中国临床心理学杂志

贫困大学生抑郁症状与血浆皮质醇、认知倾向及应对方式的相关研究

作者：秦萍¹ 张勇²

单位：1. 天津理工大学法政学院应用社会学系天津 300191
2. 天津市安定医院临床心理科天津 300074

分类号：B844.2

出版年,卷(期):页码：2009,17(5):623-625

摘要：

目的：了解贫困大学生抑郁症的相关影响因素。方法：采用自编一般情况调查表、认知倾向问卷(COAT)、简易应对方式问卷(SCSQ)、抑郁自评量表(SDS)对天津某高校的258名非贫困大学生和173名贫困大学生进行调查，并检测血浆皮质醇含量。结果：①贫困与非贫困大学生相比，抑郁粗分(38.02±8.22)、消极应对(9.31±3.64)得分显著高于后者；乐观因子(7.42±2.86)以及认知总分(11.07±3.52)显著低于后者。②抑郁组贫困生乐观因子分(6.02±2.76)以及认知总分(10.23±3.48)低于非抑郁组(P<0.01)，且抑郁程度与乐观因子呈显著负相关(r=-0.37，P<0.01)；抑郁组贫困生消极应对(10.26±4.85)得分高于非抑郁组，积极应对(20.08±6.72)分低于非抑郁组(P<0.01)，且抑郁程度与消极应对呈显著正相关(r=0.33，P<0.01)；抑郁组贫困生血浆皮质醇水平(365.4±51.8)高于非抑郁组(P<0.01)，且抑郁严重程度与皮质醇水平呈正相关(r=0.46，P<0.01)。③回归分析显示，乐观因子和血浆皮质醇水平可能是贫困生抑郁症状的预测变量。结论：贫困大学生抑郁症状可能与认知倾向、应对方式以及血浆皮质醇水平相关。

Objective:To explore the relationships between depression and plasma cortisol, cognitive style, coping style in poor college students.Methods:173 poor college students and 258 non-poor college students were investigated with Cognitive Appraisal Orientation Test (CAOT), Simplifed Coping Style Questionnaire (SCSQ), Self Depression Scale (SDS) respectively, and levels of plasma cortisol were detected.Results:①By comparison, our study reported that there were higher levels of SDS(38.02±8.22), negative style(9.31±3.64), and lower levels of optimism(7.42±2.86) and total(11.07±3.52) of CAOT in poor college students than in non-poor college students(P<0.01). ②There were lower levels of optimism(6.02±2.76) and total (10.23 ±3.48) of CAOT in depressed poor college students than in normal controls (P< 0.01), showing significantly negative correlation between depression and optimism (r=-0.37,P<0.01); there were higher levels of negative coping (10.26±4.85), and lower level of positive coping (20.08±6.72) in depressed poor college students than in normal controls(P<0.01), showing significantly positive correlation between depression and negative coping(r=0.33,P<0.01);There was higher level of plasma cortisol (365.4±51.8) in depressed poor college students than in normal controls (P<0.01), showing significantly positive correlation between depression and level of plasma cortisol (r=0.46,P<0.01). ③Regression analysis showed optimism and level of plasma cortisol may predict depression in poor college students.Conclusion:Lower optimism and level of plasma cortisol may be risks of depression in poor college students.

基金项目：

天津市高等学校人文社会科学研究项目(20071512)

作者简介：

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