中职卫校学生同伴侵害与抑郁的关系：积极心理健康与社交媒体成瘾的链式中介作用

Relationship between peer victimization and depression symptoms among secondary vocational health school students: the chain mediation effect of positive mental health and social media addiction

投稿时间：2024-08-02 修订日期：2025-01-20

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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 Depression symptoms Positive mental health Social media addiction

基金项目:

作者	单位	地址
李厚谊	西南医科大学附属医院精神科	遂宁市船山区慈音寺街道魅力城
刘可智^*	西南医科大学附属医院精神科
向波	西南医科大学附属医院精神科
徐春	西南医科大学附属医院精神科
胡莎莎	西南医科大学附属医院精神科

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中文摘要:

【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，抑郁症状与自残、自杀、成瘾等密切相关。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，但在青少年抑郁症状当中四者之间的关系尚不明确，需进一步研究。目的探讨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关系，为预防中职卫校学生抑郁症状提供参考依据。方法于2020年10月-12月采用整群抽样方法对泸州某中职卫校7 307名在校学生进行横断面调查，使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）、病人健康问卷抑郁量表（PHQ-9）进行评定。采用Spearman分析考查各量表评分之间的相关性，采用Process4.0进行中介效应检验。结果共回收有效问卷7 044份（96.40%）。中职卫校学生抑郁症状检出率为62.34%。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＜0.01），WEMWBS评分与PHQ-9评分、BSMAS评分、MPVS评分均呈负相关（r=-0.587、-0.259、-0.358，P＜0.01）；BSMAS评分与MPVS评分呈正相关（r=0.328，P＜0.01）。积极心理健康在同伴侵害与抑郁症状之间起部分中介作用（间接效应值为0.130，95% CI:0.119~0.141，效应量为30.81%）；社交媒体成瘾在同伴侵害与抑郁症状之间起部分中介作用（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-社交媒体成瘾在同伴欺凌和抑郁症状之间起链式中介作用（间接效应值0.012，95% CI:0.010~0.014，效应量为2.84%）。结论同伴侵害可以直接预测抑郁的发生，也可以通过积极心理健康和社交媒体成瘾的链式中介途径间接影响抑郁的。

英文摘要:

【Abstract】Background Students in secondary vocational health school are at a high risk of depressive symptoms. Depressive symptoms are closely related to self-harm, addiction, etc. Peer victimization and social media addiction are important influencing factors of depression. Positive metal health can alleviate depressive symptoms. However, the relationship between the four factors in adolescent depression is unclear and needs further research. Objective To investigate the mediating effect of positive mental health and social media addiction in the relationship between peer victimization and depression, and to provide references for the prevention of adolescent depression. Methods Form October to December 2020, a cross-sectional survey was conducted among 7 307 students in a secondary vocational health school in Luzhou using cluster sampling method, using the Multidimensional Peer Victimization Scale (MPVS), Warwick-Edinburgh Mental Well-being Scale (WEMWBS), Bergen Social Media Addiction Scale (BSMAS), and Patient Health Questionnaire-9(PHQ-9). SPSS26.0 and Process4.0 were used for Spearman correlation analysis, and mediation effect test. Results A total of 7 044 valid questionnaires were collected. 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 partially mediates between peer victimization and depressive symptoms (indirect effect values is 0.130, 95% CI:0.119~0.141, effect size is 30.81%). Social media addiction partially mediates between peer victimization and depressive symptoms (indirect effect values is 0.052, 95% CI:0.045~0.059, effect size is 12.32%). Positive mental health-social media addiction plays a chain mediate role between peer victimization and depressive symptoms (indirect effect values is 0.012, 95% CI:0.010~0.014, effect size is 2.84%). Conclusion Peer victimization can directly predict the occurrence of depression, and can also indirectly affect the occurrence of depression through the chain mediation of positive mental health and social media addiction.

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