow-up survey was conducted in May 2022.Smartphone multitasking behaviors were assessed by means of the Assessment of Smartphone Multitasking for Adolescents(ASMA),and depressive symptoms were assessed using the Patient Health Questionnaire-9(PHQ-9)among college students.Chi-square tests were performed to compare the differences in depressive symptoms between different groups of demographic characteristics,and binary Logistic regression models were employed to analyze the associations between smartphone multitasking and depressive symptoms among college students.Results The rates of depressive symptoms among college students at baseline and follow-up were 35.2%and 42.3%,respectively.Compared to the low level smartphone multitasking index group at baseline,the moderate and high level groups were more likely to experience depressive symptoms at baseline(moderate level group:OR=1.74,95%CI=1.22-2.50,high level group:OR=2.77,95%CI=1.94-3.95)and follow-up(moderate level group:OR=1.41,95%CI=1.01-1.95,high level group:OR=1.64,95%CI=1.17-2.29)(P<0.05).In addition,compared to the persistently low smartphone multitasking index,increased risk of depressive symptoms was associated with maintaining a moderate-to-high(OR=2.94,95%CI=1.83-4.71),and a higher(OR=2.07,95%CI=1.31-3.27)or lower smartphone multitasking index(OR=2.02,95%CI=1.27-3.19)(P<0.05).Moreover,higher smartphone multitasking index scores were positively associated with the risk of new-onset depressive symptoms at follow-up(OR=1.87,95%CI=1.07-3.27,P<0.05).Conclusions Smartphone multitasking behaviors are find to be associated with an increased risk of

关 键 词：便携式电话 多媒体 抑郁 精神卫生 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] B844.2[医药卫生—公共卫生与预防医学] TN916.9[哲学宗教—发展与教育心理学] C913.5[哲学宗教—心理学]