中医体质类型与大学生心理压力的相关性

Correlation analysis of traditional Chinese medicine constitution classification and psychological pressure among college students

目的 分析大学生中医体质类型与心理压力的相关性,为大学生心理压力预警及干预提供参考。方法 于2022年9-12月,采用方便抽样方法通过线上调查南京市6所高校1 157名大学生分别采用中医体质量表和心理压力量表调查大学生中医体质类型和心理压力状况的数据,利用随机森林模型对大学生心理压力相关因素进行重要性排序,采用χ2检验、Pearson相关分析及多因素Logistic回归分析大学生心理压力的关联因素。结果 随机森林结果显示,大学生心理压力重要性因素排名前3的中医体质类型分别为气郁质、血瘀质、平和质。Pearson相关分析显示,气郁质(r=0.75)、血瘀质(r=0.66)、气虚质(r=0.62)的体质得分与心理压力值呈正相关,平和质(r=-0.65)体质得分与心理压力值呈负相关(P值均<0.01)。多因素Logistic回归分析结果显示,气郁质、血瘀质与心理压力过大呈正相关[OR(95%CI)值分别为16.48(9.52~28.52),14.09(6.28~31.65)(P值均<0.05)]。结论 气郁质、血瘀质及气虚质可作为大学生心理压力预警及干预的主要偏颇体质,平和质可作为大学生心理压力的保护性体质。应重点关注偏颇体质大学生的心理健康。

Objective Analyzing the correlation between TCM(traditional Chinese medicine)constitution classification and psychological pressure among college students,to provide a reference for its incorporation into an early warning and intervention program.Methods From September to December 2022,this study assessed the use of TCM and psychological pressure among 1157 college students from six universities in Nanjing,China,who were selected using the convenience sampling method and online surveys.Factors associated with psychological stress among college students was ranked by the random forest model.The Chi-square test,pearson correlation analysis and binary Logistic regression were performed to analyze the factors associated with psychological pressure among college students.Results The results of the random forest showed that the top three TCM constitutions of psychological stress among this population included qi stagnation,blood stasis and balanced constitutions.The Pearson correlation analysis showed that the scores of qi stagnation(r=0.75),blood stasis(r=0.66)and qi deficiency(r=0.62)constitutions were positively correlated with psychological pressure,while the scores of balanced constitution(r=-0.65)were negatively correlated with psychological pressure(P<0.01).Multivariate Logistic regression analyses showed that qi stagnation and blood-stasis constitutions were positively correlated with psychological pressure.Conclusion Qi stagnation,blood stasis and qi-deficiency constitutions can be used as early warning constitutions and indicators for interventions aimed at addressing psychological pressure among college students,and in this respect,a balanced constitution can be regarded as a protective factor.Greater attention should be paid to the mental health of college students with a biased constitution.