Article(id=1259565966535570180, tenantId=1146029695717560320, journalId=1259198908832956435, issueId=1259565961842123095, articleNumber=null, orderNo=null, doi=10.16462/j.cnki.zhjbkz.2026.02.011, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1757952000000, receivedDateStr=2025-09-16, revisedDate=1764086400000, revisedDateStr=2025-11-26, acceptedDate=null, acceptedDateStr=null, onlineDate=1778233528025, onlineDateStr=2026-05-08, pubDate=1770652800000, pubDateStr=2026-02-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1778233528025, onlineIssueDateStr=2026-05-08, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1778233528025, creator=13701087609, updateTime=1778233528025, updator=13701087609, issue=Issue{id=1259565961842123095, tenantId=1146029695717560320, journalId=1259198908832956435, year='2026', volume='30', issue='2', pageStart='125', pageEnd='242', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1778233526907, creator=13701087609, updateTime=1778233940379, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1259567696174301345, tenantId=1146029695717560320, journalId=1259198908832956435, issueId=1259565961842123095, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1259567696174301346, tenantId=1146029695717560320, journalId=1259198908832956435, issueId=1259565961842123095, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=202, endPage=209, ext={EN=ArticleExt(id=1259565968133600009, articleId=1259565966535570180, tenantId=1146029695717560320, journalId=1259198908832956435, language=EN, title=Network analysis of the relationship between life events, social support and depressive symptoms among college student from different years, columnId=1259565965784789759, journalTitle=Chinese Journal of Disease Control and Prevention, columnName=Original Articles, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the relative contribution of multidimensional influential factors on depressive symptoms among college students and to compare the differences in key influencing factors between different years, to provide evidence for the preventive intervention of depression among current college students.
Methods Clinical medicine students from a medical university were selected as research subjects in 2011 and 2024, respectively. The center for epidemiological studies depression scale (CES-D), life events scale, and social support rating scale were used to assess depressive symptoms, recent negative life events, and social support levels. Network analysis was employed to construct networks of life events, social support, and depressive symptoms among university students. The association strengths between different dimensions of life events, social support, and depressive symptoms were analyzed to identify the most central "symptoms" and activating factors within the networks. Network comparison tests (NCT) were used to explore differences between the networks of the two years.
Results The detection rates of depressive symptoms among college students in the two survey years were 28.3% and 37.1%, respectively. Statistically significant differences (P < 0.05) were observed in scores for objective support (t=101.68), subjective support (t=7.31), total social support (t=50.93), loss factor (t=2.54), punishment factor (t=-3.62), academic factor (t=5.19), and other factors (t=-8.57). Were statistically significant. Varying strengths of association were found between different dimensions of depressive symptoms and recent negative life events and social support among college students. The node with the highest expected influence (EI) in both years was D1 (depressive mood). The node with the highest bridge expected influence (BEI) was D3 (somatic symptoms) and D1 (depressive mood) in the respective years. Network comparison test results showed a statistically significant difference in the overall network strength between the two years (Global Strength2011=3.83, Global Strength2024=4.40, P < 0.001). The EI values of E2 (punishment factor), E5 (health adaptation factor), SS1 (objective support), and SS2 (subjective support) differed significantly between the year groups (P < 0.001). The BEI values of SS2 (subjective support) and D3 (somatic symptoms) also differed between the year groups (P=0.01).
Conclusions The detection rate of depressive symptoms among college students in 2024 was higher than that in 2011, and the pattern of associations between social support, recent negative life events, and depressive symptoms has changed. The findings highlight the important roles of academic pressure, peer relationships, and social support for contemporary college students.
