Objective To investigate the effects of major family structure changes on depression, anxiety and stress symptoms of college students, and to provide theoretical basis for mental health promotion and prevention.
Methods A questionnaire survey was conducted among 9 779 college students from 6 universities, including Jiangxi University of Finance and Economics, Shangrao Normal University, Gannan Normal University, Fujian Polytechnic Normal University, and Changjiang University, by using the Depression, Anxiety and Stress Scale-21 Items (DASS-21).
Results The prevalence rates of depression, anxiety and stress symptoms among college students were 27.4%, 42.0% and 17.4%, respectively. Univariate analysis showed that family structure was associated with anxiety and stress symptoms (χ 2 = 8.40, 13.08, P<0.05). Multivariate Logistic regression analysis showed that specific family structure other than single-or two-parent family was positively correlated with anxiety ( OR = 1.89, 95% CI = 1.05–3.42) and stress symptoms ( OR = 2.48, 95% CI = 1.36–4.50), family structure changes due to parental divorce was positively correlated with stress symptoms ( OR = 1.53, 95% CI = 1.05–2.20) ( P<0.05).
Conclusion The occurrence of depression, anxiety and stress symptoms of college students is related to the type of family structure and the changing factors. Colleges should pay more attention to the mental condition of college students with family structure changes, and deliver various mental health promotion services including psychological counseling and health education.
【摘要】 目的 了解家庭重大变故对大学生抑郁、焦虑、压力症状的影响, 为防治大学生抑郁、焦虑、压力症状提供依据。 方法 2020 年 10—12 月对江西财经大学、上饶师范学院、赣南师范大学、福建技术师范学院、福建泉州医学髙等专科学 校、长江大学 6 所髙校的 9 779 名大学生进行电子问卷调査, 了解大学生家庭情况与心理状况相关数据, 心理状况信息采 用抑郁-焦虑-压力自评量表(DASS-21)采集。 结果 大学生抑郁、焦虑、压力症状检出率分别为27.4%, 42.0%, 17.4%; 单 因素分析显示, 家庭结构类型与大学生焦虑、压力症状有关联(χ 2妒值分别为 8.40, 13.08, P 值均<0.05)。多因素Logistic回 归分析结果显示, 家庭结构类型为其他(除双亲型和单亲型)与大学生焦虑 ( OR = 1.89, 95% CI = 1.05~3.42)、压力症状 ( OR = 2.48, 95% CI = 1.36~4.50) 均呈正相关, 其变故因素为父母离婚与大学生压力症状 ( OR =1.53, 95% CI =1.05~2.20) 呈 正相关 ( P 值均<0.05)。 结论 大学生抑郁焦虑压力症状的发生与家庭结构类型及变故因素相关。学校对家庭结构变故 的大学生, 应该重点关注其心理状况, 同时应加强对此类大学生心理疏导和健康教育工作。