医学研究生物质主义及其与抑郁的关系：物质至上导致更高的抑郁风险

doi:10.12122/j.issn.1673-4254.2025.06.11

摘要/Abstract

摘要：

目的探讨医学研究生物质主义价值观表现及其与抑郁的关系。方法采用物质主义倾向量表（MTS）和患者健康问卷-9（PHQ-9）对某医科大学592名临床医学专业学位硕士研究生进行调查，采用描述性分析、均数比较和相关分析进行数据分析。结果医学研究生物质主义量表总分为56.36±10.44分，高、中、低物质主义者分别占11.8%、54.1%和34.1%；医学研究生物质主义总分在性别和家庭经济水平上差异无统计学意义，但在家庭居住地上，城市家庭研究生的物质主义水平较农村更高（P<0.001）； 18.4%的医学研究生抑郁症状筛查阳性，有中重度抑郁症状表现。医学研究生物质主义总分与抑郁呈正相关（r=0.289，P<0.001），物质崇拜、物质虚荣、物质兴趣和物质追求维度与抑郁得分呈正相关（r=0.183~0.249，P<0.001）；不同物质主义水平者在抑郁症状表现和总体水平上有显著差异，高物质主义水平者的抑郁表现更严重（F=18.792，P<0.001），且抑郁阳性筛查率更高（χ² =27.528，P<0.001）。结论高物质主义会增加医学研究生抑郁的风险。

关键词: 物质主义, 抑郁, 价值观, 临床医学专业学位硕士研究生

Abstract:

Objective To explore the values of materialism in medical postgraduates and its relationship with depression. Methods We conducted a survey among 592 postgraduates in clinical medicine using Materialism Tendency Scale (MTS) and Patient Health Questionnaire-9 (PHQ-9). Descriptive analysis, mean comparison, and correlation analysis were used for data analysis. Results The postgraduates had a mean total score of materialism of 56.36±10.44, and 11.8%, 54.1%, and 34.1% of them reported high, medium, and low levels of materialism, respectively. No significant differences were found in the total score of materialism among the postgraduates of different genders or with different family economic levels, but the postgraduates from urban families had a significantly higher level of materialism than those from rural families (P<0.001). 18.4% of the postgraduates screened positive for moderate to severe depressive symptoms. The total score of MTS was positively correlated with depression (r=0.289, P<0.001). The dimension scores of MTS for materialism obsessions, material vanity, material interest, and material pursuit were all positively correlated with depression (r=0.183-0.289, P<0.001). The depressive symptoms and their overall levels differed significantly among individuals with different levels of materialism, and higher levels of materialism were associated with severer depressive symptoms (F=18.792, P<0.001) and a higher positive rate of depression (χ²=27.528, P<0.001). Conclusion Materialistic values may increase the risk of depression among medical postgraduates.

Key words: materialistic values, depression, values, clinical medicine professional degree postgraduate student

吕夏, 肖蓉. 医学研究生物质主义及其与抑郁的关系：物质至上导致更高的抑郁风险[J]. 南方医科大学学报, 2025, 45(6): 1220-1225.

Xia LV, Rong XIAO. Materialistic values and their association with depression in medical postgraduates: materialism leads to higher risk of depression[J]. Journal of Southern Medical University, 2025, 45(6): 1220-1225.

图/表 3

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Characteristics	Material tendency	Material worship	Material vanity	Material interests	Material pursuits	Material desires
Gender
Male (n=244)	56.93±11.39	11.71±3.3	8.9±2.96	11.84±3.16	14.64±2.98	11.86±1.71
Female (n=348)	55.95±9.72	11.17±2.96	8.58±2.52	11.18±2.66	14.61±2.75	12.32±1.71
t	1.097	2.097*	1.351	2.669**	0.144	-3.192**
Place of residence
Countryside (n=230)	54.53±10.13	10.99±3.1	8.17±2.43	10.97±2.81	14.51±2.89	11.97±1.64
City (n=362)	57.51±10.49	11.65±3.1	9.06±2.82	11.77±2.9	14.7±2.82	12.23±1.77
t	-3.414***	-2.517*	-4.099***	-3.292**	-0.781	-1.824
Family finances
Poor (n=84)	57.04±11.68	11.92±3.45	8.32±2.68	11.69±3.06	15.23±3.15	11.69±1.71
Medium (n=450)	56.22±9.96	11.32±297	8.69±2.67	11.44±2.84	14.52±2.72	12.19±1.67
Rich (n=58)	56.43±12.24	11.21±3.64	9.43±2.95	11.21±3.08	14.38±3.23	12.29±2.04
F	0.217	1.398	2.939	0.495	2.292	3.285
Total (n=592)	56.36±10.44	11.39±3.11	8.71±2.71	11.46±2.89	14.62±2.84	12.13±1.72

