医科院校大学生心理状态与家庭动力学的相关性特征(英文)  

Correlation between mental status and family dynamics among medical college students

作　　者：李静[1] 甘露春[2] 刘金英[2] 

机构地区：[1]重庆医科大学附属第一医院心理卫生中心,重庆市410016 [2]中山市人民医院心理咨询室,广东省中山市528403

出　　处：《中国组织工程研究与临床康复》2007年第30期6113-6115,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:大学生尤其是医科大学生的心理问题呈逐年上升的趋势,大学生心理问题不仅阻碍自己心身健康发展,而且引起不可忽视的社会危机。目的:调查某医科大学生心理问题的发生率及大学生心理状态与家庭动力学的关系。设计:随机整群抽样调查。单位:重庆医科大学附属第一医院心理卫生中心。对象:2004-11/2005-06根据整群抽样的原则选择重庆市某医科大学二年级学生801名。方法:①采用症状自评量表评估大学生心理问题,其中总分≥200和/或至少一个因子平均分≥3分视为有心理问题。得分越高,心理问题越严重。②采用家庭动力学自评量表评价家庭动力学特点。分为家庭气氛、个性化、系统逻辑、疾病观念4个维度。家庭气氛越轻松、愉快、平等,家庭气氛维度得分越低;家庭成员分化程度越好,个性化维度得分越低;家庭成员越倾向于用“非此即彼”的逻辑思维看待问题,系统逻辑维度得分越低;患者越多地将患病及疾病康复与本人的责任和主观努力联系在一起,疾病观念维度得分越低。主要观察指标:①大学生心理问题检出率。②有心理问题组与无心理问题组大学生家庭动力学评分比较。③大学生症状自评量表评分与家庭动力学各因子得分的相关分析和逐步回归分析结果。结果:共发放问卷801份,回收有效问卷747份。①医科大学生的心理问题的发生率为19.4%。②有心理问题组家庭气氛、个性化、疾病观念、系统逻辑得分高于无心理问题组,差异有显著性(3.10±0.49,2.66±0.64;2.92±0.54,2.77±0.58;2.79±0.55,2.69±0.54;2.58±0.67,2.36±0.62,P<0.05)。③大学生症状自评量表总分与家庭气氛、疾病观念得分呈正相关(r=0.184,0.156,P<0.05)。进入回归方程的是家庭气氛、个性化、疾病观念。结论:大学生的心理问题与家庭动力学密切相关。在影响大学生心理的家庭因素中,家庭气氛、BACKGROUND： Mental disorders of college students, especially medical college students, deteriorate year by year.Mental disorders can not only restrict healthy development of body and mind, but also cause social crisis.OBJECTIVE： To survey the prevalence of mental status and the correlation between mental status and family dynamics among medical college students.DESIGN： Randomized cluster sampling.SETTING： Center of Mental Health, the First Affiliated Hospital, Chongqing University of Medical Science.PARTICIPANTS： A total of 801 sophomores were selected from a medical university of Chongqing from November 2004 to June 2005.METHODS： ① Symptom Checklist-90 （SCL-90） was used to evaluate mental status among college students. If those students whose total scores were ≥ 200 and/or the score of any factor in SCL-90 was ≥ 3, they were regarded as having mental problem. The higher the scores were, the severer the mental problemwas. ② Family dynamics questionnaires, including family atmosphere, individuation, systemic logic and disease opinion, were used to evaluate characteristics of family dynamics. There were 4 items： family atmosphere, individuation, systemic logic and disease opinion. The more comfortable and cheerful the family atmosphere was, the lower the scores were; the greater the differentiated degrees were, the lower the scores of individuation were; the more objective the disposal of problems was,the lower the scores of systemic logic were; the more subjective the duty of recovery was, the lower the scores of disease opinion were.MAIN OUTCOME MEASURES： ① Prevalence of mental disorder; ② comparing scores of family dynamics between disorder group and normal group; ③ results of correlation analysis and step regression analysis between mental disorder and family dynamics.RESULTS： Among 801 questionnaires, 747 were involved in the final analysis. ① Prevalence of mental problem was 19.4%. ② The scores of family atmosphere, Individuation, systemic logic and disease opinion were

关 键 词：学生 医科 心理生理性障碍 家庭 

分 类 号：R395[哲学宗教—心理学]