Objective To understand the association between positive and negative childhood experiences with uncertainty stress in college students.
Methods From March to May 2021, 1 816 college students in Jiangsu and Hubei Province were randomly selected, and an electronic structured questionnaire was used to collect the general characteristics, positive and adverse childhood experience, and uncertainty stress. Logistic regression was used to explore the association between positive and negative childhood experiences with uncertainty stress.
Results The reported rate of uncertainty stress among 1 816 college students was 27.5% ( n = 500). Logistic regression results showed that the risk of uncertainty stress among students with childhood abuse experience was 2.10 times higher than that of control group ( OR = 2.10, 95% CI = 1.64–2.70). The probability of uncertainty stress in students with high self-awareness was 37% of those with low self awareness ( OR = 0.37, 95% CI = 0.24–0.57). The probability of uncertainty stress in students with positive predictable life was 32% of those without ( OR = 0.32, 95% CI = 0.13–0.77).
Conclusion College students are vulnerable population for psychological stress. Both positive and adverse childhood experience are associated with the occurrence of uncertainty stress. Early screening for with adverse childhood experiences in adolescents is recommended to protect physical and mental health.
【摘要】 目的 了解大学生不确定心理压力现状以及童年期经历与不确定心理压力的关联, 为大学生不确定心理压力的 干预提供依据。 方法 2021 年 3—5 月, 采用多阶段分层整群抽样选取江苏与湖北省 1 816 名大学生作为研究对象, 采用 电子结构化问卷收集研究对象的一般情况、童年期积极经历、童年期不良经历以及不确定心理压力。运用 Logistic 回归探 究童年期积极经历及不良经历与不确定心理压力的关联。 结果 大学生不确定心理压力的报告率为 27.5% (500 名)。Logistic 回归结果显示, 存在儿童虐待者的不确定心理压力发生风险是不存在组的 2.10 倍 ( OR = 2.10, 95% CI =1.64~2.70), 有自我意识的青少年的不确定心理压力发生风险是没有自我意识组的 37% ( OR = 0.37, 95% CI = 0.24~0.57), 有积极的可 预测生活的大学生不确定心理压力的发生风险是没有组的 32% ( OR = 0.32, 95% CI = 0.13~0.77) ( P 值均<0.05)。 结论 大 学生是不确定心理压力影响的敏感人群, 积极童年期经历的缺乏和髙度不良的童年期经历都是不确定心理压力发生的相 关因素。建议尽早筛査遭受髙度不良童年期经历伤害与缺少积极童年期经历的青少年, 以保护其身心健康。