医学生心理健康与坚韧性人格、应对方式的关系  

Relationship between mental health and hardiness,copying style of medical students

作　　者：谷新忠[1] 周紫哲[2] 王斐然[1] 陈雪铮[1] 贾思跃 高艳华[1] 

机构地区：[1]河北大学,河北保定071002 [2]石家庄信息工程职业学院,河北石家庄050000

出　　处：《医学研究与教育》2014年第2期60-63,75,共5页Medical Research and Education

基　　金：河北省科学研究与发展计划项目(10457205D-23);中华医学会医学教育分会和中国高等教育学会医学教育专业委员会"2012年度医学教育立项课题"(2012-XL-3);河北省高等教育学会2013年度高等教育科学研究立项课题(GJXH2013-351);保定市哲学社会科学规划研究项目(201301286)

摘　　要：目的了解医学生心理健康现状及其与坚韧性人格、应对方式的关系。方法以946名医学生为研究对象,使用症状自评量表、大学生坚韧性人格问卷、应对方式问卷进行问卷调查。结果与1986年全国青年组常模比较,医学生强迫症状、精神病性因子得分高,而人际关系敏感、抑郁、敌对、偏执因子得分均低,且有统计学意义;与1998年唐秋萍等人对SCL-90在中国的应用中得出的23 891名大学生样本比较,医学生各因子得分均低,并且有统计学意义。较常见的心理问题为:强迫症状、人际关系敏感、抑郁。医学生SCL-90总分、阳性项目数及10个因子与坚韧性人格总分及4个维度均呈负相关,与解决问题和求助成熟应对方式呈负相关,与其他应对方式呈正相关。结论医学生与其他大学生相比心理健康相对较好,但仍有部分学生存在不同程度的问题;坚韧性人格和成熟应对方式有助于医学生的心理健康,不成熟应对方式不利于学生的心理健康。Objective To know the status of the mental health and the relationship with the hardiness and copying style of medical students. Methods 947 medical students as the subjects were investigated, Symptom Check List 90（SCL-90）, the questionnaire of the structure of the university student＇s hardiness and Coping Styles Questionnaire（CSQ） were used. Results Compared with the National Youth norm in 1986, the medical students had higher score in compulsion, but lower score in interpersonal sensitivity, depression, hostility and paranoid ideation, and the differences were signifi cant. Compared with the sample of 23 891 college students in the study on the application of SCL-90 in China by TANG Qiuping et al in 1988, the medical students had lower score in all factors, and the differences is signifi cant. Compulsion, interpersonal sensitivity, depression were the most common psychological problems. Medical students＇ SCL-90 total score, the number of positive items and 10 factors were negatively correlated with hardiness personality total score and four dimensions, mature copying style of solving problem and seeking support, while positively correlated with other kinds of coping style. Conclusion Medical students have a better mental health condition compared with other college students, but there are still some of them having problems in different degree. Hardiness and mature copying style are benefi cial with medical students＇ mental health. Immature coping style is not favorable for medical students＇ mental health.

关 键 词：医学生 心理健康 坚韧性人格 应对方式 

分 类 号：R195[医药卫生—卫生统计学]