不同依恋类型医学生述情障碍程度与情绪调节策略的关系  

The relationship between alexithymia and emotion regulation strategies of medical students with different attachment styles

作　　者：江雪华[1] 图雅[1] JIANG Xuehua;TU Ya(School of Public Health and Management,Guangzhou University ofChinese Medicine,Guangzhou 510006,China)

机构地区：[1]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《心理月刊》2025年第5期89-92,共4页

基　　金：广东省高校思想政治教育课题(2021GXSZ020);2022年度广东省级一流课程建设项目(202210203)。

摘　　要：目的 了解不同依恋类型医学生述情障碍程度与情绪调节的关系,为有效开展医学生心理健康教育提供参考依据。方法 于2023年4月随机整群抽样抽取某中医药大学1 113名医学生,采用成人依恋量表、述情障碍量表与情绪调节量表进行问卷调查。结果 以安全型依恋为参考,先占型依恋会增加中述情障碍和高述情障碍的发生风险(P<0.05),恐惧型依恋会增加高述情障碍的发生风险(P<0.001)。恐惧型依恋个体表达抑制得分显著高于其他三种依恋类型(P<0.001);中述情障碍者与高述情障碍者表达抑制得分均显著高于非述情障碍者(P<0.05,P<0.001)。依恋类型与述情障碍程度对认知重评的交互作用显著(F=4.451,P<0.001);在非述情障碍者中,安全型和拒绝型依恋个体的认知重评显著高于恐惧型依恋(P<0.05);在中述情障碍者与重述情障碍者中,拒绝型和恐惧型依恋个体的认知重评显著高于安全型依恋(P<0.05)。结论 不安全的依恋类型会增加述情障碍发生的风险,可能导致医学生采取过强的表达抑制和认知重评的策略进行情绪调节。Objective To explore the relationship between alexithymia and emotional regulation in medical students with different attachment styles,and to provide reference for effective mental health education for medical students.Methods 1113 medical students from a University of traditional Chinese medicine were selected by random cluster sampling.Adult attachment scale,Toronto alexithymia scale and emotional regulation questionnaire were used to conduct a questionnaire survey.Results Taking the secure attachment style as a reference,individuals with the preoccupied attachment style had the enhanced risk of alexithymia of middle and high level(P<0.05),and those with the fearful-avoidant attachment style had the enhanced risk of alexithymia of high level(P<0.001).The expression suppression strategy was used more frequently by individuals with the fearful-avoidant attachment style than those with other three attachment styles significantly(P<0.001);it was also uses more frequently by persons with middle and high level of alexithymia than those without alexithymia(P<0.05,P<0.001).The interaction between the attachment styles and the degree of alexithymia on the use of cognitive reappraisal strategy was significant(F-4.451,P<0.001).Among individuals without alexithymia,the cognitive reappraisal strategy was used more frequently by those with the secure and dismissing-avoidant attachment style than those with the fearful-avoidant style(P<0.05).Among those with middle and high level alexithymia,the cognitive reappraisal strategy was used more frequently by those with the dismissing-avoidant and fearful avoidant attachment style than those with the secure style significantly(P<0.05).Conclusion Individuals with insecure attachment styles might have the enhanced risk of alexithymia,which might lead them to adopt expression suppression and cognitive reappraisal strategy for emotional regulation excessively.

关 键 词：依恋类型 述情障碍 情绪调节 医学生 

分 类 号：B84[哲学宗教—心理学]