南宁市大学生功能性消化不良的心理健康调查

Study on Mental Health in the College Students with FD in Nanning City

目的了解西部少数民族地区大学生功能性消化不良(functional dyspepsia)的心理健康状态,以进一步提高本地区功能性消化不良的防治水平。方法采用标准的成人功能性胃肠病罗马III诊断问卷,《中国大学生心理健康量表》测评系统对2580名南宁市大学生进行面访式调查。结果南宁市大学生功能性消化不良的总体患病率为5.4%;大学生FD组的躯体化、焦虑、抑郁、自我意识、社交退缩、社交攻击、性心理、偏执、强迫、依赖、冲动、精神病倾向等12个维度分值均显著高于非FD组(P<0.05);分层分析发现在躯体化、焦虑、抑郁、自卑、社交退缩、性心理、偏执、强迫、依赖等9个维度上,FD组高T分值比例显著高于非FD组(P<0.05),而社交攻击、冲动、精神病倾向等3个维度两组比较无差异;多因素回归分析结果:FD患病与躯体化(OR=1.610,95%CI,1.012-2.559)、焦虑(OR=1.955,95%CI,1.216-3.142)相关。结论南宁市大学生FD是一常见病,大学生FD患者存在不同程度的心理健康问题,更多的表现躯体化和焦虑。

Abstract： Objective To investigate the status of mental health in the college students who suffer from FD in the minor- ity nationality regions of western China. Methods The Rome III diagnosis questionnaire on functional dyspepsia in adults and CSMHS developed by national ministry of education were used to study the prevalence of FD and the mental health status in 2580 college students in Nanning. Results The total prevalence of FD in college students was 5.4%. Compared with the non -FD group, the scores of the 12 evaluated mental states in the FD group were significantly higher （p 〈 0.05 ）. According to the result of cluster randomized sampling method analysis, the scores of 9 mental states （ somatization, anxiety, depression, in- feriority, social withdrawal, sexual psychology, paranoia, compulsion and dependence） in the FD group were apparently higher （ p 〈 0.05 ） . But no significantly difference was observed on the other mental states. Obviously difference between FD group and non - FD group on somatization and anxiety was revealed （ p 〈 0. 05 ） by Logistic regression analysis. Conclusion FD is a common disease in college students. And students who suffer from FD may concurrently suffer from the different degrees of psychological problems, within which somatization and anxiety are two prominent mental characteristics.