Ajinkya Shaun, Schaus James F, Deichen Michael
Department of Neurology, Medical University of South Carolina.
University of Central Florida Health Services, University of Central Florida College of Medicine.
Cureus. 2016 Sep 18;8(9):e786. doi: 10.7759/cureus.786.
Past literature has shown that college undergraduates are particularly vulnerable to depression. The objective of this study is to find if certain majors and housing arrangements are associated with major depression as assessed by the Patient Health Questionnaire (PHQ-9), after adjustment for age, gender, and family history of depression.
Participants were undergraduates at a large public university that used the university health center from April 1 - November 4, 2013. Participants completed a survey which included the PHQ-2, a validated screening test for depression. Those who scored positive were asked to take the longer PHQ-9 survey to assess for major depression. Logistic regression was used to test the significance of associations between several prescribed variables (namely, college major, housing arrangement, age, gender, and family history of depression) and outcome (major depression as assessed by the PHQ-9).
Of 541 students, 71 (13.1%) scored positive on the PHQ-9 for depression. Family history was significantly associated (OR 4.20, 95% CI, 2.42, 7.29) with major depressive disorder, as was a major in the College of Arts and Humanities (OR 3.84, 95% CI, 1.18, 12.46) compared to the baseline of an undecided/interdisciplinary major.
A major in the College of Arts and Humanities was significantly associated with major depression. This may be significant for future efforts to target mental health interventions on college campuses.
过去的文献表明,大学本科生特别容易患抑郁症。本研究的目的是在对年龄、性别和抑郁症家族史进行调整后,确定某些专业和居住安排是否与患者健康问卷(PHQ - 9)评估的重度抑郁症有关。
参与者为一所大型公立大学的本科生,他们在2013年4月1日至11月4日期间使用了大学健康中心。参与者完成了一项调查,其中包括PHQ - 2,这是一种经过验证的抑郁症筛查测试。那些得分呈阳性的人被要求进行更长的PHQ - 9调查,以评估是否患有重度抑郁症。逻辑回归用于检验几个规定变量(即大学专业、居住安排、年龄、性别和抑郁症家族史)与结果(通过PHQ - 9评估的重度抑郁症)之间关联的显著性。
在541名学生中,71人(13.1%)的PHQ - 9抑郁症筛查呈阳性。抑郁症家族史与重度抑郁症显著相关(比值比4.20,95%置信区间,2.42,7.29),与未确定/跨学科专业的基线相比,艺术与人文学院的专业也与重度抑郁症显著相关(比值比3.84,95%置信区间,1.18,12.46)。
艺术与人文学院的专业与重度抑郁症显著相关。这对于未来在大学校园开展心理健康干预工作可能具有重要意义。