手机成瘾和亲密朋友缺乏是大学生抑郁焦虑的重要危险因素

The impact of problematic mobile phone use and the number of close friends on

depression and anxiety symptoms among college students

手机成瘾与朋友数量与大学生抑郁焦虑症状

Authors：Wang W, Xu H, Li S, Jiang Z, Sun Y, Wan Y.

Source：Front Psychiatry

Doi: 10.3389/fpsyt.2023.1281847

Abstract

Background: Psychological problems often occur in college students, with the most common ones being depression and anxiety symptoms. Exploring the risk factors that influence depression and anxiety symptoms in college students is essential to promote their physical and mental health.

Objective: This study aimed to investigate the independent and interaction effects of problematic mobile phone use (PMPU) and the number of close friends (NCFs) on depression and anxiety symptoms and the comorbidity of these symptoms among college students. 

Methods: A cross-sectional survey was conducted in Huainan, Anhui Province, and Suzhou, Jiangsu Province in China from October to December 2022. Data from 7,617 college students were collected. The Patient Health Questionnaire and Generalized Anxiety Disorder-7 were used to evaluate depression and anxiety symptoms. The PMPU data were collected by the Mobile Phone Addiction Type Scale. Multinomial logistic regression models were performed to examine the associations of PMPU and NCFs with depression and anxiety symptoms and their interaction effects.

Results: PMPU and lack of close friends significantly increased the risk of depression and anxiety symptoms and the comorbidity of these symptoms in college students (P < 0.001). In addition, the effects of PMPU and lack of close friends on depression and anxiety symptoms in college students were interactive (P < 0.001). No significant sex differences were found.

Conclusions: PMPU and lack of close friends are important risk factors for depression, anxiety, and the comorbidity of these symptoms in college students in China.

摘要：

背景：大学生常出现抑郁、焦虑等心理问题，探索影响大学生抑郁焦虑症状的危险因素，对促进大学生身心健康具有重要意义。

目的：本研究旨在探讨问题手机成瘾和亲密朋友数量对大学生抑郁、焦虑症状以及抑郁焦虑共病的独立和交互作用。

方法：本研究于2022年10—12月在安徽省淮南市和江苏省苏州市的两所大学开展横断面调查，收集了7617名大学生的调查数据。采用患者健康问卷(Patient Health Questionnaire)和广泛性焦虑障碍-7 (Generalized Anxiety Disorder-7)评估抑郁和焦虑症状，采用手机成瘾量表调查手机成瘾行为。采用多因素logistic回归模型分析手机成瘾、亲密朋友数量与抑郁、焦虑症状的关联及其交互作用。

结果：手机成瘾和缺乏亲密朋友显著增加大学生抑郁和焦虑症状及其共病的风险（(P < 0.001)）。此外，手机成瘾与亲密朋友缺乏与大学生的抑郁和焦虑症状之间存在交互作用((P < 0.001))。

结论：手机成瘾和亲密朋友缺乏是大学生抑郁、焦虑症状及抑郁焦虑共病的重要危险因素。