在大学生中患有亚临床Hikikomori和抑郁症的流行率和网络结构的性别差异
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Wei Zhang1,2, Meng-Yi Chen1,2, Li-Ya A1,3
1Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
The International journal of social psychiatry
|March 22, 2025
概括
这项研究发现,在中国大学生中,亚临床Hikikomori或抑郁症的患病率没有显著的性别差异. 然而,网络分析揭示了男性和女性不同的症状结构和关键的桥梁症状,提供了有针对性的干预策略.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 社会心理学 社会心理学
- 流行病学 流行病学
背景情况:
- 亚临床希基科莫里和抑郁症是大学生中普遍存在的问题.
- 现有的研究还没有充分探讨这些疾病的流行率和相互关系中的性别差异.
- 了解这些差异对于开发有效的性别具体干预措施至关重要.
研究的目的:
- 评估中国大学生中亚临床Hikikomori和抑郁症的流行情况的性别差异.
- 分析和比较亚临床Hikikomori和性别之间的抑郁症的症状网络结构.
- 识别潜在干预目标的中心和桥梁症状.
主要方法:
- 这是一项大规模的多中心研究,涉及中国三个省份的6222名大学生.
- 使用Hikikomori问卷 (HQ-25M) 的亚临床Hikikomori和使用患者健康问卷-9 (PHQ-9) 的抑郁症的评估.
- 针对患病率差异的单变量分析和针对症状结构的网络分析 (预期影响,桥梁EI).
主要成果:
- 在亚临床Hikikomori (男性:11.4%,女性:13.3%) 或抑郁症 (男性:19.1%,女性:18.3%) 的患病率方面,没有发现显著的性别差异.
- 网络分析发现"我避免与他人交谈"是两性最主要的症状.
- 关键的桥梁症状不同,男性的"内感"和女性的"自杀念头",表明疾病之间的途径不同.
结论:
- 亚临床希基科莫里和抑郁症在中国大学生中很常见,两性患病率相似.
- 鉴定出了明显的性别特异性症状网络和桥梁症状,突出了针对性干预的必要性.
- 通过网络分析发现的中心和桥梁症状代表了男性和女性学生的干预策略的可行目标.
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