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摘要:
目的 了解大学生躯体亚健康、日常烦心事、心境状态现状,探讨日常烦心事和心境状态及其交互作用对躯体亚健康的影响。 方法 多阶段随机抽取了湖南省某高校1 346名大学生,用大学生新近生活经历量表、心境状态量表、青少年亚健康多维评定问卷进行了日常烦心事、心境状态和躯体亚健康的面对面调查,采用SPSS 24.0软件统计分析结果。 结果 大学生躯体亚健康总检出率为13.3%,不同居住地间差异有统计学差异(χ2=4.390,P=0.036)。情绪纷乱总分(total mood disturbance score,TMD)得分为(100.75±18.89)分,低于常模(104.7±16.3)分,差异有统计学意义(t=-7.665,P < 0.001);根据TMD,以常模均值为界,将研究对象分为“高分组”和“低分组”,组间躯体亚健康检出率的差异具有统计学意义(χ2=106.819,P < 0.001),高分组(25.3%)检出率高于低分组(5.7%)。根据日常烦心事总分,以量表计分法的理论中间值为界,将研究对象分为“高分组”和“低分组”,组间躯体亚健康检出率的差异有统计学意义(χ2=42.278,P < 0.001),高分组(31.8%)检出率高于低分组(11.3%)。日常烦心事和心境状态对大学生躯体亚健康的影响有相乘交互作用和相加交互作用,其中大学生躯体亚健康有52.9%可归因于日常烦心事和心境状态的交互作用。 结论 日常烦心事和心境状态相互促进,对大学生躯体亚健康有相乘交互作用和相加交互作用。 Abstract:Objective To understand the sub-health, daily worries and mood state of college students, so as to explore the relationship and interaction of daily worries and mood state on sub-health. Methods A multi-stage random sampling method was used, and 1 346 college students were selected asthestudy objects. Recent Life Experience of College Students Questionnaire, Profile of Mood States and Multidimensional Sub-health Questionnaire of Adolescents were used for field investigation, and SPSS 24.0 software was used for statistical analysis. Results The total detection rate of sub-health of college students was 13.3%, and there were significant differences among students with different residences (χ2=4.390, P=0.036). The total mood disturbance Score (TMD) score was (100.75±18.89), which was lower than the norm (104.7±16.3), and the difference was statistically significant (t=-7.665, P < 0.001). The detection rate of physical sub-health in subjects with higher TMD than norm was higher than that in subjects with lower TMD than norm (χ2=106.819, P < 0.001). The detection rate of physical sub-health was higher in the group with high score of daily hassles than that in the group with low score (χ2=42.278, P < 0.001). The effects of daily worries and state of mind on the physical sub-health of college students were multiplicative and additive, 52.9% of the physical sub-health of college students could be attributed to the interaction between daily worries and state of mind. Conclusions Daily worries and mood state have multiplicative and additive effects on sub-health of college students. -
Key words:
- College students /
- Daily worries /
- Mood state /
- Sub-health /
- Interaction
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表 1 哑变量编码及多元Logistic回归结果
Table 1. Dummy variable coding and the results of multiple Logistic regression
TMD_日常烦心事总分 TMD 日常烦心事总分 β值 P值 OR(95% CI)值 3 0 0 ― ― 1.000 2 1 0 1.582 <0.001 4.864(3.318~7.131) 1 0 1 0.651 0.237 1.917(0.653~5.633) 0 1 1 2.508 <0.001 12.278(7.287~20.688) 表 2 相加交互作用指标Excel计算表
Table 2. An Excel calculation table for indices with additive interaction
TMD 日常烦心事 TMD & 日常烦心事 Regr. coefficients 1.582 0.651 2.508 Cov TMD 0.038 0.025 0.025 Cov日常烦心事 0.025 0.302 0.025 Cov TMD & 日常烦心事 0.025 0.025 0.071 表 3 相加交互作用指标Excel计算表
Table 3. An Excel calculation table for indices with additive interaction
暴露 RR值 下限 上限 TMD 4.865 3.320 7.128 日常烦心事 1.917 0.653 5.630 TMD & 日常烦心事 12.280 7.284 20.703 表 4 相加交互作用指标Excel计算表
Table 4. An Excel calculation table for indices with additive interaction
测量 Estimate 上限 下限 RERI 6.498 0.612 12.384 AP 0.529 0.258 0.800 S 2.359 1.213 4.588 -
