首页|同伴关系与环境敏感性对青春期女性心理健康的影响及其相互作用的理论模型

同伴关系与环境敏感性对青春期女性心理健康的影响及其相互作用的理论模型

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目的 从青少年人格及同伴环境相互作用的角度,探讨同伴关系与环境敏感性的交互作用对青春期女性心理健康发展的影响,以及其相互作用的理论模型。方法 2022年9月至11月,在陕西省西安市4个城区6所中学(7~12年级)的120个班开展青少年心理健康的问卷调查,随机选取5 640名年龄在14~17岁的中学生为研究对象,其中女性有3 135名(占55。6%),在完成心理健康问题(抑郁焦虑情绪、外化行为、自杀倾向、睡眠质量和主观幸福感)的测试后,进行同伴关系与环境敏感性的评估,并对结果进行统计学分析。结果 ①青春期女性的环境敏感性、同伴关系、抑郁情绪、焦虑情绪、睡眠质量、自杀倾向和主观幸福感得分均明显高于青春期男性(t值分别为-7。504、-7。203、5。554、6。128、5。248、12。194、-2。864,P<0。05),而青春期女性的外化行为得分明显低于青春期男性(t=8。658,P<0。05)。②青春期女性同伴关系与抑郁情绪、焦虑情绪、睡眠质量、自杀倾向均呈负相关(r值分别为-0。073、-0。081、-0。121、-0。422,P<0。01),与环境敏感性、外化行为和主观幸福感均呈正相关(r值分别为0。087、0。079、0。221,P<0。01);青春期女性环境敏感性与抑郁情绪、焦虑情绪、睡眠质量和外化行为均呈正相关(r值分别为0。271、0。219、0。224、0。174,P<0。01),与自杀倾向呈负相关(r=-0。078,P<0。01),与主观幸福感无相关性(P>0。05)。③心理问题史在预测青春期女性主观幸福感、抑郁情绪和睡眠质量时,主效应均显著(b值分别为0。221、-0。361、-0。394,P<0。01);同伴关系及环境敏感性在预测青春期女性的主观幸福感、抑郁情绪、自杀倾向和睡眠质量时,主效应均显著(同伴关系:b值分别为0。283、-0。086、-0。431、-0。179,P<0。01,环境敏感性:b 值分别为 0。041、0。172、0。082、0。167,P<0。01);同伴关系与环境敏感性的交互作用均显著(b值分别为0。072、-0。074、-0。102、-0。093,P<0。05)。④同伴关系与环境敏感性对青春期女性主观幸福感、自杀倾向的交互作用符合差别易感性模型[主观幸福感:交互作用比例指标(PoI)=0。680,受影响比例指标(PA)=0。720;自杀倾向:PoI=0。250,PA=0。210],而同伴关系与环境敏感性对青春期女性抑郁情绪、睡眠质量的交互作用符合素质-压力模型(抑郁情绪:PoI=0。010,PA=0。008;睡眠质量:PoI=0。050,PA=0。030)。结论 同伴关系与环境敏感性的交互作用对青春期女性主观幸福感及自杀倾向的影响支持差别易感性模型,而对抑郁情绪、睡眠质量的影响符合素质-压力模型,提示高环境敏感性女性更容易受到消极同伴关系的影响而表现出更多的心理问题,同时也更多获益于积极同伴环境的作用而促进健康发展。
A theoretical model of the influence of peer relationship and environmental sensitivity on adolescent females'mental health and their interactions
Objective From the perspective of adolescent personality and peer environment interactions,this paper explored the influence of the interaction between peer relationships and environmental sensitivity on adolescent females'mental health development,as well as the theoretical model of the interaction.Methods From September to November 2022,a cross-sectional study on the psychological well-being of adolescents was conducted in 120 classes from six secondary schools(grades 7-12)across four urban districts in Xi'an,Shaanxi Province.5,640 students aged 14 to 17 were randomly selected as the study subjects,among which 3,135(55.6%)were female,and were assessed for their mental health problems(depressive-anxious mood,externalizing behavior,suicidal ideation,sleep quality and subjective well-being)were tested,peer relationships and environmental sensitivity were assessed,and the results were statistically analyzed.Results ① Scores of environmental sensitivity,peer relationships,depression,anxiety,sleep quality,suicidal tendencies,and subjective well-being in adolescent girls were significantly higher than those in adolescent boys(t=-7.504,-7.203,5.554,6.128,5.248,12.194 and-2.864,respectively,P<0.05),while the scores of externalizing behaviors of adolescent females were significantly lower than those of adolescent males(t=8.658,P<0.05).② Peer relationships in adolescent girls was negatively correlated with depression,anxiety,sleep quality and suicide tendencies(r=-0.073,-0.081,-0.121 and-0.422,respectively,P<0.01),and positively correlated with ES,externalized behavior and subjective well-being(r=0.087,0.079 and 0.221,respectively,P<0.01).environmental sensitivity in adolescent females was positively correlated with depression,anxiety,sleep quality and externalized behavior(r=0.271,0.219,0.224 and 0.174,respectively,P<0.01),and negatively correlated with suicide tendencies(r=-0.078,P<0.01),but not correlated with subjective well-being(P>0.05).③ The main effects of the psychological problem history were all significant in predicting the subjective well-being,depressive mood and sleep quality in adolescent girls(b=0.221,-0.361 and-0.394,respectively,P<0.01),when predicting subject well-being,depressive symptom,suicidal tendencies,and sleep quality,peer relationships and environmental sensitivity showed significant main effects(peer relationships:b=0.283,-0.086,-0.431 and-0.179,respectively,P<0.01.environmental sensitivity:b=0.041,0.172,0.082 and 0.167,respectively,P<0.01).The interaction of peer relationships and environmental sensitivity were also significant(b=0.072,-0.074,-0.102 and-0.093,respectively,P<0.05).④The interaction effects of peer relationships and ES on subjective well-being and suicidal tendencies in adolescent girls conform to the differential susceptibility model[subjective well-being:proportion of interaction(PoI)=0.680,proportion affected(PA)=0.720;suicidal tendencies:PoI=0.250,PA=0.210].However,the interaction effects of peer relationships and ES on depression and sleep quality in adolescent girls conform to the diathesis-stress model(depression:PoI=0.010,PA=0.008;sleep quality:PoI=0.050,PA=0.030).Conclusion The interaction effects of peer relationships and ES on subjective well-being and suicidal tendencies in adolescent girls support the differential susceptibility model.However,the effects on depression and sleep quality conform to the diathesis-stress model.This suggests that girls with high ES are more likely to be effected by negative peer relationships,leading to more psychological problems,and they are more likely to benefit from the effects of positive peer environments,promoting overall health development.

peer relationshipenvironmental sensitivitymental healthadolescentgirls

董倩、马青艳、姜文慧、王崴、马现仓

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西安交通大学第一附属医院精神心理卫生科,陕西西安 710061

同伴关系 环境敏感性 心理健康 青少年 女性

国家自然科学基金资助项目

82171505

2024

中国妇幼健康研究
西安交通大学,中国疾病控制中心妇幼保健中心

中国妇幼健康研究

CSTPCD
影响因子:0.942
ISSN:1673-5293
年,卷(期):2024.35(2)
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