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法国大学生抑郁症状的流行情况及相关社会心理风险因素:韧性的调节和中介作用。

Prevalence of Depressive Symptoms and Associated Psychosocial Risk Factors among French University Students: the Moderating and Mediating Effects of Resilience.

机构信息

Department of Psychology, University of Picardy Jules Verne, Amiens, France.

Psychology laboratory, Psy-DREPI (EA 7458), University of Burgundy, Dijon, France.

出版信息

Psychiatr Q. 2021 Jun;92(2):443-457. doi: 10.1007/s11126-020-09812-8.

Abstract

University students constitute a higher risk population for mental health problems, especially for depression. Given the lack of literature addressing such issues in France, this study estimated the prevalence rates of depression, its sociodemographic correlates in French university students [FUS], and examined whether resilience resources moderated and mediated the relationship between perceived stress and depressive symptoms. Participants (N = 1435, Mage = 20.5) completed the Beck Depression Inventory (BDI-II), the Perceived Stress Scale, the Brief Resilience Scale, and a sociodemographic questionnaire. Descriptive, multiple logistic regressions, and mediation analyses were used. With respect to the BDI-II's cutoff scores, 20.3% (95% CI: 18.3 to 22.4%) and 22.8% (95% CI: 20.7 to 25.0%) were positive to moderate and severe depression, respectively. Gender and education attainment appeared to be moderate risk factors when accounting for cumulative effect of perceived stress and resilience. Resilience buffered and partially mediated the perceived stress-depression relationship. In conclusion, the prevalence of depression was higher in FUS, as reported in previous studies. The amount of academic and daily stress explained this prevalence. University students with low resilience level were more at risk. Interventions aiming to improve resilience skills could help to mitigate the negative effects of stress and to promote mental health in this population.

摘要

大学生群体是心理健康问题的高风险人群,尤其是抑郁问题。鉴于法国针对此类问题的文献有限,本研究旨在评估法国大学生群体中抑郁的流行率及其社会人口学相关性,并探讨韧性资源是否能调节和中介感知压力与抑郁症状之间的关系。参与者(N=1435,Mage=20.5)完成了贝克抑郁量表(BDI-II)、感知压力量表、简要韧性量表和一份社会人口学问卷。采用描述性、多元逻辑回归和中介分析。根据 BDI-II 的截断分数,20.3%(95%CI:18.3 至 22.4%)和 22.8%(95%CI:20.7 至 25.0%)分别为中度和重度抑郁的阳性率。考虑到感知压力和韧性的累积效应,性别和教育程度似乎是中度风险因素。韧性缓冲并部分中介了感知压力与抑郁之间的关系。总之,正如先前研究报告的那样,法国大学生的抑郁患病率较高。学业和日常压力的程度解释了这种流行率。韧性水平较低的大学生风险更高。旨在提高韧性技能的干预措施可能有助于减轻压力的负面影响,促进这一人群的心理健康。

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