中医院校大学生五态人格与应激事件对抑郁的交互影响研究  

Interaction of five-state personality and stress events on depression of undergraduates in university of Traditional Chinese Medicine

作　　者：闫永洁 赵丹丹 谭梦[1] 朱默里 宋婧杰[1] YAN Yongjie;ZHAO Dandan;TAN Meng(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《精神医学杂志》2023年第6期589-594,共6页Journal of Psychiatry

基　　金：2023年全国中医药高等教育学会学生工作研究会第二十七届年会科研项目重点课题(编号:XGNH2023-K03)。

摘　　要：目的 基于抑郁症的素质-应激模型,探讨中医五态人格与应激事件对抑郁水平的交互影响研究。方法 采用中医五态人格量表、青少年生活事件量表、病人健康问卷抑郁量表对5 036名大学生进行问卷调查,使用SPSS 22.0进行数据分析。结果 中医院校大学生抑郁检出率为34.55%,中医院校大学生太阳、太阴型人格维度得分低于全国常模(P<0.01),少阳、阴阳和平、少阴人格维度得分高于全国常模(P<0.01)。应激事件与抑郁水平、五态人格量表中太阴维度得分均呈正相关(P<0.001),与太阳、少阳、阴阳和平、少阴维度得分均呈负相关(P<0.001);抑郁水平与五态人格量表中太阳、少阳、阴阳和平、少阴维度得分均呈负相关(P<0.001),与太阴人格维度得分呈正相关(P<0.001)。回归分析结果表明,应激事件能够正向预测抑郁水平(P<0.01)。太阳、少阳、阴阳和平负向调节应激事件与抑郁水平之间的关系(P<0.05),太阴正向调节应激事件与抑郁水平之间的关系(P<0.01)。结论 中医院校大学生在日常生活中感知到的应激事件能够加重抑郁水平,五态人格能够调节应激事件与抑郁水平的关系,调节效应的方向及强度取决于不同的人格特征。Objective To explore the interactions between five-state personality and stress events on depression based on the diathesis-stress model. Methods A total of 5 036 college students were selected and assessed with Traditional Chinese Medicine(TCM) Five-State Personality Scale, Adolescent Self-Rating Life Events Check-List(ASLEC) and Patient Health Questionnaire-9(PHQ-9). Results The detection rate of depression was 34.55%. Compared with the national norm, the scores of Taiyang and Taiyin were lower, while the scores of Shaoyang, Yin-yang balance and Shaoyin were higher(P<0.01). ASLEC score was positively correlated with PHQ-9 score and Taiyin dimension score, and negatively correlated with dimension scores of Taiyang, Shaoyang, Yin-yang balance and Shaoyin(P<0.001). PHQ-9 score was negatively correlated with dimension scores of Taiyang, Shaoyang, Yin-yang balance and Shaoyin, and positively correlated with Taiyin dimension score(P<0.001). Regression analysis showed that ASLEC score could positively predict the depression level(P<0.01). Taiyang, Shaoyang, Yin-yang balance negatively moderated the relationship between stress events and depression level(P<0.05), while Taiyin positively moderated the relationship between them(P<0.01). Conclusion The stress events perceived in the daily life of TCM college students aggravate their depression level. The five-state personality significantly modulate the relationship between stress events and depression level, and the direction and intensity of this modulation effect depend on different types of five-state personality.

关 键 词：中医五态人格 应激 抑郁 素质-应激模型 

分 类 号：B844.2[哲学宗教—发展与教育心理学]