摘要
目的 了解大庆市大学生社交焦虑障碍时点患病率,探讨影响社交焦虑障碍患病的成长环境因素.方法 按学生构成比分层整群随机抽取大庆市2000名大学生进行问卷调查,包括:一般情况调查表、交往焦虑量表(IAS)、青少年生活事件量表(ASLEC)及父母教养方式评价量表(EMBU).根据IAS得分进行高中低分组,由6名精神医学、心理学专业医生、教师和研究生对全部高分组、中分组的随机50%、低分组的随机10%进行SCID一对一问诊.结果 收回有效问卷1878份,确诊为社交焦虑障碍者191名,时点患病率为8.89%.农村学生患病率高于城镇(12.3%vs.8.5%,x^2=7.966,P=0.017),非独生子女患病率大于独生子女(12.0%vs.9.1%,x^2=4.055,P=0.044).社交焦虑障碍者与非社交焦虑障碍者相比,在生活事件、父母教养方式的多种因素上差异有统计学意义,Logistic回归分析显示生活事件的学习压力(B=0.206)、父亲情感温暖(B=-0.070)、过度保护(B=0.286)、母亲惩罚严厉(B=0.159)、是否为独生子女(B =-0.685)进入回归方程.结论 大庆市大学生SAD时点患病率8.89%,受多种成长环境因素影响;是否为独生子女、父亲情感温暖、过度保护、母亲惩罚严厉、生活事件的学习压力因子能够预测社交焦虑障碍发病.
Objective To know the point prevalence rate of social anxiety disorder(SAD) in Daqing University,and explore the influence factors about growth environment.Methods Data came from a large representative sample of 1878 university students,who were selected by stratified random cluster sampling methods according to the constituent ratio of students.They finished general situation questionnaire,interaction anxiety scale (IAS),adolescent self-rating life events check list(ASLEC),Egma Minnen av Bardndosnauppforstran(EMBU) respectively.According to the score of IAS,they were divided into 3 groups of high,mid and low.And then all of the high group,the 50% and 10% randomly of the mid and the low group respectively accepted the face-to-face interviews with 6 trained psychiatrists referred to SCID-I/P.Results Among 1878 Daqing university students,191 of them were diagnosed as SAD,with a point prevalence rate of 8.89%.The rate of rural students was higher than that in urban students(12.3% vs.8.5%,x^2 =7.966,P=0.017),and the rate of non-only child was higher than only child (12.0% vs.9.1%,x^2 =4.055,P=0.044).There were significant differences between SAD and No-SAD on many factors of ASLEC and EMBU.Logistic regression analysis showed that study stress in ASLEC(B=0.206),father's warm (B =-0.070),father' overprotection (B =0.286),mother' punishment (B =0.159),only child or not (B =-0.685) entered into regression equation.Conclusion The point prevalence rate of SAD in Daqing university students is 8.89% and influenced by several growth environmental factors.Only child or not,father' warm,father' overprotection,mother' punishment,study stress in ASLEC can forecast SAD occurrence.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2014年第9期793-796,共4页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家自然科学基金项目(81102143)