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预测边缘型人格症状、自我概念和身份紊乱对大学生网络成瘾、抑郁和自杀倾向的影响:一项前瞻性研究。

Predicting effects of borderline personality symptoms and self-concept and identity disturbances on internet addiction, depression, and suicidality in college students: A prospective study.

机构信息

Department of Psychiatry, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.

出版信息

Kaohsiung J Med Sci. 2019 Aug;35(8):508-514. doi: 10.1002/kjm2.12082. Epub 2019 May 7.

DOI:10.1002/kjm2.12082
PMID:31063227
Abstract

The aims of this study were to evaluate the predicting effects of borderline personality symptoms and self-concept and identity disturbances on internet addiction, significant depression, and suicidality among college students at follow-up assessments conducted 1 year later. A sample of 500 college students aged between 20 and 30 years participated in this study. Their levels of borderline personality symptoms, self-concept and identity disturbances, internet addiction, depression, and suicidality at baseline and at follow-up interviews were assessed through the Borderline Symptoms List, Self-concept and Identity Measure, Chen Internet Addiction Scale, Beck Depression Inventory-II, and questions related to suicidality from the Epidemiological version of the Kiddie Schedule for Affective Disorders and Schizophrenia, respectively. A total of 324 college students received follow-up assessments 1 year later. Among them, 15.4%, 27.5%, and 17% had internet addiction, significant depression, and suicidality, respectively. Our result revealed the severity of borderline symptoms, disturbed identity, unconsolidated identity, and lack of identity at initial assessment increased the occurrence of internet addiction, significant depression, and suicidality at follow-up assessment except for the predictive effect of unconsolidated identity on internet addiction. The results indicated that self-concept and identity and borderline symptoms may have a significant role in the risk of mental health problems in college students.

摘要

本研究旨在评估边缘型人格症状、自我概念和身份紊乱对大学生网络成瘾、重度抑郁和自杀意念的预测作用,这些作用将在一年后的随访评估中表现出来。本研究共招募了 500 名年龄在 20 至 30 岁之间的大学生,通过边缘型症状清单、自我概念和身份测量、Chen 网络成瘾量表、贝克抑郁量表第二版以及儿童心境障碍和精神分裂症流行病学版本中的自杀相关问题,对他们在基线和随访访谈时的边缘型人格症状、自我概念和身份紊乱、网络成瘾、抑郁和自杀意念水平进行评估。共有 324 名大学生在一年后接受了随访评估。其中,分别有 15.4%、27.5%和 17%的人患有网络成瘾、重度抑郁和自杀意念。我们的结果表明,在初始评估中,边缘型症状的严重程度、紊乱的身份、未整合的身份和缺乏身份,都会增加在随访评估中出现网络成瘾、重度抑郁和自杀意念的几率,除了未整合的身份对网络成瘾的预测作用外。这些结果表明,自我概念和身份以及边缘型人格症状可能在大学生心理健康问题的风险中扮演重要角色。

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