Jiangxi Cancer Hospital, The Second Affiliated Hospital of Nanchang Medical College, Jiangxi Cancer Institute, Nanchang, China.
Department of Health Statistics, School of Public Health and Health Management, Gannan Medical University, Ganzhou, China.
Front Public Health. 2024 Jan 25;12:1326582. doi: 10.3389/fpubh.2024.1326582. eCollection 2024.
Depression symptoms are prevalent globally, including China, with a notable impact on college students. This study aims to not only estimate the prevalence of depressive tendencies and attributional styles among college students in the post-pandemic era but also explore the relationship between the two factors. The findings of this study can provide new insights into early intervention and support services for individuals exhibiting tendencies toward depression.
The survey was administered to college students from various academic backgrounds at a specific university in southern Jiangxi Province by employing two scales to investigate depressive tendencies and attributional styles. Depressive tendency was evaluated using the Patient Health Questionnaire-9 (PHQ-9), while the attributional styles were assessed using the Multidimensional-Multiattributional Causality Scale (MMCS). Univariate analysis and multiple logistic regressions were conducted to identify the related factors of depressive tendency.
A relatively high (48.9%) prevalence of depression among college students was found in this study. College students with higher grades (OR = 1.574, 95%CI: 1.369-1.810), profession of medicine and allied health sciences (OR = 1.779, 95%CI: 1.203-2.629), experiencing higher study stress (OR = 2.006, 95%CI: 1.601-2.514), and having poor physical condition (OR = 1.527, 95%CI: 1.247-1.869) were identified as risk factors for depressive tendency. The correlation between higher grades and increased learning pressure, coupled with poorer physical condition, heightens the vulnerability of college students to depression. Moreover, the more they attribute these experiences to achievement effort (OR = 0.897, 95%CI: 0.828-0.972), achievement ability (OR = 0.903, 95%: 0.838-0.972), and affiliation context (OR = 0.919, 95%CI: 0.860-0.982), the less likely they are to develop depression.
In the group of college students, especially those in higher grades, profession of medicine and allied health sciences or experiencing high learning pressure and poor physical condition, emphasizing the significance of their mental well-being becomes crucial. Offering suitable support and assistance is essential. Additionally, fostering the cultivation of positive attributional and coping strategies by attributing difficulties to controllable factors and instilling a belief in their ability to overcome challenges can help reduce the risk of depression.
抑郁症状在全球范围内普遍存在，包括中国，对大学生有显著影响。本研究旨在不仅估计大学生在疫情后时期抑郁倾向和归因风格的流行程度，还探讨两者之间的关系。本研究的结果可以为表现出抑郁倾向的个体提供新的早期干预和支持服务。
通过采用两种量表，即患者健康问卷-9（PHQ-9）评估抑郁倾向，多维度多归因因果量表（MMCS）评估归因风格，对来自江西省南部某大学不同学术背景的大学生进行调查。采用单因素分析和多因素逻辑回归分析抑郁倾向的相关因素。
研究发现，大学生中存在较高的（48.9%）抑郁患病率。学习成绩较高（OR=1.574，95%CI：1.369-1.810）、医学和相关健康科学专业（OR=1.779，95%CI：1.203-2.629）、学习压力较大（OR=2.006，95%CI：1.601-2.514）和身体状况较差（OR=1.527，95%CI：1.247-1.869）的大学生被确定为抑郁倾向的危险因素。较高的成绩和增加的学习压力与较差的身体状况相结合，增加了大学生患抑郁症的脆弱性。此外，他们将这些经历归因于成就努力（OR=0.897，95%CI：0.828-0.972）、成就能力（OR=0.903，95%：0.838-0.972）和归属背景（OR=0.919，95%CI：0.860-0.982）的程度越高，他们患抑郁症的可能性就越低。
在大学生群体中，尤其是成绩较高、医学和相关健康科学专业或学习压力较大、身体状况较差的学生群体中，强调他们的心理健康至关重要。提供适当的支持和援助是必要的。此外，通过将困难归因于可控因素，并灌输克服挑战的能力信念，培养积极的归因和应对策略，可以帮助降低患抑郁症的风险。
