青少年抑郁障碍与中医体质类型相关性研究

Correlation between Adolescent Depressive Disorder and TCM Constitution Type

摘要: 目的：研究青少年抑郁状态和中医体质分型分布规律，分析青少年抑郁障碍的发生与中医体质之间是否具有联系，探讨青少年抑郁障碍与中医体质的相关性及其危险因素。方法：以青少年群体为研究对象，采用结构化问卷调查法，进行横断面研究，通过SDS量表评估其抑郁状态，通过《中医体质分类与判定》对调查对象进行体质分布和辩证分型，采用皮尔逊积差法对SDS评分与中医体质的相关性进行分析；采用二元Logistic逐步回归分析判断青少年抑郁障碍发生的危险因素。结果：观察组SDS评分与气郁质、气虚质、阴虚质、血瘀质呈正相关(P < 0.05)，与平和质呈负相关(P < 0.05)。二元Logistic回归分析表明，气郁质[OR = 6.004 (95% CI: 2.094~17.211, P = 0.001)]是抑郁状态的危险因素。结论：通过皮尔逊相关性分析显示大学生抑郁状态与偏颇体质息息相关，青少年阈下抑郁的危险因素以气郁质为主。

Abstract: Objective: To study the distribution of adolescent depression and TCM constitution classification, analyze whether there is a connection between the occurrence of adolescent depression and TCM constitution, and explore the correlation and risk factors of adolescent depression and TCM consti-tution. Methods: Taking adolescents as the research object, a cross-sectional study was conducted by using structured questionnaire survey method. Their depression status was evaluated by SDS scale. The constitution distribution and dialectical classification of the respondents were conducted by using “TCM constitution classification and judgment”. The correlation between SDS score and TCM constitution was analyzed by using Pearson product-moment method. The risk factors of ado-lescent depression were analyzed by using binary Logistic stepwise regression analysis. Results: The SDS score of the observation group was positively correlated with Qi-stagnation, Qi-deficiency, Yin-deficiency, and blood-stasis (P < 0.05), and negatively correlated with gentleness (P < 0.05). Bi-nary Logistic regression analysis showed that Qi-stagnation [OR = 6.004 (95% CI: 2.094~17.211, P = 0.001)] was a risk factor for depression. Conclusion: Pearson correlation analysis showed that the depression of college students was closely related to the biased constitution, and the risk factors of subthreshold depression of adolescents were mainly Qi-stagnation.