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, copyrightStatement=Copyright © 2026 Chinese Journal of Disease Control & Prevention. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Hui ZHU, Jun WU, Jianfei DING, Yuhui WAN), CN=ArticleExt(id=1259565971543569180, articleId=1259565966535570180, tenantId=1146029695717560320, journalId=1259198908832956435, language=CN, title=基于不同年份的大学生生活事件和社会支持与抑郁症状关系的网络分析, columnId=1259565966174860033, journalTitle=中华疾病控制杂志, columnName=论著, runingTitle=null, highlight=null, articleAbstract=
目的 探讨多维度影响因素对大学生抑郁症状贡献大小，比较不同年份大学生抑郁症状关键影响因素的差异，为当前大学生抑郁的预防干预提供依据。
方法 分别在2011年和2024年选取某医科大学临床医学专业在校大学生为研究对象，采用流行病学调查中心抑郁自评量表、生活事件和社会支持评定量表，评价研究对象抑郁症状、近期负性生活事件及社会支持水平。采用网络分析方法构建大学生生活事件、社会支持与抑郁症状网络，分析生活事件和社会支持不同维度与抑郁症状的关联强度，确定网络中最核心“症状”和激发因素，采用网络比较分析探索不同年份网络差异。
结果 2个年份参与调查的大学生抑郁症状检出率分别为28.3%、37.1%，客观支持(t=101.68)、主观支持(t=7.31)、社会支持总分(t=50.93)、丧失因子(t=2.54)、惩罚因子(t=-3.62)、学习因子(t=5.19)和其他(t=-8.57)得分的差异均有统计学意义(均P＜0.05)。大学生抑郁症状不同维度与近期负性生活事件和社会支持关联强度不尽相同。节点中心性结果显示，预期影响值(expected influence, EI)在2个年份的最大节点均为D1(抑郁情绪)，桥中心性值(bridge expected influence, BEI)在2个年份的最大节点分别为D3(躯体症状)和D1(抑郁情绪)。2个年份网络整体强度差异有统计学意义(Global Strength2011=3.83，Global Strength2024=4.40，P＜0.001)，E2(惩罚因子)、E5(健康适应因子)、SS1(客观支持)、SS2(主观支持)的EI在不同年份组间的差异均有统计学意义(均P＜0.001)，SS2(主观支持)和D3(躯体症状)的BEI在不同年份组间的差异均有统计学意义(P=0.01)。
结论 2024年大学生抑郁症状检出率高于2011年大学生抑郁症状检出率，且大学生社会支持、近期负性生活事件与抑郁症状之间的关联模式发生了变化，强调了对当代大学生而言，学习压力、同伴关系及社会支持的重要作用。
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network of social support, negative life events, and depression symptoms among college students, figureFileSmall=VVtmh8WglFDbumsST/Pjlg==, figureFileBig=ambaoR0EGNMRtfK8pRpAiA==, tableContent=null), ArticleFig(id=1259565988358534045, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=CN, label=图1, caption=
大学生社会支持、近期负性生活事件和抑郁症状网络A：2011年大学生社会支持、近期负性生活事件和抑郁症状网络；B：2024年大学生社会支持、近期负性生活事件和抑郁症状网络；节点：(1)抑郁症状，D1：抑郁情绪；D2：积极情绪；D3：躯体症状；D4：人际关系；(2)近期负性生活事件，E1：人际关系因子；E2：丧失因子；E3：惩罚因子；E4：学习因子；E5健康适应因子；E6：其他；(3)社会支持，SS1：客观支持；SS2：主观支持；SS3：对支持利用度。
, figureFileSmall=VVtmh8WglFDbumsST/Pjlg==, figureFileBig=ambaoR0EGNMRtfK8pRpAiA==, tableContent=null), ArticleFig(id=1259565989411304356, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=EN, label=Figure 2, caption=
The centrality of the network of social support, negative life events, and depression symptoms among college students, figureFileSmall=se+1L5vbB2U27oPEaDlyBA==, figureFileBig=pI6zdvqV2P4YKO0h7kCeyQ==, tableContent=null), ArticleFig(id=1259565989717488549, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=CN, label=图2, caption=
大学生社会支持、近期负性生活事件和抑郁症状网络中心性指标A：2011年网络预期影响值；B：2024年网络预期影响值；C：2011年网络桥中心性；D：2024年网络桥中心性。
