新城镇与农村居民抑郁和焦虑症状及领悟社会支持的网络分析  

Network analysis of perceived social support,depressive and anxiety symptoms in rural-to-urban migrated and rural residents

作　　者：牛四方 牛杏蒙 胡书章 孙钰 郑艺 黄悦勤[5] 慕福芹 刘燕 NIU Sifang;NIU Xingmeng;HU Shuzhang;SUN Yu;ZHENG Yi;HUANG Yueqin;MU Fuqin;LIU Yan(School of Public Health,Binzhou Medical University,Yantai 264003,Shandong Province,China;School of Public Health,Shandong Second Medical University,Weifang 261053,Shandong Province,China;School of Public Health,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,China;School of Mental Health,Jining Medical University,Jining 272013,Shandong Province,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;School of Public Health,Jining Medical University,Jining 272013,Shandong Province,China)

机构地区：[1]滨州医学院公共卫生学院,山东烟台264003 [2]山东第二医科大学公共卫生学院,山东潍坊261053 [3]山东第一医科大学(山东省医学科学院)公共卫生与健康管理学院,济南250117 [4]济宁医学院精神卫生学院,山东济宁272013 [5]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [6]济宁医学院公共卫生学院,山东济宁272013

出　　处：《中国心理卫生杂志》2025年第3期251-258,共8页Chinese Mental Health Journal

基　　金：泰山学者青年专家人才项目(tsqn201909145)。

摘　　要：目的:探讨新城镇居民与农村居民领悟社会支持、抑郁和焦虑症状的关系和差异。方法:2021-2023年方便取样招募新城镇居民5958名和农村居民4720名,采用患者健康问卷、广泛性焦虑量表和简版领悟社会支持量表分别评估抑郁、焦虑症状和社会支持。基于R 4.2.0进行网络估计、中心性及稳定性和网络比较分析。结果:新城镇居民抑郁和焦虑预期影响(EI)最高的节点是“精力缺乏”、“不能控制的担心”;农村居民抑郁和焦虑EI最高的节点是“低自我评价”、“很难放松”。两组人群领悟社会支持EI最高的节点是“亲人/领导的支持”。两组人群中桥预期影响最高节点是“情绪低落”,且两个网络的差异有统计学意义(P<0.05)。结论:新城镇居民与农村居民抑郁症状和焦虑症状以及领悟社会支持之间有相关关系,且存在差异。Objective:To explore relationships and differences of perceived social support and depression-anxiety symptoms between rural-to-urban migrated residents and rural residents.Methods:A total of 5958 rural-to-urban migrated residents and 4720 rural residents were recruited.The Patient Health Questionnaire-9,Generalized Anxiety Disorder-7,and Perceived Social Support Scale were used to assess symptoms of depression,anxiety,and social support,respectively.Network estimation,centrality and predictability measurement,accuracy and stability verification,and network comparison were conducted based on R 4.2.0 to compare the network structure differences between the two groups of residents.Results:In rural-to-urban migrated residents,“lack of energy”in depressive symptoms and“inability to control worry”in anxiety symptoms were the nodes with the highest expected influence(EI).In rural residents,“low self-evaluation”in depressive symptoms and“difficulty relaxing”in anxiety symptoms were the nodes with the highest EI.The highest node of perceived social support EI for both groups was"support from relatives/leaders."The bridge nodes were the same for rural-to-urban migrated residents and rural residents,with“be down in spirits”being the nodes with the highest bridge expected influence.The results of network comparison test showed that the overall network structure of rural-to-urban migrated residents and rural residents was statistically different(P<0.05).Conclusion:There are correlation and difference among depressive symptoms,anxiety symptoms,and perceived social support in rural-to-urban migrated and rural residents.

关 键 词：抑郁症状 焦虑症状 领悟社会支持 网络分析 

分 类 号：R749.41[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]