Department of Psychology, Bucknell University, Lewisburg, PA, USA.
J Am Coll Health. 2023 May-Jun;71(4):1143-1151. doi: 10.1080/07448481.2021.1923503. Epub 2021 Jul 9.
College students with chronic illnesses are vulnerable to poor adjustment, but it remains unclear how these students differ from healthy peers. This study compares psychosocial adjustment and risky behavior between students with and without chronic illnesses. Participants ( = 629, 78% Caucasian, 77% Female) were recruited from universities. : Participants completed measures of illness history, anxiety, depression, stressful life events, social support, and risky behavior. College students with chronic illnesses demonstrated significantly greater symptoms of anxiety F(1,620) = 8.742, < .003, depression F(1,614) = 26.947, < .001, more stressful life events F(1,476) = 23.671, < .001, and lower social support F(1,613) = 15.645, < .001. No differences in risky behaviors between groups emerged F(1,601) = 3.432, = .064. An indirect effect of health status on risk-taking behavior was observed [b = .677, 95% CI (.351, 1.072)] partially mediated by depression. College students with chronic illnesses demonstrated worse psychosocial outcomes than healthy students, warranting programs to support these students. Depressive symptoms partially mediated risky behavior.
患有慢性病的大学生容易适应不良，但目前尚不清楚这些学生与健康同龄人有何不同。本研究比较了慢性病患者和健康学生的心理社会适应和危险行为。研究参与者（ = 629 名，78%为白种人，77%为女性）来自大学。参与者完成了疾病史、焦虑、抑郁、生活压力事件、社会支持和危险行为的测量。患有慢性病的大学生表现出明显更多的焦虑症状 F(1,620) = 8.742, <.003，抑郁 F(1,614) = 26.947, <.001，更多的生活压力事件 F(1,476) = 23.671, <.001，以及更低的社会支持 F(1,613) = 15.645, <.001。两组在危险行为方面没有差异 F(1,601) = 3.432, =.064。健康状况对冒险行为的间接影响观察到 [b =.677, 95% CI (.351, 1.072)] 部分由抑郁症状介导。患有慢性病的大学生表现出比健康学生更差的心理社会结果，需要支持这些学生的项目。抑郁症状部分中介了危险行为。
