医科类大学生亲密恐惧类型的影响因素及与抑郁症状的关系:基于潜在剖面分析的证据  

Factors influencing the type of intimacy fear among medical college students and its relationship with depressive symptoms:Evidence based on latent profile analysis

作　　者：范雯卉 张淑华 FAN Wenhui;ZHANG Shuhua(School of Educational Science,Shenyang Normal University,Shenyang 110034,China;School of Medical Humanities Science,China Medical University)

机构地区：[1]沈阳师范大学教育科学学院,110034 [2]中国医科大学医学人文学院

出　　处：《中国健康心理学杂志》2024年第7期1065-1071,共7页China Journal of Health Psychology

摘　　要：目的:探究医科类大学生亲密恐惧的异质性,探讨依恋类型、自尊水平、亲密恐惧以及抑郁之间的关系。方法:采用依恋类型-关系问卷、自尊量表、亲密恐惧成分量表、简版流调中心抑郁量表,对辽宁省某医科类高校1092名在校大学生进行调查,运用潜在剖面分析的方法探索医科类大学生亲密恐惧的潜在类别,使用多元逻辑回归探索依恋类型、自尊水平及人口学资料对亲密恐惧剖面的影响,通过Kruskal-Wallis检验探究不同亲密恐惧组个体抑郁得分的差异。结果:①医科类大学生亲密恐惧可以分为3个潜在类别,分别是高亲密恐惧组(17.95%)、低亲密恐惧组(10.35%)以及亲密恐惧边缘组(71.70%);②多元逻辑回归分析结果显示,与安全型依恋相比,矛盾型依恋(OR=2.907,P<0.05)、回避型依恋(OR=6.301,P<0.001)以及恐惧型依恋(OR=7.586,P<0.001)的个体更容易被归类为高亲密恐惧组;与高自尊相比,中等自尊(OR=5.115,P<0.001)与低自尊(OR=46.074,P<0.001)的个体更容易被归类为高亲密恐惧组;③Kruskal-Wallis Test检验结果显示,不同亲密恐惧剖面在抑郁总分与3个分维度上存在显著差异(P<0.001),其中高亲密恐惧组秩和>亲密恐惧边缘组秩和>低亲密恐惧组秩和。结论:医科类大学生亲密恐惧存在异质性,依恋类型、自尊水平是影响医科类大学生亲密恐惧的因素,不同亲密恐惧剖面的个体抑郁水平有所不同,总体抑郁水平趋势从高亲密恐惧组、亲密恐惧边缘组、低亲密恐惧组依次递减,高亲密恐惧组大学生容易出现高抑郁倾向。Objective:To explore the heterogeneity of intimacy fear among medical college students,and to explore the relationship between attachment type,self-esteem level,fear of intimacy,and depression.Methods:The Attachment Type-Relationship Questionnaire,Self-Esteem Scale,Fear of Intimacy Components Questionnaire,and the Short Version of Center for Epidemiologic Studies Depression Scale were used to survey 1092 college students enrolled in a medical university in Liaoning Province.Potential categories of intimacy fear among medical college students were explored using latent profile analysis,and multiple logistic regressions were used to explore the effects of attachment type,level of self-esteem,and demographic information on the profiles of intimacy fear,differences in individual depression scores across intimate fear groups were explored by the Kruskal-Wallis test.Results:①Medical college students'intimacy fear can be categorized into three potential categories:high intimacy fear group(17.95%),low intimacy fear group(10.35%),and borderline intimacy fear group(71.70%);②Multiple logistic regression analyses revealed that individuals with ambivalent attachment(OR=2.907,P<0.05),avoidant attachment(OR=6.301,P<0.001),and fearful attachment(OR=7.586,P<0.001)were more likely to be categorized into the high intimacy fear group compared to secure attachment,and individuals with moderate self-esteem(OR=5.115 P<0.001)and low self-esteem(OR=46.074,P<0.001)individuals were more likely to be categorized in the high intimate fear group compared to high self-esteem;③The results of the Kruskal-Wallis test showed that there was a significant difference between the different intimacy fear profiles on the total depression score and the three subdimensions(P<0.001),with the high intimacy fear group rank-sum>borderline intimacy fear group rank-sum>low intimacy fear group rank-sum.Conclusion:Medical college students'fear of intimacy is heterogeneous,attachment type and self-esteem level are factors affecting medical college students'f

关 键 词：亲密恐惧 依恋类型 潜在剖面分析 自尊 抑郁 医科类大学生 

分 类 号：R395.6[哲学宗教—心理学] B844.2[医药卫生—医学心理学]