四川精神卫生2025，Vol.38Issue(2)：153-158,6.DOI:10.11886/scjsws20241220001
急性应激反应与大学生抑郁的关系:反刍思维的中介作用及领悟社会支持的调节作用
Relationship between acute stress response and depression among college students:the mediating role of rumination and the moderated role of perceived social support
摘要
Abstract
Background Depression has become a public health concern that affects the physical and mental health of college students.acute stress response is a risk factor of depression.Exploring the relationship and mechanism between acute stress response and depression is of great significance for preventing and intervening depression in college students.Objective To examine the relationship between acute stress response and depression among college students,and to analyze the mediating role of rumination and the moderated effect of perceived social support,so as to provide references for the prevention and intervention of depression in college student.Methods From March to April 2020,a cluster sampling method was employed to select 1 355 college students from three universities in Hubei,Jiangxi and Guangxi Zhuang Autonomous Region.Participants were assessed with Acute Stress Disorder Scale(ASDS),Ruminative Responses Scale(RRS),Brief form of Perceived Social Support Questionnaire(F-SozU)and Patients'Health Questionnaire Depression Scale-9 item(PHQ-9).Pearson correlation analysis was adopted to examine the correlation between the scores of each scale.The mediating role of rumination between acute stress response and depression and the moderated role of perceived social support were examined respectively by using Model 4 and Model 14 in Macro Program Process 3.3.Results A total of 1 303 valid questionnaires were collected,yielding a valid response rate of 96.16%.The results of Pearson correlation analysis showed that ASDS score was positively correlated with RRS score and PHQ-9 score(r=0.649,0.528,P<0.01)among college students.The mediation analysis results demonstrated that rumination played a partial mediating role between acute stress response and depression,with the mediating effect value of 0.273(95%CI:0.222～0.328),accounting for 68.59%of the total effect.Perceived social support played a moderated role in the latter path of the mediation model(rumination → depression)(β=-0.004,95%CI:-0.017～-0.004,P<0.01).Conclusion Rumination played a partial mediating role between acute stress response and depression in college students,and perceptive social support played a moderated role between rumination and depression.[Funded by Scientific Research Fund Project of Education Department of Yunnan Province(number,2025J0437)]关键词
急性应激反应/抑郁/反刍思维/领悟社会支持/大学生Key words
Acute stress response/Depression/Rumination/Perceived social support/College students分类
临床医学引用本文复制引用
骆贵,袁丰卉,牟韵静,余海军,梁晶晶,党江波,高斌..急性应激反应与大学生抑郁的关系:反刍思维的中介作用及领悟社会支持的调节作用[J].四川精神卫生,2025,38(2):153-158,6.基金项目
云南省教育厅科学研究基金项目(项目名称:数智时代大学生积极心态的生成与引导路径探究,项目编号:2025J0437) （项目名称:数智时代大学生积极心态的生成与引导路径探究,项目编号:2025J0437）
