湖北省大学生心理健康水平测量与风险因素调查

Measurement and Risk Factors of Mental Health of College Students in Hubei Province

摘要: 目的：调查湖北省大学生心理健康水平，并分析其相关风险因素。方法：使用中国大学生心理健康量表(CCSMHS)对湖北省1311名大学生进行调查，采用Logistic回归分析大学生心理健康的风险因素。结果：被调查学生心理问题发生率为25.8%，躯体化、自卑、偏执、社会退缩、社会攻击、性心理和依赖等7个维度得分高于全国常模(P < 0.01)。Logistic回归显示：男性(OR = 1.672)、单亲家庭(OR = 1.572)、强制型教养方式(OR = 1.716)、忽视型教养方式(OR = 1.536)、同学关系一般(OR = 1.637)或较差(OR = 6.895)、经常遭受挫折(OR = 2.972)、经常过度上网(OR = 1.831)与大学生心理健康问题呈现显著关联。结论：高校应基于识别出的关联因素，分类开展心理健康早期预警与干预，重点加强人际关系训练、男生心理健康促进及挫折应对能力培养。

Abstract: Objective: To investigate the mental health status and associated factors among college students in Hubei Province. Methods: A cross-sectional survey was conducted among 1311 college students using the Chinese College Student Mental Health Scale (CCSMHS). Logistic regression was used to identify factors associated with mental health problems. Results: The overall detection rate of psychological problems was 25.8%. Scores for somatization, inferiority, paranoia, social withdrawal, social aggression, sexual psychology, and dependence were significantly higher than the national norms (P < 0.01). Logistic regression showed that male sex (OR = 1.672), single-parent family (OR = 1.572), authoritarian parenting (OR = 1.716), neglectful parenting (OR = 1.536), moderate (OR = 1.637) or poor peer relationship (OR = 6.895), frequent frustration (OR = 2.972), and frequent excessive Internet use (OR = 1.831) were significantly associated with mental health problems. Conclusion: Universities should develop early warning and intervention strategies based on identified risk factors, with emphasis on interpersonal skills training, mental health promotion for male students, and frustration coping ability.