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山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (11): 76-83.doi: 10.6040/j.issn.1671-7554.0.2021.0357

• 医学心理学 • 上一篇    下一篇

大学生生命意义感在心理扭力和自杀行为风险间的中介作用

秦艺文1,杨晓帆1,魏艳欣1,刘宝鹏1,Bob Lew2,贾存显1   

  1. 1.山东大学齐鲁医学院公共卫生学院流行病学系&山东大学自杀预防研究中心, 山东 济南 250012;2.普特拉大学社会心理学系, 马来西亚 雪兰莪州 沙垱 43400
  • 发布日期:2021-11-11
  • 通讯作者: 贾存显. E-mail:jiacunxian@sdu.edu.cn
  • 基金资助:
    山东大学国际合作项目(21320005281601)

Mediating effect of meaning in life on the association between psychological strain and suicidal behavior risk among college students

QIN Yiwen1, YANG Xiaofan1, WEI Yanxin1, LIU Baopeng1, Bob Lew2, JIA Cunxian1   

  1. 1. Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University &
    Shandong University Center for Suicide Prevention Research, Jinan 250012, Shandong, China;
    2. Department of Social Psychology, Putra University of Malaysia, Serdang 43400, Selangor, Malaysia
  • Published:2021-11-11

摘要: 目的 探讨生命意义感在大学生心理扭力与自杀行为风险之间的中介作用。 方法 采用心理扭力量表、简版生活目的量表和自杀行为问卷-修订版对济南市某高校1 574名大学生进行问卷调查。 结果 244名大学生具有较高的自杀行为风险,生命意义感得分与心理扭力得分、自杀行为风险得分均呈负相关(r=-0.482、-0.297,P均<0.001),心理扭力得分与自杀行为风险得分呈正相关(r=0.335,P<0.001)。中介效应分析结果显示,生命意义感在大学生心理扭力与自杀行为风险之间起部分中介作用,中介效应占总效应的25.12%。 结论 减少大学生心理扭力,培养其生命意义感,可能降低其自杀行为风险。

关键词: 大学生, 心理扭力, 生命意义感, 自杀行为风险, 简版生活目的量表

Abstract: Objective To explore the mediating effect of meaning in life between psychological strain and suicidal behavior risk in college students. Methods A total of 1,574 college students from a university in Jinan were investigated by Psychological Strain Scale, Purpose in Life Test-Short Form and Suicidal Behaviors Questionnaire-Revised. Results A total of 244 college students were classified with suicidal behavior risk. The score of meaning in life was negatively correlated with the score of psychological strain and the score of suicidal behavior risk(r=-0.482, -0.297, both P<0.001), and the score of psychological strain was positively correlated with the score of suicidal behavior risk(r=0.335, P<0.001). Mediating effect test showed that meaning in life played a partial mediating role between college students psychological strain and suicidal behavior risk, and the mediating effect accounted for 25.12% of the total variance. Conclusion Reducing college students psychological strain and cultivating their meaning in life could reduce the risk of suicidal behavior.

Key words: College students, Psychological strain, Meaning in life, Suicidal behavior risk, Purpose in Life Test-Short Form

中图分类号: 

