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压力、体重相关问题及抑郁对大学生自杀倾向的中介作用。

Mediating effects of stress, weight-related issues, and depression on suicidality in college students.

作者信息

Smith Sydney S, Smith Carter Jocelyn, Karczewski Sabrina, Pivarunas Bernadette, Suffoletto Shannon, Munin Art

机构信息

a Department of Psychology DePaul University Chicago , Illinois.

出版信息

J Am Coll Health. 2015;63(1):1-12. doi: 10.1080/07448481.2014.960420. Epub 2014 Nov 24.

DOI:10.1080/07448481.2014.960420
PMID:25222880
Abstract

OBJECTIVE

Through a holistic health lens, the current study examines the effects of weight-related issues and stress on suicidality while controlling for depressive symptoms in college students.

PARTICIPANTS

In total, 872 undergraduate and graduate students at DePaul University completed the American College Health Association-National College Health Assessment II Web-based survey in Spring 2010.

METHODS

Measures of suicidality, depression, weight-related issues, and life stressors were assessed, along with gender differences.

RESULTS

Females reported experiencing more weight loss attempts and total stressors than males. Weight-related issues and stress both significantly predicted depressive symptoms in a path analysis; depressive symptoms, in turn, significantly predicted suicidality. Gender differences were found; depressive symptoms mediate the relation between stress and suicidal behavior for females but not for males.

IMPLICATIONS

This investigation furthers previous research on suicidality in college students and suggests that all-inclusive interventions that address weight-related issues and stress may help reduce depressive symptoms, which then may reduce suicidal behavior.

摘要

目的

本研究从整体健康的角度出发,在控制大学生抑郁症状的同时,考察体重相关问题和压力对自杀倾向的影响。

参与者

2010年春季,德保罗大学的872名本科生和研究生完成了美国大学健康协会-全国大学健康评估II网络调查。

方法

评估了自杀倾向、抑郁、体重相关问题和生活压力源的指标,以及性别差异。

结果

女性报告的减肥尝试次数和总压力源比男性更多。在路径分析中,体重相关问题和压力均显著预测了抑郁症状;反过来,抑郁症状又显著预测了自杀倾向。发现了性别差异;抑郁症状在女性中中介了压力与自杀行为之间的关系,但在男性中并非如此。

启示

本调查进一步推进了先前关于大学生自杀倾向的研究,并表明解决体重相关问题和压力的全面干预措施可能有助于减轻抑郁症状,进而可能减少自杀行为。

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