中医院校大学生五态人格与应激事件对抑郁的交互影响研究

Interaction of five-state personality and stress events on depression of undergraduates in university of Traditional Chinese Medicine

目的 基于抑郁症的素质-应激模型,探讨中医五态人格与应激事件对抑郁水平的交互影响研究。方法 采用中医五态人格量表、青少年生活事件量表、病人健康问卷抑郁量表对5 036名大学生进行问卷调查,使用SPSS 22.0进行数据分析。结果 中医院校大学生抑郁检出率为34.55%,中医院校大学生太阳、太阴型人格维度得分低于全国常模(P<0.01),少阳、阴阳和平、少阴人格维度得分高于全国常模(P<0.01)。应激事件与抑郁水平、五态人格量表中太阴维度得分均呈正相关(P<0.001),与太阳、少阳、阴阳和平、少阴维度得分均呈负相关(P<0.001);抑郁水平与五态人格量表中太阳、少阳、阴阳和平、少阴维度得分均呈负相关(P<0.001),与太阴人格维度得分呈正相关(P<0.001)。回归分析结果表明,应激事件能够正向预测抑郁水平(P<0.01)。太阳、少阳、阴阳和平负向调节应激事件与抑郁水平之间的关系(P<0.05),太阴正向调节应激事件与抑郁水平之间的关系(P<0.01)。结论 中医院校大学生在日常生活中感知到的应激事件能够加重抑郁水平,五态人格能够调节应激事件与抑郁水平的关系,调节效应的方向及强度取决于不同的人格特征。

Objective To explore the interactions between five-state personality and stress events on depression based on the diathesis-stress model. Methods A total of 5 036 college students were selected and assessed with Traditional Chinese Medicine(TCM) Five-State Personality Scale, Adolescent Self-Rating Life Events Check-List(ASLEC) and Patient Health Questionnaire-9(PHQ-9). Results The detection rate of depression was 34.55%. Compared with the national norm, the scores of Taiyang and Taiyin were lower, while the scores of Shaoyang, Yin-yang balance and Shaoyin were higher(P<0.01). ASLEC score was positively correlated with PHQ-9 score and Taiyin dimension score, and negatively correlated with dimension scores of Taiyang, Shaoyang, Yin-yang balance and Shaoyin(P<0.001). PHQ-9 score was negatively correlated with dimension scores of Taiyang, Shaoyang, Yin-yang balance and Shaoyin, and positively correlated with Taiyin dimension score(P<0.001). Regression analysis showed that ASLEC score could positively predict the depression level(P<0.01). Taiyang, Shaoyang, Yin-yang balance negatively moderated the relationship between stress events and depression level(P<0.05), while Taiyin positively moderated the relationship between them(P<0.01). Conclusion The stress events perceived in the daily life of TCM college students aggravate their depression level. The five-state personality significantly modulate the relationship between stress events and depression level, and the direction and intensity of this modulation effect depend on different types of five-state personality.