贵阳市大学生抑郁现况及其与生活事件的关系

了解贵阳市在校大学生抑郁情绪现况及其与常见生活事件的关系,为开展大学生健康教育提供合理的参考.方法 使用青少年生活事件量表和Zung氏抑郁自评量表及自编大学生一般情况调查表,对整群分层随机抽取的贵阳市5所高校1 123名大学生进行问卷调查.结果 贵阳市在校大学生抑郁情绪检出率(95% CI)为34.37%(31.60%~37.14%).在生活事件总体评分及各因子分上,抑郁情绪学生的得分均高于无抑郁情绪学生(P值均<0.01);抑郁得分与生活事件得分呈正相关(rs=0.325,P<0.01).单因素分析结果显示,大学生抑郁情绪与专业满意度、父母婚姻状况、生活事件等因素有关(P值均<0.05).非条件Logistic回归分析得出,大学生对自己专业满意是抑郁情绪的保护因素(OR=0.542);父母再婚是抑郁情绪危险因素(OR=2.313);生活事件中,负性人际关系事件(OR=1.361),负性健康适应事件(OR=1.653)与其他负性事件(OR=1.773)是抑郁情绪的危险因素(P值均<0.05).结论 贵阳市在校大学生抑郁情绪检出率较高.应针对抑郁情绪的影响因素,及时采取必要的健康教育措施.

Relationship between depression and life events of college students in Guiyang city

Objective To understand the prevalence of depression among college students in Guiyang,and possible relations with common life events,aiming to provide a reasonable reference for health education.Methods By using stratified random sampling method,1 123 college students from 5 colleges in Guiyang were selected and surveyed with questionnaires including Adolescent Self-rating Life Events Checklist and Self-rating Depression Scale.Results The detection rate of depression in Guiyang college students was 34.37%(95%CI=31.60%-37.14%).Overall score of life events among students with depression was higher than those without depression(P<0.01).Spearman rank correlation showed that depression scores positively correlated with life events scores (rs =0.325,P<0.01).Univariate analyses showed that depression was associated with professional satisfaction,parental marital status,life events and other factors(P<0.05).The non-conditional logistic regression analyses indicated that compared with students with low professional satisfaction,those with high professional satisfaction had lower risk of depression(OR=0.542).Parents' remarriage was a risk factor for depression(OR=2.313).Adverse interpersonal events(OR=1.361),health adaptation events (OR=1.653) and other adverse events(OR =1.773) were risk factors for depression.Conclusion Prevalence of depression is high in Guiyang college students.Prevention and healthy coping on adverse life events will play an important role in depression prevention among college students.