[1] 中华中医药学会.亚健康中医临床指南[M].北京:中国中医药出版社, 2006.China Association of Chinese Medicine. Clinical guidelines for Chinese medicine[M]. Beijing:Chinese Press of Traditional Chinese Medicine, 2006. [2] Haidar SA, de Vries NK, Karavetian M et al. Stress, anxiety, and weight gain among university and college students:a systematic review[J]. J Acad Nutr Diet, 2018, 118(2):261-274. DOI: 10.1016/j.jand.2017.10.015. [3] 刘娜.大学新生日常烦心事、应对方式与自我和谐的关系研究[D].石家庄: 河北师范大学, 2011.Liu N. The study on the relationship of daily hassles, coping styles and self-harmony of freshman[D]. Shijiazhuang: Hebei Normal University, 2011. [4] 祝蓓里. POMS量表及简式中国常模简介[J].天津体育学院学报, 1995, 10(1):35-37. DOI: 10.13297/j.cnki.issn1005-0000.1995.01.007.Zhu BL. Brief introduction of POMS scale and its model for China[J]. J TUS, 1995, 10(1):35-37. DOI:10.13297/j.cnki.issn1005-0000.1995. 01.007. [5] 冯士刚, 范亚欣, 王俊红, 等.大学生亚健康状态和心境状态的对比及相关性研究[J].现代生物医学进展, 2008, 8(1):134-137. DOI: 10.13241/j.cnki.pmb.2008.01.015.Feng SG, Fan YX, Wang JL, et al. Research on the comparision and correlativity between sub-health and mood states in undergraduates[J]. Prog Mod Biom, 2008, 8(1):134-137. DOI: 10.13241/j.cnki.pmb.2008.01.015. [6] 张海霞, 惠筱, 郭成.大学生日常烦心事和生命意义感与心理健康的关系[J].职业与健康, 2016, 32(21):2991-2994. DOI: 10.13329/j.cnki.zyyjk.2016.0941.Zhang HX, Hui X, Guo C, et al. Relationships between daily hassles, sense of life meaning and mental health of college students[J]. Occup and Health, 2016, 32(21):2991-2994. DOI: 10.13329/j.cnki.zyyjk.2016.0941. [7] 邢超, 陶芳标, 袁长江, 等.青少年亚健康多维评定问卷信度和效度评价[J].中国公共卫生, 2008, 24(9):1031-1033. DOI: 10.11847/zgggws2008-24-09-68.Xing C, Tao FB, Yuan CJ, et al. Evaluation of reliability and validity of the multidimensional sub-health questionnaire of adolescents[J]. Chin J Public Health, 2008, 24(9):1031-1033. DOI: 10.11847/zgggws2008-24-09-68. [8] 徐长恩, 王若蛟, 郝加虎, 等.大学生亚健康状态新划界标准的应用[J].中国学校卫生, 2010, 31(12):1423-1425. DOI: 10.16835/j.cnki.1000-9817.2010.12.007.Xu CE, Wang RJ, Hao JH, et al. Application of new delimilation for students sub-health standard[J]. Chin J Sch Health, 2010, 31(12):1423-1425. DOI: 10.16835/j.cnki.1000-9817.2010.12.007. [9] Andersson T, Alfredsson L, Kallberg H, et al. Calculating measures of biological interaction[J]. Eur J Epidemiol. 2005, 20(7):575-579. DOI: 10.2307/25047498. [10] 于雪双, 王风鹤, 贾月辉, 等.齐齐哈尔市某高校在校大学生亚健康状况及影响因素研究[J].中国预防医学杂志, 2018, 19(5):360-364. DOI: 10.16506/j.1009-6639.2018.05.008.Yu XS, Wang FH, Jia YH, et al. Sub-health status of college students and its influencing factors in a university in Qiqihar[J]. Chin J Prev Med, 2018, 19(5):360-364. DOI: 10.16506/j.1009-6639.2018.05.008. [11] 魏蕾.亚健康状态人群生活方式特点及其相关性研究[D].广州: 广州中医药大学, 2011.Wei L. A study on lifestyle features among people of sub health state and the correlation between them[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2011. [12] 邝莎莉, 谭必旺, 范桉吉, 等.湖南省郴州市近60a雨季气候特征的分析与研究[J].北京农业, 2016, (2):141-142. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=beijny201602087Kuang SL, Tan BW, Fan AJ, et al. Analysis and research on the climatic characteristics of nearly 60a rainy season in Chenzhou City, Hunan P rovince[J]. Beijing Agric, 2016, (2):141-142. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=beijny201602087 [13] 荣宝安.郴州地区夏秋干旱成因及防治对策[J].气象, 1994, 20(5):46-49. DOI: 10.7519/j.issn.1000-0526.1994.5.010.Rong BA. Causes and countermeasures of summer and autumn drought in Chenzhou[J]. Mete Mon, 1994, 20(5):46-49. DOI: 10.7519/j.issn.1000-0526.1994.5.010. [14] 路晓宁, 黄希庭.日常烦心事研究概况[J].心理科学进展, 2010, 18(2):253-261. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xlxdt201002008Lu XN, Huang XT. A summary of daily hassles research[J]. Adc Psych Sci, 2010, 18(2):253-261. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xlxdt201002008 [15] 高素华.中国大学生生活事件与心理健康关系的定量综合分析[J].现代预防医学, 2018, 45(10):1812-1815, 1821. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xdyfyx201810021Gao SH. Quantitative and comprehensive analysis of the relationship between life events and mental health of Chinese college students[J]. Mod Prev Med, 2018, 45(10):1812-1815, 1821. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xdyfyx201810021 -