, figureFileSmall=se+1L5vbB2U27oPEaDlyBA==, figureFileBig=pI6zdvqV2P4YKO0h7kCeyQ==, tableContent=null), ArticleFig(id=1259565990199833512, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=EN, label=Table 1, caption=
Distribution of depression symptoms among college students by different characteristics
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量Variable | 2011年year | | 2024年year | P值
value |
无抑郁症状
No symptoms of depression① | 有抑郁症状
Depressive symptoms① | P值
value | 无抑郁症状
No symptoms of depression① | 有抑郁症状
Depressive symptoms① | P值
value |
| 客观支持Objective support | 18.02±3.05 | 17.70±3.42 | 0.081 | | 8.40±2.27 | 7.80±2.30 | ＜0.001 | ＜0.001 |
| 主观支持Subjective support | 24.13±3.66 | 22.36±3.93 | ＜0.001 | 23.10±4.11 | 21.78±4.00 | ＜0.001 | ＜0.001 |
| 支持利用度Utilization support | 7.98±1.74 | 7.30±1.65 | ＜0.001 | 8.07±1.85 | 7.29±1.68 | ＜0.001 | 0.966 |
社会支持总分
Total social support score | 50.13±5.47 | 47.37±6.26 | ＜0.001 | 39.58±6.15 | 36.87±5.91 | ＜0.001 | ＜0.001 |
人际关系因子
Interpersonal relationship factor | 5.10±3.81 | 7.89±4.10 | ＜0.001 | 4.45±4.13 | 8.11±5.23 | ＜0.001 | 0.625 |
| 丧失因子Loss factor | 1.45±1.85 | 2.17±2.10 | ＜0.001 | 1.04±1.76 | 2.19±2.45 | ＜0.001 | 0.011 |
| 惩罚因子Punishment factor | 2.62±3.48 | 5.49±5.55 | ＜0.001 | 2.51±4.48 | 6.87±7.72 | ＜0.001 | ＜0.001 |
| 学习因子Learning factor | 6.24±3.64 | 9.28±4.16 | ＜0.001 | 5.01±3.92 | 8.47±5.00 | ＜0.001 | ＜0.001 |
| 健康适应因子Health adaptation factor | 2.89±2.23 | 4.52±2.68 | ＜0.001 | 2.68±2.59 | 4.86±3.68 | ＜0.001 | 0.168 |
| 其他Others | 1.82±2.20 | 3.79±3.24 | ＜0.001 | 2.31±2.76 | 5.02±4.03 | ＜0.001 | ＜0.001 |
近期负性生活事件总分
Total score for recent negative life events | 20.11±13.32 | 33.14±17.09 | ＜0.001 | 18.00±16.52 | 35.53±25.03 | ＜0.001 | 0.279 |
), ArticleFig(id=1259565990573126570, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=CN, label=表1, caption=
不同特征下大学生抑郁症状的分布情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量Variable | 2011年year | | 2024年year | P值
value |
无抑郁症状
No symptoms of depression① | 有抑郁症状
Depressive symptoms① | P值
value | 无抑郁症状
No symptoms of depression① | 有抑郁症状
Depressive symptoms① | P值
value |
| 客观支持Objective support | 18.02±3.05 | 17.70±3.42 | 0.081 | | 8.40±2.27 | 7.80±2.30 | ＜0.001 | ＜0.001 |
| 主观支持Subjective support | 24.13±3.66 | 22.36±3.93 | ＜0.001 | 23.10±4.11 | 21.78±4.00 | ＜0.001 | ＜0.001 |
| 支持利用度Utilization support | 7.98±1.74 | 7.30±1.65 | ＜0.001 | 8.07±1.85 | 7.29±1.68 | ＜0.001 | 0.966 |
社会支持总分
Total social support score | 50.13±5.47 | 47.37±6.26 | ＜0.001 | 39.58±6.15 | 36.87±5.91 | ＜0.001 | ＜0.001 |
人际关系因子
Interpersonal relationship factor | 5.10±3.81 | 7.89±4.10 | ＜0.001 | 4.45±4.13 | 8.11±5.23 | ＜0.001 | 0.625 |
