Xu Yan-Min, Pu Shan-Shan, Li Yi, Zhong Bao-Liang
Wuhan Mental Health Center, School of Mental Health and Psychological Sciences, Anhui Medical University, Wuhan, China.
Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China.
Front Psychiatry. 2022 Feb 17;13:822185. doi: 10.3389/fpsyt.2022.822185. eCollection 2022.
Bullying victimization has been associated with depressive symptoms in Chinese university students. This study examined the moderating effect of possible avoidant personality disorder (APD) on association between bullying victimization and depressive symptoms in university freshmen.
A total of 1,453 freshmen were recruited from a comprehensive university in Wuhan, China, and administered a self-report questionnaire. The APD subscale of Personality Diagnostic Questionnaire-Version 4 and Beck Depression Inventory were used to measure the presence of possible APD and depressive symptoms, respectively. The moderating effect of possible APD was examined by testing the statistical significance of the interaction between victimization and possible APD in multiple logistic regression analysis.
The prevalence of depressive symptoms was 24.8%. In multiple logistic regression analysis, the interaction between bullying victimization and possible APD was significantly associated with depressive symptoms (OR: 1.80, = 0.029). Subsequent subgroup analyses according to the status of possible APD showed that, the victimization-depression association was stronger among freshmen with possible APD (OR: 3.23, < 0.001) than those without possible APD (OR: 1.82, = 0.001).
In Chinese university freshmen, bullying victimization is significantly associated with depressive symptoms, and possible APD magnifies the victimization-depression association. Bullied freshmen, particularly freshmen with possible APD, could be considered as the target group of campus-based depression intervention programs.
在中国大学生中，受欺凌与抑郁症状有关。本研究考察了潜在的回避型人格障碍（APD）对大学新生受欺凌与抑郁症状之间关联的调节作用。
从中国武汉一所综合性大学招募了1453名新生，并对他们进行了一份自陈问卷的施测。分别使用人格诊断问卷第4版的APD分量表和贝克抑郁量表来测量潜在的APD和抑郁症状的存在情况。通过在多元逻辑回归分析中检验受欺凌与潜在APD之间交互作用的统计学显著性，来考察潜在APD的调节作用。
抑郁症状的患病率为24.8%。在多元逻辑回归分析中，受欺凌与潜在APD之间的交互作用与抑郁症状显著相关（比值比：1.80，P = 0.029）。随后根据潜在APD的状况进行的亚组分析显示，在有潜在APD的新生中，受欺凌与抑郁之间的关联（比值比：3.23，P < 0.001）比没有潜在APD的新生（比值比：1.82，P = 0.001）更强。
在中国大学新生中，受欺凌与抑郁症状显著相关，且潜在的APD会放大受欺凌与抑郁之间的关联。受欺凌的新生，尤其是有潜在APD的新生，可被视为校园抑郁干预项目的目标群体。
