基于结构方程模型探究大学生抑郁症状的影响因素

李汶珊; 姜会梨; 田英洁; 侯亚佟; 陈沛; 刘鹏飞; 卢郑羽; 权宋潇; 图娅; 贾鹏

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基于结构方程模型探究大学生抑郁症状的影响因素

首发时间：2022-04-25

李汶珊 ^{1
2}
李汶珊（1999-），女，在读本科生，针刺抗抑郁临床与机理研究
姜会梨 ¹ 田英洁 ¹ 侯亚佟 ¹ 陈沛 ³ 刘鹏飞 ¹ 卢郑羽 ¹ 权宋潇 ⁴ 图娅 ¹
图娅（1955-），女，教授、博导，针刺抗抑郁临床与机理研究
贾鹏 ⁵
贾鹏（1991-），男，医师，医药大数据和中药生物学效应评价研究

1、北京中医药大学针灸推拿学院，北京 100029
2、首都医科大学附属北京中医医院针灸科，北京 100010
3、首都医科大学附属北京安定医院，北京 100088
4、北京中医药大学东方医院，北京 100078
5、北京中医药大学生命科学学院，北京 100029

摘要：目的探究大学生抑郁症状的影响因素，构建大学生领悟社会支持、家庭功能、学业倦怠与抑郁症状之间的结构方程模型，为大学生心理健康教育工作指明重点方向。方法 2022年2～3月在北京中医药大学和平街校区、良乡校区和望京校区随机抽取共1300名大学生，根据流调中心用抑郁量表结合《精神疾病诊断与统计手册》（第五版）临床结构式访谈，筛选出有抑郁症状大学生481人。收集学生抑郁症状、家庭功能、学业倦怠及领悟社会支持等信息，采用结构方程模型对数据进行分析，探讨大学生抑郁症状的影响因素及其相互之间的作用机制。结果领悟社会支持与学业倦怠 (r=-0.303，P＜0.01)及抑郁症状(r=-0.443 ，P＜0.01)均呈现负相关，家庭功能与学业倦怠 (r=-0.297，P＜0.01)及抑郁症状(r=-0.419 ，P＜0.01)均呈现负相关，学业倦怠与抑郁症状之间呈现正相关(r=0.593，P＜0.01)。使用各个维度的均分构建领悟社会支持、家庭功能、学业倦怠、抑郁症状的测量模型，模型与数据拟合良好(Chi-square/df=2.096，CFI=0.971，RMSEA=0.039，SRMR=0.033)。分析结构方程模型结果发现学业倦怠在领悟社会支持与抑郁症状之间呈部分中介作用（P＜0.01），学业倦怠在家庭功能与抑郁症状之间呈部分中介作用（P＜0.01）。结论领悟社会支持、家庭功能、学业倦怠可能是抑郁症状的影响因素。领悟社会支持降低和家庭功能降低可能会通过导致学业倦怠增加，间接导致抑郁症状的发生增加。通过提高大学生的领悟社会支持和家庭功能以及减少学业倦怠，有利于减少大学生抑郁症状的发生。

关键词：精神病与精神卫生学抑郁症状领悟社会支持家庭功能学业倦怠结构方程模型

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Structural Equation Model was Used to Explore the Influencing Factors of Depressive Symptoms in College Students

LI Wenshan ^{1
2}
李汶珊（1999-），女，在读本科生，针刺抗抑郁临床与机理研究
JIANG Huili ¹ TIAN Yingjie ¹ HOU Yatong ¹ CHEN Pei ³ LIU Pengfei ¹ LU Zengyu ¹ QUAN Songxiao ⁴ TU Ya ¹
图娅（1955-），女，教授、博导，针刺抗抑郁临床与机理研究
JIA Peng ⁵
贾鹏（1991-），男，医师，医药大数据和中药生物学效应评价研究

1、School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029
2、The Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010
3、Beijing Anding Hospital, Capital Medical University, Beijing, 100088
4、Dongfang Hospital Beijing University of Chinese Medicine,Beijing 100078
5、School of Life Sciences, Beijing University of Chinese Medicine, Beijing 100029, China

Abstract：Objective To explore the influencing factors of college students\' depressive symptoms, construct a structural equation model among perceived social support, family function, academic burnout and depressive symptoms of college students, and point out the key direction for college students\' mental health education. Method A total of 1300 college students were randomly selected from Heping Street, Liangxiang and Wangjing campuses of Beijing University of Chinese Medicine from February to March in 2022. According to the Center for Epidemiologic Studies Depression scale（CES-D）combined with clinical structured interviews in Diagnostic and Statistical Manual of Mental Disorders(DSM-Ⅴ), 481 college students with depressive symptoms were screened out. The information of depressive symptoms, family function, academic burnout and perceived social support were collected. Structural equation model was used to analyze the data, and the influencing factors of depressive symptoms and their interaction mechanism were discussed. Results Perceived social support was negatively correlated with academic burnout (r=-0.303, P<0.01) and depressive symptoms (r=-0.443, P< 0.01). Family function was negatively correlated with academic burnout (r =-0.297, P < 0.01) and depressive symptoms (r =-0.419, P < 0.01). There was a positive correlation between academic burnout and depressive symptoms (r=0.593, P < 0.01). The average score of each dimension was used to construct a measurement model for perceived social support, family function, academic burnout, and depressive symptoms. The model fitted well with the data (Chi-Square/df =2.096, CFI=0.971, RMSEA=0.039, SRMR=0.033). The results of structural equation model showed that academic burnout partially mediated the relationship between perceived social support and depressive symptoms (P< 0.01), and academic burnout partially mediated the relationship between family function and depressive symptoms (P<0.01). Conclusion Perceived social support, family function and academic burnout may be the influencing factors of depressive symptoms. Reduced perceived social support and family function may indirectly lead to an increase in depressive symptoms through increased academic burnout. By improving college students\' perceived social support and family function and reducing academic burnout, it is beneficial to reduce the occurrence of depression symptoms in college students.

Keywords： Psychiatry and Mental Health depressive symptoms perceived social support family function academic burnout structural equation model

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李汶珊，姜会梨，田英洁，等. 基于结构方程模型探究大学生抑郁症状的影响因素[EB/OL]. 北京：中国科技论文在线 [2022-04-25]. https://www.paper.edu.cn/releasepaper/content/202204-295.

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论文编号	202204-295
论文题目	基于结构方程模型探究大学生抑郁症状的影响因素
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