| 丧失因子Loss factor | 1.45±1.85 | 2.17±2.10 | ＜0.001 | 1.04±1.76 | 2.19±2.45 | ＜0.001 | 0.011 |
| 惩罚因子Punishment factor | 2.62±3.48 | 5.49±5.55 | ＜0.001 | 2.51±4.48 | 6.87±7.72 | ＜0.001 | ＜0.001 |
| 学习因子Learning factor | 6.24±3.64 | 9.28±4.16 | ＜0.001 | 5.01±3.92 | 8.47±5.00 | ＜0.001 | ＜0.001 |
| 健康适应因子Health adaptation factor | 2.89±2.23 | 4.52±2.68 | ＜0.001 | 2.68±2.59 | 4.86±3.68 | ＜0.001 | 0.168 |
| 其他Others | 1.82±2.20 | 3.79±3.24 | ＜0.001 | 2.31±2.76 | 5.02±4.03 | ＜0.001 | ＜0.001 |
近期负性生活事件总分
Total score for recent negative life events | 20.11±13.32 | 33.14±17.09 | ＜0.001 | 18.00±16.52 | 35.53±25.03 | ＜0.001 | 0.279 |
), ArticleFig(id=1259565991026111408, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=EN, label=Table 2, caption=
Edge weights of the network of social support, negative life events, and depression symptoms among college students in 2011
, figureFileSmall=null, figureFileBig=null, tableContent=
| 节点Node | E1 | E2 | E3 | E4 | E5 | E6 | SS1 | SS2 | SS3 | D1 | D2 | D3 |
| E2 | 0.10 | | | | | | | | | | | |
| E3 | 0.18 | 0.16 | | | | | | | | | | |
| E4 | 0.29 | 0.10 | 0.27 | | | | | | | | | |
| E5 | 0.10 | 0.06 | 0.06 | 0.18 | | | | | | | | |
| E6 | 0.21 | 0.07 | 0.28 | 0.00 | 0.19 | | | | | | | |
| SS1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | | | | | | |
| SS2 | -0.02 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | | | | | |
| SS3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.04 | 0.05 | 0.20 | | | | |
| D1 | 0.07 | 0.00 | 0.00 | 0.01 | 0.00 | 0.06 | 0.00 | -0.03 | 0.00 | | | |
| D2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.04 | 0.00 | -0.14 | -0.10 | 0.12 | | |
| D3 | 0.00 | 0.00 | 0.00 | 0.08 | 0.13 | 0.02 | 0.00 | 0.00 | -0.07 | 0.51 | 0.01 | |
| D4 | 0.07 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.02 | -0.01 | 0.31 | 0.10 | 0.24 |
), ArticleFig(id=1259565991416181682, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=CN, label=表2, caption=
2011年大学生社会支持、近期负性生活事件和抑郁症状网络边权值
, figureFileSmall=null, figureFileBig=null, tableContent=
| 节点Node | E1 | E2 | E3 | E4 | E5 | E6 | SS1 | SS2 | SS3 | D1 | D2 | D3 |
| E2 | 0.10 | | | | | | | | | | | |
| E3 | 0.18 | 0.16 | | | | | | | | | | |
| E4 | 0.29 | 0.10 | 0.27 | | | | | | | | | |
| E5 | 0.10 | 0.06 | 0.06 | 0.18 | | | | | | | | |
| E6 | 0.21 | 0.07 | 0.28 | 0.00 | 0.19 | | | | | | | |
| SS1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | | | | | | |
| SS2 | -0.02 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | | | | | |
| SS3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.04 | 0.05 | 0.20 | | | | |
| D1 | 0.07 | 0.00 | 0.00 | 0.01 | 0.00 | 0.06 | 0.00 | -0.03 | 0.00 | | | |
