首页|童年期不良经历与大学生心理健康状况关联的网络分析

童年期不良经历与大学生心理健康状况关联的网络分析

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目的 探究大学生童年期不良经历(ACEs)与心理健康状况之间的关系,为制定有针对性的干预方案提供实证依据。方法 2023年10-11月,采用ACEs问卷和症状自评量表(SCL-90),对整群随机抽取的湖北省3所高校1 974名在校大学生进行调查,采用网状分析法构建网络结构分析大学生ACEs与SCL-90症状因子的关联。结果 大学生SCL-90症状因子和ACEs网络结构稳定,各自形成较为紧密的集群;ACEs与SCL-90症状因子之间存在89条非零边。"情感忽视—抑郁"在连接ACEs和SCL-90症状因子网络中具有重要的通路作用。SCL-90症状因子的"抑郁、焦虑和人际关系敏感"在ACEs和SCL-90症状因子网络中的中心性最高。ACEs中的"情感忽视和身体忽视"和SCL-90症状因子中的"抑郁和精神病性"具有较高的节点桥预期影响,作为"接触点"激活整个网络。结论 尽早识别和干预情感忽视和身体忽视,并重点关注童年期受忽视者的抑郁、焦虑情绪和人际关系敏感症状,有利于提升大学生的整体心理健康水平。
Network analysis of the association between adverse childhood experiences and mental health status in college students
Objective To investigate the relationship between adverse childhood experiences(ACEs)and mental health status through network analysis in college students,so as to provide empirical evidence for the development of targeted intervention pro-grams.Methods From October to November 2023,a survey was conducted on 1 974 college students from three universities in Hubei Province by using ACEs Questionnaire and Symptom Checklist-90(SCL-90).The network analysis method was used to con-struct a network structure to analyze the association between ACEs and SCL-90 symptom factors among college students.Results The network structure of SCL-90 symptom factors and ACEs was stable,each forming a relatively tight cluster;there were 89 non-zero edges between ACEs and SCL-90 symptom factors.Emotional neglect-depression played a significant pathway role in connect-ing the ACEs and SCL-90 symptom factors network.Depression,anxiety,and interpersonal sensitivity of SCL-90 symptom factors had the highest centrality in the ACEs and SCL-90 symptom factors network.Emotional neglect and physical neglect in ACEs and depression and psychoticism in SCL-90 symptom factors had a high node bridge expected influence,acting as Touchpoints to acti-vate the whole network.Conclusion Early identification and intervention of emotional and physical neglect,with a focus on de-pression,anxiety,and interpersonal sensitivity symptoms of childhood neglected individuals,which is beneficial for improving the overall mental health level of college students.

Meatal healthChild abuseLife change eventsStudents

刘爱楼、翟如月、张李斌

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湖北师范大学教育科学学院,黄石 435002

华北理工大学心理与精神卫生学院

北京师范大学中国基础教育质量监测协同创新中心

精神卫生 虐待儿童 生活变动事件 学生

教育部人文社会科学青年基金项目湖北省教育科学规划重点项目湖北省高等学校哲学社会科学一般项目

19YJCZH1012023GA05721Y136

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(10)