  • R181
[1] World Health Organization. Preventing suicide: a global imperative [R]. Luxemburg: WHO, 2014.
[2] 张杰. 自杀的“压力不协调理论”初探(综述)[J].中国心理卫生杂志, 2005, 19(11): 63-67.
[3] Zhang J. The strain theory of suicide [J]. J Pac Rim Psychol, 2019, 13. doi: 10.1017/prp.2019.19.
[4] Song Y, Bai W, Wang M, et al. The association between psychological strain and suicidal behaviors among college students: a mental health survey in Jilin Province, Northeast China [J]. J Affect Disord, 2019, 259: 195-200. doi: 10.1016/j.jad.2019.08.042.
[5] Zhang J, Liu Y, Zhang J, et al. Linking psychological strain and suicide ideation: a test of the mediating effect of self-determination among Chinese workers [J]. J Nerv Ment Dis, 2018, 206(5): 362-369.
[6] 肖蓉, 李碧雯. 简版生活目的量表在大学生中应用的信效度分析[J].中华行为医学与脑科学杂志, 2016, 25(10): 946-950. XIAO Rong, LI Biwen. Psychometric character of purpose in life test-short form in college students. [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2016, 25(10): 946-950.
[7] Schulenberg SE, Smith CV, Drescher CF, et al. Assessment of meaning in adolescents receiving clinical services in Mississippi following the deepwater horizon oil spill: an application of the Purpose in Life Test-Short Form(PIL-SF)[J]. J Clin Psychol, 2016, 72(12): 1279-1286.
[8] 向思雅, 魏绮雯, 郑少丹, 等. 大学生社会性无聊感、生命意义感与自杀意念[J].中国健康心理学杂志, 2016, 24(4): 522-526. XIANG Siya, WEI Qiwen, ZHENG Shaodan, et al. The relationship among local college students social boredom, life meaning and suicidal ideation [J]. China Journal of Health Psychology, 2016, 24(4): 522-526.
[9] 赖巧珍, 肖蓉. 大学生抑郁与负性生活事件及生命意义感的关系[J].广东医学, 2018, 39(22): 3404-3406.
[10] 雷建卫, 汪媛. 胃癌根治术后患者的不良情绪与生命意义的关系[J].国际精神病学杂志, 2020, 47(5): 1032-1034. LEI Jianwei, WANG Yuan. Correlation between bad emotions and life significance after radical operation for gastric cancer [J]. Journal of International Psychiatry, 2020, 47(5): 1032-1034.
[11] 蒋海飞, 刘海骅, 苗淼, 等. 生命意义感对大学新生日常烦心事和心理适应的影响[J].心理科学, 2015, 38(1): 123-130.
[12] Aviad-Wilchek Y,Neeman-Haviv V. The relation between a sense of meaning in life and suicide potential among disadvantaged adolescent girls [J]. Int J Offender Ther Comp Criminol, 2018, 62(6): 1474-1487.
[13] Lew B, Chistopolskaya K, Osman A, et al. Meaning in life as a protective factor against suicidal tendencies in Chinese university students [J]. BMC Psychiatry, 2020, 20(1): 73. doi: 10.1186/s12888-020-02485-4.
[14] Liu Y, Usman M, Zhang J, et al. Making sense of Chinese employees suicidal ideation: a psychological strain-life meaning model [J]. Psychol Rep, 2020, 123(2): 201-223.
[15] Zhang J, Liu Y, Sun L. Psychological strain and suicidal ideation: a comparison between Chinese and US college students [J]. Psychiatry Res, 2017, 255: 256-262. doi: 10.1016/j.psychres.2017.05.046.
[16] Zhang J, Wang W, Huen JMY, et al. Towards higher psychometric properties: testing the Psychological Strain Scales with larger samples [J]. Arch Suicide Res, 2020: 1-15. doi: 10.1080/13811118.2020.1847707.
[17] Schulenberg SE, Schnetzer LW, Buchanan EM. The Purpose in Life Test-Short Form: development and psychometric support [J]. J Happiness Stud, 2011, 12(5): 861-876.
[18] Osman A, Bagge CL, Gutierrez PM, et al. The Suicidal Behaviors Questionnaire-Revised(SBQ-R): validation with clinical and nonclinical samples [J]. Assessment, 2001, 8(4): 443-454.
[19] 石绪亮, 朱亚, 董江雪, 等. 自杀行为问卷-修订版(SBQ-R)在中国大学生群体中的信效度检验[J].中国健康心理学杂志, 2021, 29(4): 593-597. SHI Xuliang, ZHU Ya, DONG Jiangxue, et al. Reliability and validity of the Suicidal Behaviors Questionnaire-Revised(SBQ-R)in Chinese college sudents [J]. China Journal of Health Psychology, 2021, 29(4): 593-597.
[20] Antony MM, Bieling PJ, Cox BJ, et al. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample [J]. Psychol Assess, 1998, 10(2):176-181.
