医学生疑病心理影响因素及应付方式调查分析  

Influencing factors of medical students' hypochondria psychology and coping style

作　　者：吴昊[1] 魏小庆[1] 廖远洋 谢君芬 周倩[1] 赖群[1] 

机构地区：[1]攀枝花学院医学院,四川攀枝花617000

出　　处：《现代预防医学》2017年第3期490-494,共5页Modern Preventive Medicine

摘　　要：目的了解医学生疑病现象影响因素以及疑病现象与应付方式关系。方法采用一般社会人口学资料问卷,明尼苏达多相人格测验(MMPI)疑病子量表和应付方式问卷(CSQ)对某医学院1 017名学生进行调查。结果医学生疑病心理阳性检出率为21.93%,疑病现象随年级变化而变化,差异有统计学意义(P<0.05);性别之间比较,无统计学意义(P>0.05)。疑病心理阳性学生较阴性学生CSQ分量表中解决问题因子分数低,自责、幻想和退避分数高。logistic回归分析显示,年级、学历、家庭关系、和他人交流、学习生活压力、负面情绪以及每周运动量对疑病心理影响较大。Pearson相关性分析显示解决问题、自责、求助、幻想、退避和合理化6个因子与疑病心理均存在相关性。结论该校医学生疑病心理整体状况较好,但部分医学生情况较严重,可通过家庭关系、和他人交流、学习生活压力、负面情绪、每周运动量以及应付方式对其有效干预。Objective To find out the influencing factors of the hypochondriasis phenomenon in medicine majoring students and the relationship between the hypoehondriasis phenomenon and the coping - style. Methods 1017 students from a medical university were investigated with the general social demographic questionnaire, Minnesota Muhiphasic Personality Inventory （MMPI） and Coping Style Questionnaire（CSQ）. Results The hypochondriasis positive rate of Medicine majoring students was 21.93%. The hypochondriasis phenomenon changed differently remarkably in different grades （P 〈 0.05 ）;But there wasn＇t significant difference in different gender（P 〉 0.05 ）;The students with positive hypochondriasis got lower problem＇s solving factor scores in CSQ and higher scores in guilt,fantasy and avoidance. The result using logistic regression analysis showed that, Grade, family＇s relationship, communicating with others, learning pressure, negative emotion and amount of weekly exercise had a great influence on hypochondriasis. The result using Pearson correlation analysis showed that the hypochondriasis phenomenon was correlated with six factors in CSQ. Conclusion Most of the medicine majoring students＇ hypochondriasis phenomenon in the university is in a good condition. While the other students＇situation is not good. Improving family relationship, communicating more with others, reducing the learning pressure, adjusting negative emotions, increasing the amount of weekly exercise and coping style may intervene it effectively.

关 键 词：医学生 疑病心理 应付方式 横断面调查 

分 类 号：R195[医药卫生—卫生统计学]