积极和消极同伴事件与大学生心理健康问题的关联  

Relationship of positive and negative peer events with mental health problems among college students

作　　者：殷霞 童莹莹 苏普玉 YIN Xia;TONG Yingying;SU Puyu(School of Foreign Languages,Anhui Agricultural University,Hefei(230036),Anhui Province,China;不详)

机构地区：[1]安徽农业大学外国语学院,合肥230036 [2]安徽医科大公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

出　　处：《中国学校卫生》2025年第3期377-381,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(82173539)。

摘　　要：目的了解积极和消极同伴事件与大学生心理健康问题的关联,为提高大学生心理健康水平提供科学依据。方法采用方便抽样和整群随机抽样相结合的方法,于2023年10—11月份在安徽省2所高校共抽取1640名大一至大三年级学生,使用问卷星线上调查大学生的同伴积极和消极事件、自我感知孤独和压力水平、焦虑症状和抑郁症状。采用方差分析和χ^(2)检验进行组间比较,采用多变量二分类Logistic回归和线性回归分析大学生同伴积极事件和消极事件与心理健康问题的关联。结果有35.4%的大学生报告曾经历过一种消极同伴事件,91.3%报告曾经历过一种积极同伴事件。控制协变量后,多因素回归分析发现,有1,≥2次消极同伴事件与大学生孤独得分均呈正相关(β值分别为1.36,4.04)、与焦虑症状(OR值分别为2.24,4.33)和抑郁症状(OR值分别为2.19,4.01)的风险增加均相关;经历≥2次消极同伴事件与大学生压力得分呈正相关(β=1.12);经历过5~6,7次积极同伴事件与大学生孤独得分(β值分别为-1.79,-2.44)、压力得分(β值分别为-0.75,-1.12)均呈负相关;经历过7次积极同伴事件与大学生焦虑症状和抑郁症状的风险降低均相关(OR值分别为0.74,0.80)(P值均<0.05)。经历消极同伴事件数量与大学生孤独得分(β=0.80)、压力得分(β=0.24)、焦虑症状(OR=1.30)和抑郁症状(OR=1.27)的风险均呈正相关;经历积极同伴事件数量与孤独得分(β=-0.39)、压力得分(β=-0.19)、焦虑症状(OR=0.92)和抑郁症状(OR=0.93)的风险均呈负相关(P值均<0.05)。调节效应分析发现,在不同积极同伴事件数量分组中,报告1,≥2次消极同伴事件与大学生孤独得分均呈正相关(β=1.08~4.96)、与焦虑症状(OR=1.79~6.20)和抑郁症状(OR=1.78~6.77)的风险增加均相关(P值均<0.05);且相应β系数和OR值在0~4次积极同伴事件中最高,其次为报告5~6次积极同伴事件,在报告7次积极同伴事Objective To understand relationship of positive and negative peer events with mental health problems among college students,so as to provide a scientific basis for improving mental health level of college students.Methods A total of 1640 freshmen to juniors were randomly selected from two universities in Anhui Province from October to November 2023 by a combination of convenience sampling and cluster random sampling method.The positive and negative peer events,self-perceived loneliness and stress levels,anxiety and depression symptoms of students were investigated by using the questionnaire star online.Group comparisons were conducted by using analysis of variance and Chi-square test,and multivariate binary Logistic regression and linear regression were used to analyze relationship of positive and negative peer events with mental health problems among college students.Results About 35.4%of college students reported that they experienced at least one type of negative peer events,and 91.3%reported that they experienced at least one type of positive peer events.After controlling for covariates,multivariate regression analysis found that experiencing 1,≥2 types of negative peer events were positively correlated with loneliness scores of college students(β=1.36,4.04),as well as an increased risk of anxiety symptoms(OR=2.24,4.33)and depression symptoms(OR=2.19,4.01);and experiencing≥2 types of negative peer events was positively correlated with stress scores of college students(β=1.12)(P<0.05).Experiencing 5-6 and 7 types of positive peer events were negatively correlated with loneliness scores of college students(β=-1.79,-2.44)and stress(β=-0.75,-1.12);and experiencing 7 types of positive peer events were associated with a lower risk of anxiety symptoms(OR=0.74)and depressive symptoms(OR=0.80)(P<0.05).The number of negative peer events was positively correlated with loneliness scores(β=0.80)and stress scores(β=0.24),as well as the risk of anxiety symptoms(OR=1.30)and depressive symptoms(OR=1.27)among colleg

关 键 词：精神卫生 人际关系 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] C913.5[医药卫生—公共卫生与预防医学] B844.2[经济管理]