高校学生父母婚姻状态与精神病性体验的关系及中介因素研究
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国家自然科学基金( 82171501);首都卫生发展科研专项( 首发2024-2-2126)


Relationship between parental marital status and psychotic-like experiences in university students andpossible mediating factors
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    摘要:

    目的 探讨父母婚姻状态、创伤后应激症状对高校学生精神病性体验的影响,为预防不 稳定婚姻状态家庭孩子出现心理健康问题提供参考。方法 本研究为横断面研究,采用整群抽样法, 于2023 年3—4 月选取中国北方某所大学16 个学院的所有在读学生为研究对象,使用创伤后应激障碍 检查表-平民版、15 条目社区心理体验评估阳性分量表进行数据调查。采用Logistic 回归分析探究精 神病性体验的影响因素。采用SPSS 22.0 中Process 3.3 插件进行中介效应检验。纳入分析的有效问卷 共21 573 份。结果 高校学生群体中精神病性体验、阈下创伤后应激障碍的阳性检出率分别为8.26% (1 782/21 573)、14.92%(3 219/21 573)。阈下创伤后应激障碍的检出率在不同性别、学历水平、精神疾病 家族史、父母婚姻状态方面的差异均有统计学意义(χ2=54.00、224.15、87.63、299.77,均P < 0.05)。高 精神病性体验的检出率在不同性别、学历水平、家庭所在地、精神疾病家族史、父母婚姻状态方面的差 异均有统计学意义(χ2=7.36、215.56、13.08、61.76、183.72,均P< 0.05)。单因素和多因素Logistic 回归 分析结果显示,不稳定的父母婚姻状态(OR=2.20,95%CI=1.96~2.47;OR=1.53,95%CI=1.35~1.74)和 阈下创伤后应激障碍(OR=10.10,95%CI=9.11~11.20;OR=8.99,95%CI=8.09~9.99)均是高精神病性体 验的危险因素(均P < 0.05)。在控制性别、年龄、学历水平、家庭所在地、是否独生子女、精神疾病家族 史的混杂影响下,不稳定的父母婚姻状态正向预测创伤后应激症状(β=4.41,P< 0.001),创伤后应激症 状正向预测精神病性体验(β=0.19,P< 0.001),不稳定的父母婚姻状态正向预测精神病性体验(β=1.24, P< 0.001);中介效应检验显示,创伤后应激症状及各分维度(创伤再体验症状、回避和麻木症状、警觉 性增高症状)在大学生父母婚姻状态和精神病性体验中均起部分中介作用,中介效应分别占总效应的 66.94%、52.42%、58.87%、56.45%。结论 高校学生父母婚姻状态、创伤后应激症状与精神病性体验关 系密切,创伤后应激症状可以部分中介高校学生父母婚姻状态对精神病性体验的影响。

    Abstract:

    Objective To explore the impact of parental marital status and post-traumatic stress symptoms on psychotic-like experiences of college students, so as to provide a reference for the prevention of mental health problems in children from families with unstable marital status. Methods This study was a cross-sectional study. Using cluster sampling, all students in 16 schools of a university in northern China were selected from March to April 2023 for the study. The survey was conducted using the Post-Traumatic Stress Disorder Checklist-Civilian Version and the 15-Item Positive Subscale of the Community Assessment of Psychic Experiences. Logistic regression analysis was used to explore the factors influencing psychotic-like experiences. Process 3.3 plug-in in SPSS 22.0 was used for the mediating effect test. A total of 21 573 valid questionnaires were included in the analysis. Results The positive rates of psychotic-like experiences and subthreshold posttraumatic stress disorder( PTSD) in university students were 8.26%( 1 782/21 573) and 14.92%( 3 219/21 573), respectively. Differences in rates of subthreshold PTSD across gender, educational level, family history of mental illness, and parental marital status were statistically significant( χ2=54.00, 224.15, 87.63, 299.77; all P < 0.05). Differences in rates of high psychotic-like experiences were statistically significant across gender, educational level, home location, family history of mental illness, and parental marital status( χ2=7.36, 215.56, 13.08, 61.76, 183.72; all P< 0.05). Univariate and multivariate Logistic regression analyses revealed that unstable parental marital status[ OR=2.20, 95%CI( 1.96, 2.47); OR=1.53, 95%CI( 1.35, 1.74)] and subthreshold PTSD[ OR=10.10, 95%CI( 9.11,11.20); OR=8.99, 95%CI( 8.09, 9.99)] were risk factors for high psychotic-like experiences, and the differences were statistically significant( all P < 0.05). Controlling for the confounding variables of gender, age, education level, home location, only child, and family history of mental illness, unstable parental marital status positively predicted post-traumatic stress symptoms( β=4.41, P<0.001), post-traumatic stress symptoms positively predicted psychotic-like experiences,( β=0.19,P<0.001), and unstable parental marital status positively predicted psychotic-like experience( β=1.24,P < 0.001), with all statistical differences. The mediating effect test showed that post-traumatic stress symptoms and each dimension( trauma re-experience symptoms, avoidance and numbness symptoms, and increased alertness symptoms) partially mediated the parental marital status of university students and psychotic-like experiences, with mediating effects accounting for 66.94%, 52.42%, 58.87%, and 56.45% of the total effect, respectively. Conclusions Parental marital status, post-traumatic stress symptoms, and psychotic-like experiences in university students are closely related. Post-traumatic stress symptoms can partially mediate the effect of parental marital status on psychotic-like experiences among university students.

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侯威威,岳凌宇,李艳,鲁小华,彭兴,周福春,王传跃.高校学生父母婚姻状态与精神病性体验的关系及中介因素研究[J].神经疾病与精神卫生,2025,25(10):703-710
DOI :10.3969/j. issn.1009-6574.2025.10.003.

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  • 在线发布日期: 2025-10-20