海南大学生躯体变形障碍现况调查及相关影响因素分析
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摘要
目的统计分析海南大学生躯体变形障碍(body dysmorphic disorder,BDD)的阳性检出率及患病的主要影响因素。方法以海南省五所高校大学生为研究目标、以抽样问卷调查的方式对研究对象的躯体目信程度、症状自评得分情况、自我接纳程度、体象障碍自评情况进行调査研究、并对结果进行分析比较。结果海南五所高校大学生共检出BDD阳性122例(检出率为4.95%);单因素及Logistic回归多因素分析结果显示、症状自评是BDD患病的危险因素,差异有统计学意义(p=0.988,OR=2.687,P=0.000<0.05),躯体自信是BDD患病的保护性因素,差异有统计学意义(β=-0.444、OR=0.641,P=0.007<0.05),而性别、民族、年级、学校及自我接纳不是BDD患病的危险因素(P>0.05)。结论大学生躯体变形障碍发生率较高,发病率与患者的一般资料情况无关,与躯体目信程度、症状自评程度密切相关。
Objective To count and analyze the positive detection rate and the main influencing factors of college students' body deformation disorder(body dysmorphic disorder,BDD) in Hainan.Methods Five college students in Hainan were selected as the research objectives,and the self confidence,self rating score,self acceptance and body image disturbance of research object were investigated an studied,and the results were statistically analyzed and compared.Result 122 cases were detected BDD positive in five college students in Hainan,the detection rate was 4.95%.The symptoms check was the risk factors of BDD,and there was statistical significance(β=0.988,OR=2.687,P=0.000<0.05).The body self-esteem was the protective factors of BDD,and there was statistical significance(β=-0.444,OR =0.641,P=0.007<0.05),while gender,nationality,grade,school and self-acceptance were not the risk factors of BDD(P>0.05).Conclusion The incidence rate of body deformation disorder is high,and the incidence is not related to the general data of patients,and it is closely related to the degree of self acceptance,the degree of physical self-confidence,and the degree of symptom self-evaluation.
Objective To count and analyze the positive detection rate and the main influencing factors of college students' body deformation disorder(body dysmorphic disorder,BDD) in Hainan.Methods Five college students in Hainan were selected as the research objectives,and the self confidence,self rating score,self acceptance and body image disturbance of research object were investigated an studied,and the results were statistically analyzed and compared.Result 122 cases were detected BDD positive in five college students in Hainan,the detection rate was 4.95%.The symptoms check was the risk factors of BDD,and there was statistical significance(β=0.988,OR=2.687,P=0.000<0.05).The body self-esteem was the protective factors of BDD,and there was statistical significance(β=-0.444,OR =0.641,P=0.007<0.05),while gender,nationality,grade,school and self-acceptance were not the risk factors of BDD(P>0.05).Conclusion The incidence rate of body deformation disorder is high,and the incidence is not related to the general data of patients,and it is closely related to the degree of self acceptance,the degree of physical self-confidence,and the degree of symptom self-evaluation.
引文
[1]朱唤清,邓云龙.海南大学生躯体变形障碍患病率调查分析[J].海南医学院学报,2010,16(1):123-126.
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[9]马红兵.大学新生心理健康状况与家庭状况的关系[J].中国校医杂志,2001,15(6):466-477.
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[11]张钰群,袁勇贵.躯体变形障碍[J].东南大学学报(医学版),2013,32(2):251-253.
[12]王瑞琴,陆占全,赵丽珍.法律中专蒙、汉族新生的心理健康状况调查分析[J].中华行为医学与脑科学杂志,2000,9(2):148-149.
[13]林东,覃玫,杨青,等.广西不同民族高中生心理健康状况调查[J].中国心理卫生杂志,2006,20(9):595.
[14]黄希庭.青少年身体自我的发展特点和性别差异研究[J].心理科学杂志,2002,25(3):260-264.
[15]马素红,王娟.教养方式与社交焦虑的关系:自我接纳的中介作用[J].中国健康心理学杂志.2015,23(6):899-901.
[2]鲁龙光,陈图农.体象障碍自评量表的初步制定[J].中国心理卫生杂志,2000,14(5):299-302.
[3]季益富,于欣.躯体自信量表[J].中国心理卫生杂志,1993,7(增刊):263-264.
[4]丛中,高文凤.自我接纳问卷的编制与信度效度检验[J].中华行为医学与脑科学杂志,1999,8(1):20-22.
[5]王征宇.症状自评量表(SCL-90)[J].上海精神医学,1984,2(2):68-70.
[6]郑铮,张宁.大学生躯体变形障碍发生情况及其影响因素[J].中国学校卫生,2012,33(9):1068-1070.
[7]陈建国,鲁龙光.大学生体象障碍调查分析[J].中国行为医学科学杂志,2004,13(3):243.
[8]陈子晨,汪新建.从DSM-Ⅳ躯体形式障碍到DSM-5躯体症状障碍[J].心理科学进展,2013,21(11):1967-1975.
[9]马红兵.大学新生心理健康状况与家庭状况的关系[J].中国校医杂志,2001,15(6):466-477.
[10]Veale DM,Lambrou C.The importance of aesthetics in body dysmorphic disorder[J].Cns Spectrums,2002,7(6):429-431.
[11]张钰群,袁勇贵.躯体变形障碍[J].东南大学学报(医学版),2013,32(2):251-253.
[12]王瑞琴,陆占全,赵丽珍.法律中专蒙、汉族新生的心理健康状况调查分析[J].中华行为医学与脑科学杂志,2000,9(2):148-149.
[13]林东,覃玫,杨青,等.广西不同民族高中生心理健康状况调查[J].中国心理卫生杂志,2006,20(9):595.
[14]黄希庭.青少年身体自我的发展特点和性别差异研究[J].心理科学杂志,2002,25(3):260-264.
[15]马素红,王娟.教养方式与社交焦虑的关系:自我接纳的中介作用[J].中国健康心理学杂志.2015,23(6):899-901.