Characteristics	Material tendency	Material worship	Material vanity	Material interests	Material pursuits	Material desires
Gender
Male (n=244)	56.93±11.39	11.71±3.3	8.9±2.96	11.84±3.16	14.64±2.98	11.86±1.71
Female (n=348)	55.95±9.72	11.17±2.96	8.58±2.52	11.18±2.66	14.61±2.75	12.32±1.71
t	1.097	2.097*	1.351	2.669**	0.144	-3.192**
Place of residence
Countryside (n=230)	54.53±10.13	10.99±3.1	8.17±2.43	10.97±2.81	14.51±2.89	11.97±1.64
City (n=362)	57.51±10.49	11.65±3.1	9.06±2.82	11.77±2.9	14.7±2.82	12.23±1.77
t	-3.414***	-2.517*	-4.099***	-3.292**	-0.781	-1.824
Family finances
Poor (n=84)	57.04±11.68	11.92±3.45	8.32±2.68	11.69±3.06	15.23±3.15	11.69±1.71
Medium (n=450)	56.22±9.96	11.32±297	8.69±2.67	11.44±2.84	14.52±2.72	12.19±1.67
Rich (n=58)	56.43±12.24	11.21±3.64	9.43±2.95	11.21±3.08	14.38±3.23	12.29±2.04
F	0.217	1.398	2.939	0.495	2.292	3.285
Total (n=592)	56.36±10.44	11.39±3.11	8.71±2.71	11.46±2.89	14.62±2.84	12.13±1.72

Items	Materialism levels			F/χ²	P	Multiple comparison
Items	1 Low (n=202)	2 Medium (n=320)	3 High (n=70)	F/χ²	P	Multiple comparison
PHQ-9 Score	6.02±3.78	7.06±3.76	9.24±4.08	18.792	<0.001	1<2<3
Positive rate[n (%)]	24(11.9)	57(17.8)	28(40)	27.528	<0.001

Items	Materialism levels			F/χ²	P	Multiple comparison
Items	1 Low (n=202)	2 Medium (n=320)	3 High (n=70)	F/χ²	P	Multiple comparison
PHQ-9 Score	6.02±3.78	7.06±3.76	9.24±4.08	18.792	<0.001	1<2<3
Positive rate[n (%)]	24(11.9)	57(17.8)	28(40)	27.528	<0.001

Items	Materialism levels			F	P	Multiple comparison
Items	1 Low (n=202)	2 Medium (n=320)	3 High (n=70)	F	P	Multiple comparison
1.Little interest	0.95±0.64	1.09±0.60	1.37±0.73	12.149	<0.001	1<2<3
2.Feeling depressed	0.88±0.60	0.95±0.54	1.17±0.61	6.835	0.001	1<3,2<3
3.Trouble sleeping	0.78±0.70	0.85±0.72	1.13±0.92	5.921	0.003	1<3,2<3
4.Feeling tired	0.98±0.62	1.09±0.67	1.33±0.61	7.699	<0.001	1<3,2<3
5. Poor appetite	0.62±0.67	0.72±0.66	1.03±0.74	9.444	<0.001	1<3,2<3
6.Feeling bad about oneself	0.55±0.70	0.71±0.68	0.97±0.70	10.283	<0.001	1<2<3
7.Trouble concentrating	0.85±0.69	1.02±0.67	1.36±0.68	15.021	<0.001	1<2<3
8.Slow or restless	0.33±0.55	0.46±0.61	0.54±0.53	4.982	0.007	1<2,1<3
9.Suicidal ideation	0.09±0.34	0.17±0.42	0.34±0.59	9.351	<0.001	1<3