肥胖对高校学生心理健康的影响

摘要

Objective To study the effects of obesity on mental health through psychological investigation and analysis for providing physical and mental protection for college students.Methods A total of 12900 college students underwent medical examination,personality questionnaires and SCL assessment,excluding those who did not complete the questionnaire due to subjective or objective factors and finally a total of 964 obese students and 11936 non-obese students were enrolled.Results Compared with non-obese students,obese students scored higher in hostility and bigotry significantly.Stratified analysis showed that overweight girls showed the increased score in interpersonal sensitivity and overweight boys showed the increased score in psychotic factor.Stratified analysis also showed that overweight undergraduates had significant change in interpersonal sensitivity,hostility and bigotry;overweight masters had significant change in interpersonal sensitivity and obsession;doctoral students had significant change in interpersonal sensitivity,hostility and anxiety (P<0.05).The number of overweight students with the scores equal or greater than three in interpersonal sensitivity and hostility significantly increased.Stratified analysis showed that the number of overweight boys with the scores equal or greater than three in obsession was more than that of normal boys, and the number of overweight girls with the scores equal or greater than three in terror was more than that of normal girls.Besides,the number of overweight students belonging to the first category of psychological type was more than that of normal students.Conclusion Obesity has effects on mental health for college students as well as study and life, which needs common concern of family,school and society.%目的 对高校学生进行心理健康情况调查和分析,研究肥胖对高校学生心理健康的影响,为高校学生健康的身心活动提供保障.方法 调查高校在读学生12900例,剔除因为主观或客观因素不能完成问卷者,共纳入964例肥胖学生和11936例非肥胖学生,进行体格检查、人格问卷调查和症状自评量表评估.结果 肥胖学生与非肥胖学生相比,敌对因子和偏执因子明显增高;在性别分层分析中,肥胖女生表现出人际关系敏感因子升高,肥胖男生则表现出精神病型因子升高;肥胖学生按学历分层分析时,不同学历的学生在强迫症和敌对因子上存在差异(P<0.05),其中,与本科生比较,硕士生和博士生的强迫因子得分明显较高,博士生的强迫因子敌对因子得分明显高于硕士生和本科生(P<0.05).肥胖学生中人际关系敏感因子、敌对和精神病型因子分值≥3者明显增多,分层分析中肥胖男生强迫因子分值≥3者较多,肥胖女生则恐怖因子分值≥3者较多.肥胖学生中属于第一类心理类型的数量较非肥胖学生显著增多.结论 肥胖影响高校学生的心理健康,可能对他们的学习和生活产生影响,需要家人、学校和社会共同关注.