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应激性生活事件对中国大学生抑郁症状的影响:人际关系和性别的调节中介作用。

The effect of stressful life events on depressive symptoms in Chinese university students: Moderated mediating effect of interpersonal relationship and gender.

作者信息

Li Na, Niu Sifang, Rong Limin, Qin Yan, Liu Qingchuan, Zheng Yi, Zhang Ying, Wang Jianli, Liu Yan

机构信息

School of Mental Health, Jining Medical University, Jining 272013, China.

School of Public Health, Binzhou Medical University, Yantai 264003, China.

出版信息

J Affect Disord. 2025 Apr 15;375:148-154. doi: 10.1016/j.jad.2025.01.085. Epub 2025 Jan 23.


DOI:10.1016/j.jad.2025.01.085
PMID:39855568
Abstract

BACKGROUND: This study aimed to examine the impact of stressful life events on the depressive symptoms of Chinese first-year university students, while considering the influence of interpersonal relationships and gender on this association. METHODS: A total of 8079 first-year Chinese university students were surveyed using the Adolescent Self-Rating Life Events Check List (ASLEC), Beck Depression Inventory (BDI), and Comprehensive Diagnostic Scale of Interpersonal Relationship (CDSIR). RESULTS: Stressful life event were positively correlated with interpersonal relationships, depressive symptoms, and gender (r = 0.385, 0.264, 0.055, p < 0.001); there was a significant positive correlation between depressive symptoms and interpersonal relationships (r = 0.473, p < 0.001). Stressful life events partially predict depressive symptoms through the mediation of interpersonal relationships, and the proportion of indirect total effect was 63.26 %. The effect of stressful life events on depressive symptoms was moderated by gender. Stressful life events had a positive effect on depressive symptoms in both male and female individuals. Compared with male individuals (simple slope = 0.070, t = 3.467, p < 0.001), female individuals were more susceptible to stressful life events (simple slope = 0.185, t = 9.652, p < 0.001). LIMITATIONS: The generalizability of the findings is constrained by the composition of the sample. The study's utilization of questionnaire methodology and cross-sectional design poses limitations in establishing definitive causality. CONCLUSION: The effect of stressful life events on depressive symptoms might be mediated by interpersonal relationships and moderated by gender.

摘要

背景:本研究旨在探讨应激性生活事件对中国大学新生抑郁症状的影响,同时考虑人际关系和性别对这种关联的影响。 方法:使用青少年自评生活事件量表(ASLEC)、贝克抑郁量表(BDI)和人际关系综合诊断量表(CDSIR)对8079名中国大学新生进行了调查。 结果:应激性生活事件与人际关系、抑郁症状和性别呈正相关(r = 0.385、0.264、0.055,p < 0.001);抑郁症状与人际关系之间存在显著正相关(r = 0.473,p < 0.001)。应激性生活事件通过人际关系的中介作用部分预测抑郁症状,间接总效应比例为63.26%。应激性生活事件对抑郁症状的影响受到性别的调节。应激性生活事件对男性和女性个体的抑郁症状均有正向影响。与男性个体相比(简单斜率 = 0.070,t = 3.467,p < 0.001),女性个体更容易受到应激性生活事件的影响(简单斜率 = 0.185,t = 9.652,p < 0.001)。 局限性:研究结果的普遍性受到样本构成的限制。本研究采用问卷调查方法和横断面设计,在确定明确的因果关系方面存在局限性。 结论:应激性生活事件对抑郁症状的影响可能通过人际关系介导,并受到性别的调节。

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