大学生儿童期虐待、抑郁焦虑症状与生命质量关系的路径分析

The effects of childhood abuse, quality of life on anxiety and depression of college students： a path analysis

目的考察大学生儿童期虐待、生命质量与抑郁焦虑症状的关系，为大学生心理障碍的干预提供依据。方法采用整群抽样法，对江苏省某3所高校2374名大学生进行调查，使用儿童期虐待史自评量表（PRCA）、贝克抑郁自评问卷（BDI）、焦虑自评量表（SAS）、世界卫生组织生存质量简表（WHOQOL—BREF）等问卷进行现场测试，用结构方程模型分析软件Amos7．0作路径分析。结果路径分析结果显示，儿童期虐待对抑郁、焦虑有直接正向性影响（Sβ=0．145，0．130；P〈0．01），对生命质量4个领域有直接负向性影响（Sβ=-0．251～-0．287；P〈0．01）；生理领域、心理领域和环境领域对抑郁有直接负向性影响（Sβ=-0．089～-0．421；P〈0．01）；生理领域、心理领域和环境领域对焦虑有直接负向性影响（Sβ=-0．096～-0．298；P〈0．01）；生理领域、心理领域和环境领域作为中介变量调节儿童期虐待与抑郁焦虑的关系。模型Ⅱ的拟合指数为）x2／df=1．674，P=0．187，RMSEA=0．017，RMR=0．052，GFI=1．000，AGFI=0．994，NFI=1．000，RFI=0．995，IFI=1．000，TLI=0．998，CFI=1．000，模型拟合良好。结论生命质量作为中介变量，调节着儿童期虐待对大学生焦虑和抑郁症状的影响作用。

Objective To study the mediating effect of quality of life（QOL） between childhood abuse and depression and anxiety of college students, and to provide basis to intervene their mental disorder. Methods Through stratified sampling,2374 college students in Jiangsu were investigated by the personal report of childhood abuse （PRCA）, Beck depression rating scale（BDI） , self-rating anxiety scale （SAS） and the world health of organization quality of life brief scale（ WHOQOL-BREF）. A path analysis was applied by AMOS（Analysis of Moment Structures） version 7.0. Results The path analysis shows that childhood abuse was directly related to depression and anxiety of college students（ Sβ = 0. 145,0. 130; P 〈 0. 01 ） ,and was inversely related to 4 domains of the WHOQOL-BREF（ Sβ = -0.251 - -0. 287 ; P〈0.01 ）. 3 domains （ exclusion SOCIL domain） of the WHO- QOL-BREF were directly related to depression and anxiety of college students （ Sβ= - 0. 089 -- 0. 421 ; P 〈 0. 01 ）. 3 domains （exclusion SOCIL domain） of the WHOQOL-BREF mediate the relationship between childhood abuse and depression and anxiety of college students. The model 11 fit indexes of were x2/df = 1. 674, P= 0. 187, RMSEA = 0. 017, RMR = 0. 052, GFI = 1. 000, AGFI = 0. 994, NFI = 1. 000, RFI = 0. 995, IFI = 1. 000, TLI = 0. 998, CFI = 1. 000. Conclusion Quality of life as mediated variable mediates the relationship between childhood abuse and anxiety and depression of college students.