汉族和朝鲜族医学生心理健康状况及其与生活事件的关系(1)
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【摘要】 目的 了解汉族和朝鲜族医学生心理健康状况的分布特点及其与应激性生活事件的关系,为减轻应激性生活事件对大学生心理健康的影响提供依据。方法 采用症状自评量表(SCL-90)和青少年生活事件量表(ASLEC)对延边大学的425名朝鲜族和650名汉族医学生进行健康测试。结果 SCL-90各因子得分中,躯体化因子得分朝鲜族显著高于汉族(P<0.01)。朝鲜族学生的焦虑因子阳性检出率高于汉族学生(P<0.05)。ASLEC各项因子评分中,健康适应因子应激源的民族间差异有统计学意义(P<0.01)。调整年龄、性别、家庭年收入、父母双方文化水平等诸多因素后,心理健康状况与生活事件呈显著正相关(P<0.01)。多元逐步回归分析显示,心理健康状况的影响因素为人际关系因子、学习压力因子、丧失因子、健康适应因子、其他因子。结论 躯体化因子得分及焦虑因子阳性检出率存在民族差异。心理健康状况与生活事件呈显著正相关,应采取综合有效的心理健康指导和教育方法,提高学生的心理健康水平。
【关键词】 精神卫生;生活变动事件;回归分析;学生,医科;少数民族
【中图分类号】 R 395.6 【文献标识码】 A 【文章编号】 1000-9817(2010)09-1082-03
Relationship Between Psychological Health Status and Life Events Among the Han-Nationality and Korean-Nationality Students in Medical College/JIN Zheng-guo, XIONG Ying-huan, FANG Jin-nv. Clinic Medical School of Yanbian University, Yanji(133000), Jilin Province, China
【Abstract】 Objective To study the relationship between psychological health status and stressful life events of medical students in the minority area and to provide evidences for relieving the influence of stressful life events on the psychological health status of students. Methods A total of 1 075 medical students (425 for korean-nationality and 650 for Han-nationality)were finally selected. Information on psychological health status and stressful life events were collected by Adolescent Self-rating Life Events Check List (ASLEC) and Symptom Check List-90 (SCL-90). ResultsThere was significant ethnic differences in somatization (P<0.01). The anxiety problem in Korean students was higher than Han students and had statistically significant(P<0.05). There was a statistically significant difference in health adaptability between Korean students and Han students(P<0.01). Adjusted for age, gender, family income, and level of education of both parents and many other factors, there was positive correlation between life event and psychological health status. The multiple stepwise regression analysis showed that the main influencing factors on psychological health were the interpersonal relation, learning pressure, losing, health adaptability and others factor ......
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