| D2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.04 | 0.00 | -0.14 | -0.10 | 0.12 | | |
| D3 | 0.00 | 0.00 | 0.00 | 0.08 | 0.13 | 0.02 | 0.00 | 0.00 | -0.07 | 0.51 | 0.01 | |
| D4 | 0.07 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.02 | -0.01 | 0.31 | 0.10 | 0.24 |
), ArticleFig(id=1259565991793669045, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=EN, label=Table 3, caption=
Edge weights of the network of social support, negative life events, and depression symptoms among college students in 2024
, figureFileSmall=null, figureFileBig=null, tableContent=
| 节点Node | E1 | E2 | E3 | E4 | E5 | E6 | SS1 | SS2 | SS3 | D1 | D2 | D3 |
| E2 | 0.14 | | | | | | | | | | | |
| E3 | 0.17 | 0.31 | | | | | | | | | | |
| E4 | 0.34 | 0.00 | 0.26 | | | | | | | | | |
| E5 | 0.14 | 0.15 | 0.03 | 0.22 | | | | | | | | |
| E6 | 0.17 | 0.08 | 0.23 | 0.11 | 0.25 | | | | | | | |
| SS1 | 0.02 | 0.02 | -0.01 | 0.00 | 0.01 | 0.00 | | | | | | |
| SS2 | -0.04 | 0.02 | 0.00 | -0.03 | 0.03 | 0.04 | 0.24 | | | | | |
| SS3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.04 | 0.18 | 0.14 | | | | |
| D1 | 0.04 | 0.00 | -0.02 | 0.09 | 0.00 | 0.01 | 0.00 | -0.05 | 0.00 | | | |
| D2 | 0.00 | 0.00 | 0.05 | -0.05 | 0.00 | 0.04 | -0.08 | -0.02 | -0.16 | 0.02 | | |
| D3 | 0.00 | -0.01 | 0.00 | 0.00 | 0.051 | 0.046 | -0.01 | -0.01 | -0.053 | 0.64 | 0.04 | |
| D4 | 0.05 | 0.00 | 0.00 | 0.00 | 0.00 | 0.01 | 0.00 | -0.03 | 0.00 | 0.34 | 0.13 | 0.16 |
), ArticleFig(id=1259565991915303862, tenantId=1146029695717560320, journalId=1259198908832956435, articleId=1259565966535570180, language=CN, label=表3, caption=
2024年大学生社会支持、近期负性生活事件和抑郁症状网络边权值
, figureFileSmall=null, figureFileBig=null, tableContent=
| 节点Node | E1 | E2 | E3 | E4 | E5 | E6 | SS1 | SS2 | SS3 | D1 | D2 | D3 |
| E2 | 0.14 | | | | | | | | | | | |
| E3 | 0.17 | 0.31 | | | | | | | | | | |
| E4 | 0.34 | 0.00 | 0.26 | | | | | | | | | |
| E5 | 0.14 | 0.15 | 0.03 | 0.22 | | | | | | | | |
| E6 | 0.17 | 0.08 | 0.23 | 0.11 | 0.25 | | | | | | | |
| SS1 | 0.02 | 0.02 | -0.01 | 0.00 | 0.01 | 0.00 | | | | | | |
| SS2 | -0.04 | 0.02 | 0.00 | -0.03 | 0.03 | 0.04 | 0.24 | | | | | |
| SS3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.04 | 0.18 | 0.14 | | | | |
| D1 | 0.04 | 0.00 | -0.02 | 0.09 | 0.00 | 0.01 | 0.00 | -0.05 | 0.00 | | | |
| D2 | 0.00 | 0.00 | 0.05 | -0.05 | 0.00 | 0.04 | -0.08 | -0.02 | -0.16 | 0.02 | | |
| D3 | 0.00 | -0.01 | 0.00 | 0.00 | 0.051 | 0.046 | -0.01 | -0.01 | -0.053 | 0.64 | 0.04 | |
| D4 | 0.05 | 0.00 | 0.00 | 0.00 | 0.00 | 0.01 | 0.00 | -0.03 | 0.00 | 0.34 | 0.13 | 0.16 |
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