自我缺陷感在抑郁大学生述情障碍和心理韧性间的中介作用

Mediating effects of self feeling of inadequacy between resilience and alexithymia in depressive undergraduates

目的 探讨抑郁大学生心理韧性、自我缺陷感和述情障碍的关系,为抑郁大学生的干预预防提供理论依据.方法 通过整群抽样的方法抽取河北省两所高校的500名本科生作为调查对象,采用贝克抑郁量表、青少年心理韧性量表、多伦多述情障碍量表和自我缺陷感量表对大学生进行调查,对调查结果进行统计学分析.结果 426名大学生检出抑郁者119名,检出率28％.述情障碍量表总分[（69.99±9.43）分]高于常模[（65.70±7.98）分],差异有统计学意义（P＜0.05）.不同性别大学生自我缺陷感得分差异有统计学意义[男（149.88±28.00）分vs女（138.58±28.79）分,P＜0.01];不同性别、年级大学生抑郁总分、述情障碍总分和心理韧性总分均差异无统计学意义（P＞0.05）.自我缺陷感与述情障碍呈显著正相关（P＜0.05）.心理韧性与自我缺陷感和述情障碍呈显著负相关（P＜0.05）.自我缺陷感在抑郁者心理韧性述与情障碍之间起完全中介作用,在非抑郁者中心理韧性与述情障碍之间起部分中介作用.结论 抑郁大学生述情障碍严重,自我缺陷感严重,心理韧性差.大学生自我缺陷感作为“中介变量”在调节抑郁者与非抑郁者心理韧性与述情障碍方面起一定作用.

Objective To study the relationship among resilience,self feeling of inadequacy and alexithymia in depressive undergraduates,and to provide a theoretical basis for the prevention and intervention of depression among undergraduates.Methods 500 undergraduates of two universities in Hebei Province were collected by cluster sampling method.Beck depression scale,adolescent resilience scale,Toronto alexithymia scale and self feeling of inadequacy scale were applied to undergraduates.The survey results were analyzed statistically.Results The detection rate of depression was 28％（119/426） in undergraduates.Total score of Alexithymia Scale（69.99±9.43） was higher than the norm（65.70±7.98）,and the difference was statistical significant （P＜0.05）.The score of self feeling of inadequacy had a significant difference between male （149.88±28.00） and female（138.58±28.79） （P＜0.01）.Neither gender nor grade had significant difference in depression,alexithymia and resilience（P＞0.05）.Self feeling of inadequacy was positively correlated with alexithymia （P＜0.05）.Resilience was negatively correlated with self feeling of inadequacy and alexithymia（P＜0.05）.For the depressive undergraduates,self feeling of inadequacy served as a full mediator between the resilience and alexithymia,whereas for the non depression undergraduates it was a partial mediator.Conclusion Depression undergraduates have serious alexithymia,serious self feeling of inadequacy and poor resilience.Self feeling of inadequacy serves as a mediator between the resilience and alexithymia in depressive and non-depressive undergraduates.