不同性别壮族医科大学生心理健康水平与全国常模的比较  

Comparison between the psychological health level of medical college students of Zhuang nationality and the national norms of either sex

作　　者：吴琪俊[1] 马迎教[1] 雷菠[1] 邓树嵩[1] 

机构地区：[1]右江民族医学院基础学院预防医学教研室,广西壮族自治区百色市533000

出　　处：《中国组织工程研究与临床康复》2007年第17期3285-3287,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：广西教育科学"十五"规划A类资助课题(2005-29)~~

摘　　要：目的:评估壮族医科大学生的心理健康状况是否存在性别、民族差异,是否与国内常模有明显差别,同时分析哪种心理障碍在壮族医科大学生中发生率较高。方法:①于2005-11采用随机整群抽样方法对右江民族医学院的2004级临床医学专业7个班的本科学生378人进行调查。80%的学生来自广西,均自愿接受调查。②采用症状自评量表评估纳入对象心理健康水平,该量表含90个项目,采用1～5级评分制(1～5分,分数越高说明症状越严重),包含躯体化、强迫、人际关系敏感、焦虑、抑郁、敌意、恐怖、偏执、精神病性共9个心理症状因子。为反映壮族医科大学生的心理障碍发生的强度,以各因子分≥3分为发生心理障碍的量化值,统计心理障碍发生率。③两组间计量资料差异比较采用t检验。结果:发放调查表378份,收回填写完整、准确的调查表356份(应答率为94.2%),其中男生165人,女生191人;汉族152人(男78人,女74人),壮族190人(男81人,女109人),其他少数民族14人。①不同性别间比较:男性医科大学生症状自评量表中敌对因子得分明显高于女性,分别为(1.57±0.69),(1.44±0.46)分(t=2.118,P<0.05),其余各因子分值相近(t=0.429～1.886,P>0.05)。②不同民族间比较:壮族和汉族医科大学生症状自评量表各因子分值比较,差异不明显(t=1.221～1.893,P>0.05)。③壮族医科大学生与国内常模比较:壮族大学生与国内常模症状自评量表各因子评分中,只有敌对因子得分相近,其余各因子评分均为壮族大学生明显高于国内常模(t=2.436～7.898,P<0.05～0.01)。④壮族医科大学生心理障碍发生率:壮族医科大学生症状自评量表各因子的心理障碍发生率为7.89%～35.26%,分别为躯体化10.00%,强迫35.26%,人际敏感31.05%,抑郁25.26%,焦虑14.74%,敌对12.12%,恐怖7.89%、偏执8.95%,精神病性15.26%。结论:壮族大学生心理健康水平无明显性别、民族差异,但�AIM： To understand the psychological health status in sex, national difference of medical college students of Zhuang nationality, and the difference with national norms, at the same time, to analyze which kind of psychological obstacle is with higher incidence rate inthe Zhuang medical college students. METHODS： ①Totally 378 undergraduate students of grade 2004 from 7 classes of clinical medicine department of Youjiang Medical College of Nationalities were investigated with randomized cluster sample method during November 2005. 80% students came from Guangxi province and agreed to accept the investigation voluntarily. ②Mental health was assessed with symptom checklist （SCL-90）, and the scale contained 90 items, 1-5 grades （1-5 points, the higher score represented the severe symptom）, which ware sornatizadon, obsessive-compulsive, interpersonal sensitivity, anxiety, depression, hostility, phobic anxiety, paranoid ideation and psychoticism. To reflect the occurrence intensity of mental obstacle in Zhuang medical college students, the incidence rate of mental obstacle was summed up on the basis of taking at least3 points as quantitative value of mental obstacle. ③The difference of measurement data was compared with t test between the two groups. RESULTS： Totally 378 questionnaires ware sent out, and 356 fully filled exacted questionnaires ware retreved （response rate of 94.2%）, of which there ware 165 males, 191 females, 152 Han nationality persons （78 males and 74 females）, 190 Zhuang nationality persons （81 males and 109 females）. ~）Comparison of either sex： The score of hostility in the SCL-90 was obviously higher in the male medical college students than the female medical college students [（1.57±0.69）, （1.44±0.46） points, t=-2.118,P〈 0.05]. The scores of other factors ware similar （t=0.429-1.886,P 〉 0.05）. ②Comparison between different nationalities： There was no significant difference in each factor between the Zhuang and Han nationalities students （t

关 键 词：学生 医科 精神病状态评定量表 壮族 

分 类 号：R395.13[哲学宗教—心理学]