Poorolajal Jalal, Ghaleiha Ali, Darvishi Nahid, Daryaei Shahla, Panahi Soheila
Dept. of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Public Health. 2017 Jul;46(7):957-963.
Adolescent and young adults are at increased risk of psychiatric distress and serious disability. We estimated the prevalence and associated risk factors of psychiatric distress among the college students of Hamadan University of Medical Sciences, Iran.
We performed this cross-sectional study, from Jan to May 2016 at Hamadan University of Medical Sciences, Hamadan, Iran. Students filled out voluntarily an anonymous self-administered questionnaire, including demographic characteristics, personal information, behavioral risk factors, and a validated Persian version of the GHQ-28 questionnaire, including somatic symptoms (items 1-7), anxiety/insomnia (items 8-14), social dysfunctions (items 15-21), and severe depression (items 22-28).
Of 1259 participants, 518 (41.1%) had psychiatric distress, 166 (13.2%) had heterosexual intercourse, 100 (8.0%) had homosexual intercourse, 204 (16.2%) were smokers (31.6% in males and 6.3% in females), 124 (9.9%) reported a history of using opium/psychedelic substances, 204 (16.2%) reported suicide thought, and 103 (8.2%) had attempted suicide at least once in the past. After adjusting odds ratio (95% CI) for age and sex, psychiatric distress were significantly associated with emotional breakdown 2.67 (2.09, 3.40), heterosexual intercourse 2.56 (1.82, 3.62), homosexual intercourse 2.42 (1.57, 3.71), smoking 3.19 (2.29, 4.45), substance abuse 5.03 (3.26, 7.76), suicide thought 7.81 (5.42, 11.27), suicide attempt 5.64 (3.49, 9.12), uninterested in the discipline 2.29 (1.70, 3.07), and non-optimistic about future 2.16 (1.63, 2.86).
A majority of college students had psychiatric distress and a substantial number of them reported one or more high-risk behaviors that if neglected, may severely impair the students' function and influence their subsequent development and productive lives.
青少年和青年遭受精神困扰及严重残疾的风险增加。我们估计了伊朗哈马丹医科大学大学生中精神困扰的患病率及相关风险因素。
我们于2016年1月至5月在伊朗哈马丹的哈马丹医科大学开展了这项横断面研究。学生们自愿填写一份匿名的自填式问卷，包括人口统计学特征、个人信息、行为风险因素，以及一份经过验证的波斯语版GHQ - 28问卷，包括躯体症状（第1 - 7项）、焦虑/失眠（第8 - 14项）、社会功能障碍（第15 - 21项）和重度抑郁（第22 - 28项）。
在1259名参与者中，518人（41.1%）有精神困扰，166人（13.2%）有异性性行为，100人（8.0%）有同性性行为，204人（16.2%）吸烟（男性为31.6%，女性为6.3%），124人（9.9%）报告有使用鸦片/致幻物质的历史，204人（16.2%）报告有自杀念头，103人（8.2%）在过去至少有过一次自杀未遂。在对年龄和性别调整比值比（95%可信区间）后，精神困扰与情绪崩溃2.67（2.09，3.40）、异性性行为2.56（1.82，3.62）、同性性行为2.42（1.57，3.71）、吸烟3.19（2.29，4.45）、药物滥用5.03（3.26，7.76）、自杀念头7.81（5.42，11.27）、自杀未遂5.64（3.49，9.12）、对学科不感兴趣2.29（1.70，3.07）以及对未来不乐观2.16（1.63，2.86）显著相关。
大多数大学生有精神困扰，并且相当数量的学生报告了一种或多种高风险行为，如果忽视这些行为，可能会严重损害学生的功能，并影响他们随后的发展和富有成效的生活。
