医学生总体幸福感、应对方式及其关系  

A Study on the Relationship between Medical Students' General sense of Well- Being and Coping Styles

作　　者：尉杰忠[1] 吴花林[1] 

机构地区：[1]大同大学脑科学研究所

出　　处：《中国健康心理学杂志》2015年第4期563-566,共4页China Journal of Health Psychology

摘　　要：目的:了解医学生总体幸福感、应对方式及其关系,为进一步开展医学生心理健康教育提供理论依据。方法:采用总体幸福感量表与应对方式量表对山西大同大学医学院241名学生进行问卷调查。结果:1医学生的幸福感总分较高,女生的幸福感总分高于相应常模(t=5.38,P<0.01),女生的忧郁或愉快心境得分高于男生得分(t=-2.358,P<0.05),男、女生的幸福感总分无显著差异(t=-1.549,P>0.05);2女生求助因子分高于男生(t=-2.522,P<0.05),男生合理化因子分高于女生(t=2.106,P<0.05);3幸福感与应对方式的解决问题、求助(r=0.186,0.247;P<0.01)呈正相关关系;与应对方式的自责、幻想、退避、合理化(r=-0.471,-0.304,-0.281,-0.312;P<0.01)维度呈负相关关系;4逐步回归分析中,自责、求助(t=-9690,2.853;P<0.01)进入回归方程,对总体幸福感的影响较为明显。结论:个体的应对方式在一定程度上预测其总体幸福感水平。Objective：To explore the relationship between Coping styles and general well -being of medical students and provide basis for further the mental health education to medical students. Methods： 241 students of medical college in Datong University were surveyed with coping style scale and General Well - Being Scale. Results ：①Tbe total scores of general well - being of medical students was high. Fe- male students total score of general well -being was higher than the norm （t = 5.38, P 〈 0.01 ） ;Female studentscore of happy or gloomy mood was significantly higher than that of male students（ t =-2. 358 ,P 〈 0.05 ） ; There was no significant difference in total score of general well - being between female and male students ; ②The coping style tests indicated that female students got more marks on the factor of help seeking than male students （ t = -2. 522, P 〈 0.05 ）, male students got more marks on the factor of rational- ization than female students （ t = 2. 106, P 〈 0.05 ） ; ③The general sense of well - being of medical students showed a positive correlation with coping styles in problem - solving and help seeking （r = 0. 186,0.247 ,P 〈 0.01 ） ,while there was a negative correlation between the general well -being and self - blaming, illusion, escaping, and rationalization （r =-0. 471,-0. 304,-0.281 ,-0.312;P 〈 0.01 ）. ④ Stepwise regression analysis indicated that ＂ self- blaming＂, and ＂help seeking＂ obviously influenced the general sense of well - being（ t=-7. 690,2. 853 ; P 〈 0.01 ） ）. Conclusion： The individual coping styles may predict one general sense of well- being.

关 键 词：医学生 总体幸福感 应对方式 心理健康 

分 类 号：R395.6[哲学宗教—心理学]