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大学生精神病性体验及其心理社会学影响因素

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目的 了解大学生精神病性体验的现状并探究其心理社会学影响因素,为预防大学生精神病性体验提供参考.方法 采用焦虑自评量表、抑郁自评量表和心理体验社区评估量表对1 336名在校大学生进行网络随机问卷调查.分析大学生心理及基本特征对精神病性体验的影响.结果 在本研究中,男生、女生精神病性体验检出率分别为55.0%、52.2%;大一至大五学生的精神病性体验检出率分别为50.0%、51.8%、54.0%、59.0%、51.3%.男生、父母离异、焦虑和抑郁是精神病性体验和妄想体验的危险因素(P<0.01),这些影响因素对精神病性体验产生的贡献率为50.0%,对妄想体验产生的贡献率为46.3%;男生、父母争吵、焦虑和抑郁对幻觉体验产生的贡献率为41.7%.此外,结果还表明:男生比女生更容易患妄想体验、幻觉体验和精神病性体验(B=0.389、0.202、0.606,P<0.01).结论 本研究中约一半人至少经历过精神病性体验.影响因素主要包括男生、父母争吵、父母离异、焦虑和抑郁情绪.因此,预防大学生精神病性体验时应特别注意原生家庭的影响,并及早发现和干预焦虑抑郁情绪带来的负面影响,特别是要关注男生心理方面的变化并进行适当的引导.
Psychotic-like experiences among college students and psychosocial influ-encing factors
Objective This study was aimed at gaining insight into the current status of psychotic-like experiences among college students and investigating the effects of psychological and sociodemographic characteristics of these experienc-es.Methods A randomized online questionnaire survey was conducted among 1 336 college students with the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Community Assessment of Psychological Experience Scale(CAPE-P8).The effects of college students'psychological and general characteristics on psychotic-like experience were assessed.Re-sults The detection rates of psychotic-like experiences were 55.0%for boys and 52.2%for girls;and 50.0%,51.8%,54.0%,59.0%,and 51.3%for first-year to fifth-year students,respectively.Male sex,parental divorce,and anxiety and depression were risk factors for psychotic-like experiences and delusional experiences(P<0.01).These influencing factors contributed to 50.0%of psychotic-like experiences and 46.3%of delusional experiences.Male sex,parental conflict,and anxiety and depres-sion contributed to 41.7%of hallucination experiences.In addition,boys were more likely to have delusional experiences,hal-lucinations and psychotic-like experiences than girls(B=0.389,0.202,0.606,P<0.01).Conclusions Approximately half the participants reported having at least one psychotic-like experience.Factors such as male sex,parental conflict or divorce,and anxiety and depression were identified as the main influences.Therefore,interventions aimed at preventing psychotic-like ex-periences among college students should focus on family dynamics,early detection and management of anxiety and depression,and providing appropriate support for male students experi-encing psychological changes.

Psychotic-like experiencesAnxietyDepressionCollege studentInfluencing factor

张浩鹏、张文卓、刘勤智、曾堂亮、杨琴、高超群、李洪杰

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齐齐哈尔医学院公共卫生学院,黑龙江 齐齐哈尔 161006

齐齐哈尔医学院口腔医学院,黑龙江 齐齐哈尔 161006

精神病性体验 焦虑 抑郁 大学生 影响因素

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(9)