[21] Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales(DASS)with the Beck Depression and Anxiety Inventories [J]. Behav Res Ther, 1995, 33(3):335-343.
[22] 韩拓, 马维冬, 巩红, 等. 新冠肺炎疫情居家隔离期间大学生负性情绪及影响因素分析[J].西安交通大学学报(医学版), 2021, 42(1): 132-136. HAN Tuo, MA Weidong, GONG Hong, et al. Investigation and analysis of negative emotion among university students during home quarantine of COVID-19[J]. Journal of Xian Jiaotong University(Medical Sciences), 2021, 42(1): 132-136.
[23] 龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版(DASS-21)在中国大学生中的测试报告[J].中国临床心理学杂志, 2010, 18(4): 443-446. GONG Xu, XIE Xiyao, XU Rui, et al. Psychometric properties of Chinese Versions of DASS-21 in Chinese college students. [J]. Chinese Journal of Clinical Psychology, 2010, 18(4): 443-446.
[24] Zimet GD, Powell SS, Farley GK, et al. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support [J]. J Pers Assess, 1990, 55(3-4): 610-617.
[25] 王国民, 郑利锋, 周波, 等. 社会支持与失独者抑郁、孤独感及生活质量的关系分析[J].中华全科医学, 2019, 17(4): 622-624, 640. WANG Guomin, ZHENG Lifeng, ZHOU Bo, et al. Analysis of the relationship among social support, depression, loneliness and quality of life about the parents who lose their only child [J]. Chinese Journal of General Practice, 2019, 17(4): 622-624, 640.
[26] 贺志强, 孙晓娅, 王立群, 等. 大学生社会支持与负性情绪自杀行为的相关性[J].中国学校卫生, 2019, 40(5): 704-706, 711. HE Zhiqiang, SUN Xiaoya, WANG Liqun, et al. The moderating effect of social support on the relationship between negative emotions and suicidal behaviors among college [J]. Chinese Journal of School Health, 2019, 40(5): 704-706, 711.
[27] 董炳刚, 冯春明, 孙士华, 等. 2013年山东省内3所大学学生自杀意念现状及其与心理扭力的关系[J].预防医学论坛, 2015, 21(6): 426-429. DONG Binggang, FENG Chunming, SUN Shihua, et al. Study on association between psychological strain and suicidal ideation among students in 3 universities, Shandong Province, 2013 [J]. Preventive Medicine Tribune, 2015, 21(6): 426-429.
[28] Costanza A, Prelati M, Pompili M. The meaning in life in suicidal patients: the presence and the search for constructs. A systematic review [J]. Medicina(Kaunas), 2019, 55(8): 465. doi: 10.3390/medicina55080465.
[29] 张凯, 吴守宝, 钟建平. 大学生生命意义感与生活满意度的关系[J].中华行为医学与脑科学杂志, 2016, 21(4): 367-369. ZHANG Kai, WU Shoubao, ZHONG Jianping. Relationship between life meaning and life satisfaction among university students [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2016, 21(4): 367-369.
[30] 肖蓉, 赖巧珍, 赵久波. 大学生生命意义感在负性生活事件与自杀风险间的调节与中介作用[J].中华行为医学与脑科学杂志,2018, 27(3): 202-206. XIAO Rong, LAI Qiaozhen, ZHAO Jiubo. Regulating effect and mediating effect of meaning in life between negative life events and suicidal risk among college students [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2018, 27(3): 202-206.
[31] Marco JH, Cañabate M, Llorca G, et al. Meaning in life moderates hopelessness, suicide ideation, and borderline psychopathology in participants with eating disorders: a longitudinal study [J]. Clin Psychol Psychother, 2020, 27(2): 146-158.
[32] 胡云君, 崔冠宇. 负性生活事件与自杀态度:生命意义与情绪弹性的多重中介模型[J].温州大学学报(自然科学版), 2020, 41(3): 57-62. HU Yunjun, CUI Guanyu. Negative life events and the suicide attitude: a multiple mediating model of meaning in life and emotional resilience [J]. Journal of Wenzhou University(Natural Science Edition), 2020, 41(3): 57-62.
[33] 冯缦, 刘利, 刘娟, 等. 集体心理咨询提升大学生生命意义感的干预研究[J].中国心理卫生杂志, 2016, 30(10): 779-784. FENG Man, LIU Li, LIU Juan, et al. Effects of group psychological counseling on improving life meaning in college students [J]. Chinese Mental Health Journal, 2016, 30(10): 779-784.
[34] 苑波. 高中生校园排斥及其与冲动性特质、生命意义感、自杀意念的关系[D].沈阳:沈阳师范大学, 2019.
[35] 殷宁. 大学生生命教育必要性及实施途径研究[D].杭州:浙江财经大学, 2016.
[36] Orbach I, Mikulincer M, Gilboa-Schechtman E, et al. Mental pain and its relationship to suicidality and life meaning [J]. Suicide Life Threat Behav, 2003, 33(3): 231-241.
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