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良性童年经历与中国大学生抑郁症状的关系:不确定性应激和家庭关系的中介调节作用

Benevolent Childhood Experiences and Depressive Symptoms Among Chinese Undergraduates: A Moderated Mediation Model Examining the Roles of Uncertainty Stress and Family Relationship.

机构信息

Department of Medical Psychology, Second Clinical College, Xuzhou Medical University, Xuzhou, China.

Department of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, China.

出版信息

Front Public Health. 2021 Dec 16;9:757466. doi: 10.3389/fpubh.2021.757466. eCollection 2021.

Abstract

The evidence on the association between benevolent childhood experience (BCE) and depressive symptoms in students is complex. This study aims to explore the underlying mediation mechanism of BCE toward depressive symptoms and whether this link was moderated by the family relationship among Chinese undergraduates. From March 2021 to May 2021, a cross-sectional study was conducted in China, and 1821 undergraduates were recruited in this study. Participants were asked to complete a self-reported electronic questionnaire. The software SPSS PROCESS macro was used to test the mediation and mediated moderated modeling analysis. Mediation analysis indicated that uncertainty stress (US) partly mediated the link between BCE and depressive symptoms (indirect effect = -0.47, 95% bootstrap CI = -0.55, -0.39). The indirect effect of the US accounted for 39.63% of the total variance in depression. Moderation analysis indicated that the association between the US and depressive symptoms was significantly modified by family relationships (interact effect = -0.019, < 0.001). An integrative moderated mediation analysis indicated that the indirect effect from BCE to depressive symptoms through the US was also moderated by family relationships (interact effect = -0.012, = 0.014). Uncertainty stress plays a key role in bridging BCE and depressive symptoms while the family relationship can buffer the impact of the US on depressive symptoms among Chinese undergraduates. Enhancing tolerance of uncertainty and improving family relationships are needed to protect undergraduates from depressive symptoms.

摘要

童年期善性经历(BCE)与学生抑郁症状之间的关联证据较为复杂。本研究旨在探索 BCE 对抑郁症状的潜在中介机制,以及这种关联是否受到中国大学生家庭关系的调节。

2021 年 3 月至 5 月,在中国进行了一项横断面研究,共招募了 1821 名本科生。参与者被要求完成一份自我报告的电子问卷。使用 SPSS PROCESS 宏软件对中介和中介调节模型分析进行检验。

中介分析表明,不确定性应激(US)部分中介了 BCE 与抑郁症状之间的联系(间接效应=-0.47,95%bootstrap CI=-0.55,-0.39)。US 的间接效应占抑郁总方差的 39.63%。调节分析表明,US 与抑郁症状之间的关联受到家庭关系的显著调节(交互效应=-0.019,<0.001)。综合调节中介分析表明,US 从 BCE 到抑郁症状的间接效应也受到家庭关系的调节(交互效应=-0.012,=0.014)。

不确定性应激在连接 BCE 和抑郁症状方面起着关键作用,而家庭关系可以缓冲 US 对中国大学生抑郁症状的影响。需要增强对不确定性的容忍度并改善家庭关系,以保护大学生免受抑郁症状的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c6/8716588/3f56b6d5bb35/fpubh-09-757466-g0001.jpg

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