抑郁、焦虑症状在经验性回避对大学生自杀意念的中介作用  

Mediating effect of depression and anxiety symptoms between experiential avoidance and suicidal ideation in college students

作　　者：杨兰 于瑶琨 姚志英 王涛[1] 贾存显[1] YANG Lan;YU Yaokun;YAO Zhiying;WANG Tao;JIA CunXian(School of Public Health,Shandong University,Jinan 250000,Shandong,China;Qingdao Municipal Hospital,QingDao 266000,Shandong,China)

机构地区：[1]山东大学公共卫生学院,山东济南250000 [2]青岛市市立医院,山东青岛266000

出　　处：《广州医科大学学报》2024年第2期8-13,共6页Academic Journal of Guangzhou Medical University

基　　金：国家自然科学基金(81761128033)。

摘　　要：目的:探讨抑郁、焦虑症状在大学生经验性回避与自杀意念关系间的中介作用。方法:通过问卷星平台对来自山东、吉林、陕西的7所综合性大学的大学生进行调查,采用logistic回归模型分析大学生抑郁症状、焦虑症状与经验性回避的关联。采用并行多重中介模型和KHB方法对抑郁症状、焦虑症状的中介效应进行分析。结果:共纳入4633名大学生,其中1119名大学生存在抑郁症状,报告率为24.15%;1813名大学生存在焦虑症状,报告率39.13%。logistic回归分析结果显示,大学生经验性回避与抑郁症状(OR=1.17,95%CI:1.16-1.18)、焦虑症状(OR=1.13,95%CI:1.12-1.14)、抑郁症状合并焦虑症状(OR=1.17,95%CI:1.16-1.19)相关。中介作用分析显示,在控制其他协变量后,抑郁症状、焦虑症状在经验性回避与自杀意念的关系中起中介作用,直接效应、间接效应分别为0.099(95%CI:0.077-0.120)、0.034(95%CI:0.023-0.047),直接效应和间接效应比例分别为74.44%和25.56%,抑郁症状和焦虑症状的中介效应比例分别为9.78%和15.79%。结论:大学生经验性回避与自杀意念存在关联,抑郁症状和焦虑症状对大学生经验性回避与自杀意念关系中有部分中介作用。Objective:To explore the relationship between the current status of depressive and anxiety symptoms and experiential avoidance among college students;to explore the mediating role of depressive and anxiety symptoms in the relationship between experiential avoidance and suicidal ideation among college students.Methods:This study used a questionnaire on mental health literacy among college students to collect information for the study,targeting students from seven comprehensive universities in Shandong,Jilin,and Shaanxi provinces.Logistic regression analysis was used to explore the associations between depressive symptoms,anxiety symptoms and experiential avoidance.The mediating effects of depressive symptoms and anxiety symptoms were analyzed and validated using parallel multiple mediation model and KHB method.Results:A total of 4633 college students were included.There were 1119(24.15%)college students who reported depressive symptoms and 1813(39.13%)students who reported anxiety symptoms.There was a significant correlation between empirical avoidance and depressive symptoms among college students(OR=1.17,95%CI:1.16-1.18),anxiety symptoms(OR=1.13,95%CI:1.12-1.14),and depressive symptoms combined with anxiety symptoms(OR=1.17,95%CI:1.16-1.19).Depressive symptoms,anxiety symptoms,suicidal ideation,and experienced avoidance were all associated.After controlling for other covariates,depressive symptoms and anxiety symptoms mediated the association between empirical avoidance and suicidal ideation,with direct and indirect effects of 0.099(95%CI:0.077-0.120)and 0.034(95%CI:0.023-0.047),respectively,and direct and indirect effect ratios of 74.44%and 25.56%,respectively.The mediated effect ratios for depressive symptoms and anxiety symptoms were 9.78%and 15.79%,respectively.Conclusion:College students’experiential avoidance was associated with suicidal ideation;depressive symptoms and anxiety symptoms partially mediated the relationship between college students’experiential avoidance and suicidal ideation.

关 键 词：大学生 经验性回避 自杀意念 中介作用 

分 类 号：R749.4[医药卫生—神经病学与精神病学]