摘要
目的调查高职在校大学生的抑郁状况和中医体质类型,探讨中医体质和抑郁症状的相关性,预测抑郁的危险体质类型,为预防抑郁的发生提供理论依据。方法采用横断面研究方法,以高职在校大学生为研究对象,获得有效问卷532份,以抑郁自评量表(SDS)、中医体质量表进行评定。采用Spearman相关分析和回归分析的方法分析体质因素对抑郁症状的影响。结果参与问卷调查的532名高职在校大学生中,抑郁的患病率高达40.60%,其中轻度抑郁者最多。无抑郁与平和质呈极显著正相关(r=0.305,P<0.01),且相关系数最大;重度抑郁与平和质呈极显著负相关(r=-0.269,P<0.01);重度抑郁与阴虚质、血瘀质、气郁质呈极显著正相关(r=0.194、0.125、0.085,P<0.01)。对抑郁症状相对危险度的95%置信区间为正值且值较大的中医体质为气郁质(2.497)、气虚质(2.436)、阳虚质(2.284)、阴虚质(2.181),偏回归系数较大的依次是气郁质(0.059)、气虚质(0.052)、阳虚质(0.037)。结论气郁质、气虚质、阳虚质、阴虚质可能是抑郁症状发生的危险体质因素,其中体质为气郁质、气虚质、阳虚质时,抑郁程度更严重。
Objective To investigate the depression status and traditional Chinese medicine constitution types of higher vocational college students,to explore the correlation between traditional Chinese medicine constitution and depressive symptoms,to predict the dangerous constitution types of depression,and to provide theoretical basis for preventing the occurrence of depression.Methods Using the method of cross-sectional study,532 valid questionnaires were obtained from higher vocational college students,and the depression status and traditional Chinese medicine constitution types were evaluated using the Self-Rating Depression Scale(SDS)and the traditional Chinese medicine constitution scale.Spearman correlation analysis and regression analysis were used to analyze the influence of physical factors on depressive symptoms.Results Among the 532 higher vocational college students who participated in the questionnaire survey,the prevalence of depression was as high as 40.60%,with mild depression being the most common.There was a highly significant positive correlation between no depression and gentleness(r=0.305,P<0.01),and the correlation coefficient was the largest;there was a highly significant negative correlation between severe depression and gentleness(r=-0.269,P<0.01);there was a highly significant positive correlation between severe depression and Yin deficiency,blood stasis and Qi depression(r=0.194,0.125,0.085,P<0.01).The traditional Chinese medicine constitutions with positive and large 95%confidence interval for relative risk of depressive symptoms were Qi depression(2.497),Qi deficiency(2.436),Yang deficiency(2.284)and Yin deficiency(2.181).The larger partial regression coefficients were Qi depression(0.059),Qi deficiency(0.052)and Yang deficiency(0.037).Conclusion Qi depression,Qi deficiency,Yang deficiency and Yin deficiency may be the risk factors of depressive symptoms.When the constitution is Qi depression,Qi deficiency and Yang deficiency,the degree of depression is more serious.
作者
于霞霞
高建平
YU Xiaxia;GAO Jianping(Tulufan Vocational and Technical College,Tulufan 838000,China)
出处
《临床医学研究与实践》
2024年第13期60-63,共4页
Clinical Research and Practice
基金
湖南省教育科学“十四五”规划2022年度立项课题(No.XJK22CYJ006)。
关键词
抑郁症状
中医体质
相关性
回归分析
depressive symptom
traditional Chinese medicine constitution
correlation
regression analysis
作者简介
于霞霞(1992-),女,讲师,硕士。研究方向:中医药的教学与研究。
