有问题的手机使用和亲密朋友数量对大学生抑郁和焦虑症状的影响

DOI：10.3389/fpsyt.2023.1281847

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.

背景: 大学生经常出现心理问题，最常见的是抑郁和焦虑症状。探讨影响大学生抑郁和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: 探讨手机问题使用(PMPU)和亲密朋友数量(nfc)对大学生抑郁、焦虑症状及其共病的独立影响和交互影响。

方法: 于2022年10-12月在中国安徽省淮南市和江苏省苏州市进行横断面调查。收集了7617名大学生的数据。采用《患者健康问卷》和《广泛性焦虑障碍-7》评估抑郁和焦虑症状。PMPU数据采用手机成瘾类型量表收集。采用多项逻辑回归模型检验PMPU和ncf与抑郁和焦虑症状的关系及其相互作用。

结果: PMPU和缺乏亲密朋友显著增加了大学生抑郁、焦虑症状及其合并症的风险(p<0.001)。此外，PMPU与缺乏亲密朋友对大学生抑郁和焦虑症状的影响是交互的(p<0.001)。没有发现明显的性别差异。