| 李厚谊,徐春,胡莎莎,向波,刘可智.中职卫校学生同伴侵害与抑郁症状的关系：积极心理健康与社交媒体成瘾的链式作用路径[J].四川精神卫生杂志,2025,(2):159-165.Li Houyi,Xu Chun,Hu Shasha,Xiang Bo,Liu Kezhi,Relationship between peer victimization and depressive symptoms among secondary vocational health school students： the chain mediating role of positive mental health and social media addiction[J].SICHUAN MENTAL HEALTH,2025,(2):159-165 |
| 中职卫校学生同伴侵害与抑郁症状的关系：积极心理健康与社交媒体成瘾的链式作用路径 |
| Relationship between peer victimization and depressive symptoms among secondary vocational health school students： the chain mediating role of positive mental health and social media addiction |
| 投稿时间：2024-08-02 |
| DOI：10.11886/scjsws20240802004 |
| 中文关键词: 青少年 中职生 同伴侵害 抑郁症状 积极心理健康 社交媒体成瘾 |
| 英文关键词:Adolescents Secondary vocational students Peer victimization Depressive symptoms Positive mental health Social media addiction |
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| 中文摘要: |
| 背景 中职卫校学生处于青春期，是抑郁症状的高发人群。同伴侵害和社交媒体成瘾是抑郁症状的重要影响因素，积极心理健康能缓解抑郁症状。但在中职卫校学生中，积极心理健康和社交媒体成瘾在同伴侵害与抑郁症状之间的作用路径尚不明确。目的 探讨中职卫校学生同伴侵害与抑郁症状的关系，考查积极心理健康和社交媒体成瘾在同伴侵害与抑郁症状之间的作用路径，为预防中职卫校学生抑郁症状提供参考。方法 于2020年10月—12月，采用整群抽样法选取四川省泸州市某中职卫校7 307名在校学生为研究对象。采用多维同伴侵害量表（MPVS）、沃里克-爱丁堡积极心理健康量表（WEMWBS）、Bergen社交媒体成瘾量表（BSMAS）、患者健康问卷抑郁量表（PHQ-9）进行评定。采用Spearman相关分析考查各量表评分之间的相关性，采用Process 4.0检验作用路径，采用偏差校正的Bootstrap法进行中介效应检验。结果 共回收有效问卷7 044份（96.40%）。检出4 931名（62.34%）中职卫校学生存在抑郁症状。中职卫校学生PHQ-9评分与BSMAS评分、MPVS评分均呈正相关（r=0.404、0.506，P均<0.01）；WEMWBS评分与PHQ-9评分、BSMAS评分和MPVS评分均呈负相关（r=-0.587、-0.259、-0.358，P均<0.01）；BSMAS评分与MPVS评分呈正相关（r=0.328，P<0.01）。积极心理健康是同伴侵害与抑郁症状之间的作用路径，间接效应值为0.130（95% CI：0.119~0.141），效应量为30.81%；社交媒体成瘾是同伴侵害与抑郁症状之间的作用路径，间接效应值为0.052（95% CI：0.045~0.059），效应量为12.32%；积极心理健康和社交媒体成瘾是同伴欺凌与抑郁症状之间的链式作用路径，间接效应值为0.012（95% CI：0.010~0.014），效应量为2.84%。结论 同伴侵害不仅能直接影响中职卫校学生的抑郁症状，还能通过积极心理健康或社交媒体成瘾独立作用路径以及二者的链式作用路径影响中职卫校学生的抑郁症状。 |
| 英文摘要: |
| Background Students in secondary vocational health school are at the age of puberty and prone to depressive symptoms. Peer victimization and social media addiction are found to be crucial in influencing the development of depression， and positive mental health has been proven to alleviate depressive symptoms， whereas there remains a striking lack of research on the mediating role of positive mental health and social media addiction in the relationship between peer victimization and depressive symptoms among secondary vocational health school students.Objective To explore the relationship between peer victimization and depressive symptoms and investigate the mediating role of positive mental health and social media addiction， so as to provide references for the prevention of depression among secondary vocational health school students.Methods From October to December 2020， a cluster sampling framework was utilized to recruit 7 307 students from a secondary vocational health school in Luzhou City， Sichuan Province. Assessments were performed using Multidimensional Peer Victimization Scale （MPVS）， Warwick-Edinburgh Mental Well-being Scale （WEMWBS）， Bergen Social Media Addiction Scale （BSMAS） and Patient Health Questionnaire Depression Scale-9 item （PHQ-9）. Spearman correlation analysis was calculated to determine correlations between scores of scales， Process 4.0 was employed to test the mediation effect， and the bias-corrected Bootstrap procedure was used to test the significance of the mediation effect.Results A total of 7 044 （96.40%） valid questionnaires were collected. And 4 391（62.34%）students were found to have depressive symptoms. Correlation analysis revealed that PHQ-9 score was positively correlated with BSMAS score and MPVS score （r=0.404， 0.506， P<0.01）. WEMWBS score was negatively correlated with PHQ-9 score， BSMAS score and MPVS score （r=-0.587， -0.259， -0.358， P<0.01）. BSMAS score was positively correlated with MPVS score （r=0.328， P<0.01）. Positive mental health played a mediating role in the relationship between peer victimization and depressive symptoms， with an indirect effect value of 0.130 （95% CI： 0.119~0.141）， accounting for 30.81% of the total effect. Social media addiction also mediated the relationship between peer victimization and depressive symptoms， with an indirect effect value of 0.052 （95% CI： 0.045~0.059）， accounting for 12.34% of the total effect. Positive mental health and social media addiction exhibited a chained mediation effect on the relationship between peer victimization and depressive symptoms， with an indirect effect value of 0.012 （95% CI： 0.010~0.014） and accounting for 2.84% of the total effect.Conclusion Peer victimization can affect the presence of depressive symptoms among secondary vocational health school students both directly and indirectly through either separate or chained mediation of positive mental health and social media addiction. |
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