摘要
目的:探索影响大学生抑郁症复发的人格特质。方法:于2018年4-10月开展基线调查,对8079名大学新生使用复合性国际诊断访谈表(CIDI 3.0)进行调查,采用贝克抑郁量表评估抑郁严重程度、人格特质问卷诊断人格特质、神经质问卷测量神经质得分、人际关系综合诊断量表诊断人际关系行为困扰、功能失调性态度量表评价认知障碍,并在2019年4-10月及2020年4-10月完成两次随访调查。结果:大学新生抑郁症1年随访复发率为9.16%(95%CI:6.38%~12.02%),2年随访复发率为18.59%(95%CI:13.94%~23.26%)。边缘型人格特质(OR=4.60,95%CI:2.28~9.28)是大学生抑郁症复发的独立危险因素,其中男性(OR=6.40,95%CI:1.98~20.71),女性(OR=3.77,95%CI:1.56~9.10)。边缘型人格特质与抑郁症复发之间存在剂量-反应关系,有5~8个边缘型人格特征的大学生比0个特征的大学生抑郁症复发的风险高(OR=3.58,95%CI:1.12~11.43)。结论:具有边缘型人格特质的大学生抑郁症患者更易复发。
Objective:To explore the personality traits that influence the relapse of depression in college students.Methods:From April to October 2018,a baseline survey of depression was conducted among 8079 college freshmen with the Composite International Diagnostic Interview Scale(CIDI3.0).The Beck Depression Inventory was used to evaluate the severity of depression,Personality Trait Questionnaire was used to diagnose personality traits,Neuroticism Questionnaire was used to measure neuroticism score,Comprehensive Interpersonal Relationship Diagnostic Scale was used to diagnose interpersonal behavior disturbance,and Dysfunctional Attitude Scale was used to evaluate cognitive impairment.Two follow-up surveys were conducted from April to October in 2019 and2020.Results:The recurrence rate of depression among college freshmen was 9.16%(95%CI:6.38%-12.02%)in 1-year and 18.59%(95%CI:13.94%-23.26%)in 2-years.Borderline personality traits(OR=4.60,95%CI:2.28-9.28)was an independent risk factor for the recurrence of depression in college students,with male(OR=6.40,95%CI:1.98-20.71)and female(OR=3.77,95%CI:1.56-9.10).There is a dose-response relationship between borderline personality traits and recurrence of depression,college students with 5-8 borderline personality traits had a higher risk of depression recurrence than those with 0 traits(OR=3.58,95%CI:1.12-11.43).Conclusion:It suggests that college students with borderline personality traits are more likely to suffer from the recurrence of depression.
作者
岳崧
魏洪凯
唐金蕾
罗林林
刘敏
翟金国
刘传新
刘燕
YUE Song;WEI Hongkai;TANG Jinlei;LUO Linlin;LIU Min;ZHAI Jinguo;LIU Chuanxin;LIU Yan(Weifang Medical University,Weifang 261053,Shandong Province,China;Shandong Daizhuang Hospital,Jining 272051,Shan-dong Province,China;Jining Medical University,Jjining 272013,Shandong Province,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2022年第5期404-410,共7页
Chinese Mental Health Journal
基金
泰山学者青年专家人才项目(tsqn201909145)
国家自然科学基金(81901391)
济宁市重点研发计划(2019SMNS033)
山东省中医药科技发展计划(2019-0459)
全国医学专业学位研究生教育指导委员会立项资助课题(B2-YX20190604-01)。
关键词
抑郁症
复发
边缘型人格
大学生
depression
recurrence
borderline personality
college students
