Objective To explore the correlation between the distribution characteristics of traditional Chinese medicine (TCM) constitutions and depression, anxiety, and stress among college students at a university in Changsha. Methods Using a questionnaire survey method, a cross-sectional survey was conducted in a university in Changsha City from October 2023 to April 2024. The survey instruments included basic information, the DASS-21 scale, and the Traditional Chinese Medicine Constitution Questionnaire. The correlation between TCM constitution and depression, anxiety, and stress among college students was discussed through statistical analysis methods such as Chi-square test and binary logistic regression analysis. Results Among the 455 study subjects, the proportion of balanced constitution was 25.93%, while the proportion of biased constitution was 74.07%. Among the study subjects, the proportions of mild depression, anxiety, and stress were 11.43%, 10.33%, and 9.01%, respectively. The proportions of moderate to severe depression, anxiety, and stress were 16.92%, 41.54%, and 14.73%, respectively. There were significant differences in the distribution of depression, anxiety, and stress between balanced and biased constitutions (Pdepression<0.001, Panxiety<0.001, Pstress<0.001). Compared with the balanced constitution, two types of biased constitutions, phlegm-dampness and blood stasis, were more likely to cause depression and anxiety, while five types of biased constitutions, qi stagnation, qi deficiency, yang deficiency, yin deficiency, and damp-heat, were more likely to cause depression, anxiety, and stress, with qi stagnation being the most severe. Conclusion The anxiety situation among college students in a university in Changsha is relatively serious. The mental health of students with constitutional diathesis deviations should receive special attention, and various constitutional diathesis deviations such as qi stagnation can serve as indicators for early warning of negative emotions such as depression, anxiety, or stress among college students.
Key words
TCM constitution /
college students /
depression /
anxiety /
stress
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