Analysis of anxiety and depression symptoms and influencing factors among freshmen in two universities in Shandong Province
Objective In order to understand the current situation and influencing factors of anxiety and depressive symptoms among freshmen,especially the influencing factors of anxiety,depression,and comorbid anxiety-depression symptoms among freshmen in two universities in Shandong Province,to provide a scientific basis for the formulation of mental health-related policies for college students.Methods A survey was conducted on freshmen from Jining Medical University and Weifang Medical University in 2018.The Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI),Eysenck Personality Questionnaire Neuroticism Inventory,and Adolescent Self-Rating Life Events Checklist(ASLEC)were used for data collection.According to whether the participants had anxiety or depression symptoms,they were divided into four groups,and variables showing differences among the groups were analyzed using univariate analysis.Multivariate unordered multiclass logistic regression analysis was performed to identify factors influencing anxiety and depression symptoms.Results Among 7 754 freshmen,182(2.35%)had anxiety symptoms,494(6.37%)had depression symptoms,and 95(1.22%)had co-occurring anxiety and depressive symptoms.Neuroticism(OR=1.26,95%CI:1.23-1.28)and maladaptation(OR=1.11,95%CI:1.07-1.15)were risk factors for depression symptoms only.Male gender(OR=1.73,95%CI:1.12-2.67)and neuroticism(OR=1.13,95%CI:1.09-1.18)were risk factors for anxiety symptoms only,and male gender(OR=2.32,95%CI:1.50-3.59),neuroticism(OR=1.32,95%CI:1.27-1.38),punishment(OR=1.10,95%CI:1.04-1.17),and maladjustment(OR=1.11,95%CI:1.04-1.19)were risk factors for co-occurring anxiety and depressive symptoms.Study stress(OR=0.90,95%CI:0.85-0.96)was a protective factor for co-occurring anxiety and depressive symptoms.Conclusions Enhancing freshmen's adaptability to academic and environmental changes,promoting positive learning attitudes,paying attention to male individuals with high neuroticism,and avoiding punishment can help reduce the occurrence of anxiety and depression symptoms among college freshmen.