Association research on depression and anxiety state of medical students in colleges and universities based on generalized additive model
FENG Gong1 WU Xiaohui2 CHEN Min2 WANG Ke2 YAN Qinqin1▲
1.Institute of General Medicine, Xi’an Medical University, Shaanxi Province, Xi’an 710021, China;
2.Internal Medicine Teaching and Research Section, Xi’an Medical University, Shaanxi Province, Xi’an 710021, China
Abstract：Objective To clarify the relationship between the depression and anxiety state of medical students in colleges and universities, and to increase the pertinence and effectiveness of psychological interventions. Methods From May to September 2020, a questionnaire survey was conducted among students in a university in Shaanxi Province to analyze the independent influencing factors of anxiety. On this basis, the generalized additive model was used to analyze the non-linear relationship between the self-rating depression scale (SDS) score and anxiety state. Results A total of 1000 questionnaires were distributed in this survey, a total of 979 valid questionnaires were returned, and the effective response rate was 97.9%. The major, gender, mother’s educational level, physical condition, study burden, sleep time, number of good friends, and the proportion of depression state among college students with different psychological conditions showed statistically significant differences (P ＜ 0.05). Gender (OR = 0.649), physical condition (OR = 1.395), study burden (OR = 1.762), number of friends (OR = 0.673), depression status (OR = 8.276) were independent influencing factors of anxiety status (P ＜ 0.05). After adjusting for confounding factors, when the SDS scores ＜40 points, the risk of anxiety would increase by 21% for every additional unit (point) of SDS. When SDS scores ＞40 points, for every additional unit (point) of SDS, the risk of anxiety would increase by 10%. Conclusion For medical students in colleges and universities, men, the worse their physical condition, the heavier the burden of study, the fewer the number of good friends, and the heavier the degree of depression, will aggravate the anxiety state. And there is a threshold effect relationship between SDS score and anxiety state, which provides a basis for taking corresponding effective anxiety prevention intervention measures for colleges and universities to cope with the psychological crisis of medical students.
冯巩1 武晓慧2 陈敏2 王轲2 严琴琴1▲. 基于广义相加模型的高校医学生抑郁与焦虑状态的关联研究[J]. 中国医药导报, 2021, 18(27): 59-62.
FENG Gong1 WU Xiaohui2 CHEN Min2 WANG Ke2 YAN Qinqin1▲. Association research on depression and anxiety state of medical students in colleges and universities based on generalized additive model. 中国医药导报, 2021, 18(27): 59-62.
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