回避型人格障碍在大一学生压力生活事件与抑郁关系中的中介作用

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychology Research and Behavior Management Pub Date : 2025-01-20 eCollection Date: 2025-01-01 DOI:10.2147/PRBM.S484136
Huihui Zhou, Sifang Niu, Yangziye Guo, Yan Qin, Hao Sun, Fuqin Mu, Ximing Duan, Yi Zheng, Ying Zhang, Yan Liu, Ning Liu
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引用次数: 0

摘要

目的:有压力的生活事件是抑郁症的危险因素。探讨回避型人格障碍(AVPD)特征是否在大学生压力生活事件(SLEs)与抑郁之间起中介作用。方法:于2018年4月至10月进行横断面研究。研究对象为山东省济宁医学院和潍坊医学院新生(n=7390)。采用贝克抑郁量表(Beck Depression Inventory-II)评估抑郁程度,采用《精神障碍诊断与统计手册(DSM 5)》测量AVPD。数据处理采用SPSS24.0软件、Pearson相关分析和PROCESS3.3程序中介分析。采用Bootstrap方法确定AVPD特征是否在NLEs与抑郁之间的关联中起中介作用。结果:共有34.68%的参与者报告了1 - 3个AVPD特征,18.15%的参与者报告了4 - 7个AVPD特征。AVPD特征(r=0.384, PLimitation:本横断面研究可能存在回忆偏倚。结论:AVPD特征在中国大学生中普遍存在。AVPD特征对应激性生活事件相关抑郁表现出中介作用。大学生抑郁症的心理干预不仅要关注压力,还要关注个体的人格特质和认知模式。护理人员、教师和卫生专业人员应更加重视对大学生AVPD特征的早期识别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Mediating Role of Avoidant Personality Disorder Features in the Relationship Between Stressful Life Events and Depression Among First-Year University Students.

Purpose: Stressful life events are risk factors of depression. To explore whether the avoidant personality disorder (AVPD) features play a mediating role between stressful life events (SLEs) and depression among Chinese first-year university students.

Methods: The cross-sectional study was conducted from April to October 2018. The participants were the freshmen selected from Jining Medical University and Weifang Medical University (n=7390) in Shandong Province in China. Depression was assessed by the Beck Depression Inventory-II, AVPD were measured by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5). The data were processed and analyzed by SPSS24.0 software, Pearson correlation analysis and PROCESS3.3 program intermediary analysis. The method of Bootstrap was adopted to determine whether the AVPD features act as mediating factors in the association between the NLEs and depression.

Results: A total of 34.68% of the participants reported one to three AVPD features, and 18.15% reported four to seven AVPD features. AVPD features (r=0.384, P<0.05) and the SLEs (r=0.309, P<0.05) were positively related to the risk of depression, respectively. AVPD features play a partial mediating effect on the relationship between SLEs and depression (the effect value is 0.133, P < 0.01; 32.28% of the total effect).

Limitation: There might be recall bias in this cross-sectional study.

Conclusion: AVPD features are prevalent among Chinese university students. AVPD features displayed the mediation effect on depression related to stressful life events. Psychological interventions for depression in college students should focus not only on stress but on individual personality traits and cognitive mode. Care-givers, teachers, and health professionals should pay more attention to the early identification of the AVPD features among university students.

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来源期刊
CiteScore
4.50
自引率
4.70%
发文量
341
审稿时长
16 weeks
期刊介绍: Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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