情感气质在医学生童年期情感虐待与抑郁症状关联中的作用

The role of affective temperament in the association between childhood affective abuse and depressive symptoms in medical student

目的探求医学生情感气质在情感虐待、忽视与抑郁症状关联中的作用,为及早发现和干预中重度抑郁问题,提高医学生心理健康水平提供理论支持。方法采用方便抽样法,对1768名医学生进行调查。采用一般人口学调查表、童年期创伤问卷、情感气质自评量表和贝克抑郁问卷第二版收集医学生数据资料。采用Bootstrap法检验情感气质、性别在情感虐待、情感忽视与抑郁症状之间的中介作用和调节作用。结果①情感虐待、情感忽视与情感气质、抑郁症状呈正相关(P<0.001);②情感气质在情感虐待、情感忽视与抑郁症状之间分别起不完全中介作用,中介效应占总效应的39.32%和26.81%;③性别在情感虐待与情感气质之间的调节作用显著,有调节的中介模型成立。男生与女生相比,情感气质的中介效应量上升了0.06。结论童年期情感虐待、情感忽视可以通过情感气质分数影响医学生抑郁症状程度。

Objective To explore the role of affective temperament in the relationship between childhood affective abuse,neglect and depressive symptoms in medical student,and to provide theoretical support for the early detection and intervention of moderate and severe depression and improve the mental health level of medical students.Methods The Convenience Sampling Method was used to investigate 1768 medical students.The General Demographic Questionnaire,Childhood Trauma Questionnaire,Emotional Temperament Self-Rating Scale,Beck Depression Inventory(2nd edition)were used to collected data of medical students.The Bootstrap method was used to examine the mediating and regulating effects of affective temperament and gender in affective abuse,affective neglect,and depressive symptoms.Results①Affective abuse and affective neglect were positively correlated with affective temperament and depressive symptoms(P<0.001);②Affective temperament played an incomplete mediating role between affective abuse,affective neglect and depressive symptoms respectively,the mediating effect was 39.32%and 26.81%in the total effects;③Gender had a significant moderating effect between affective abuse and emotional temperament,and the regulated mediating model was established.Compared with male students,the mediating effect of affective temperament increased by 0.06 in female students.Conclusion Affective abuse and affective neglect in childhood can affect the degree of depressive symptoms of medical students by affective temperament scores.