中国临床心理学杂志

医学生心理健康、应对方式与创伤后应激反应的相关研究

作者：杜鹃¹ 李韵² 牛娟¹ 张红静¹

单位：1. 山东大学医学院医学心理学研究所山东济南 250012
2. 厦门市仙岳医院福建厦门 361012

分类号：R395.6

出版年,卷(期):页码：2008,16(2):183-185

摘要：

目的:探讨医学生创伤后应激反应的发生与其心理健康、应对方式的相关性。方法:采用创伤后应激障碍症状自评量表,90项症状自评量表(SCL-90),应付方式问卷,对405例医学本科生进行评定。结果:创伤后应激反应组SCL-90中各因子的得分要高于对照组,且存在显著性差异(P＜0.001)。与对照组相比,应激反应症状组在成熟型应对方式上的得分要低于前者(P＜0.05,P＜0.001),而在不成熟型和混合型应对方式上的得分要高于前者(P＜0.001)。应激反应症状总分与SCL-90总均分及各因子分呈正相关(P＜0.01),与解决问题、求助呈负相关(P＜0.01),而与幻想、退避、自责呈正相关(P＜0.01)。结论:创伤后应激反应者心理健康状况普遍较差,可能与其不适当的应对方式有关。

Objective: To explore the correlations between mental health and coping styles and posttraumatic stress response of medical students.Methods: With Symptom Self-rating Scale of Posttraumatic Stress Disorder,Symptom Checklist 90(SCL-90),and Coping Styles Questionnaire,405 medical students were assessed.Results: The scores of a the factors of SCL-90 were higher in the posttraumatic stress response group than those in the control group,and they had significantly difference (P＜0.001).Compared with the control group,the scores of mature coping styles were lower in the posttraumatic stress response group(P＜0.05,P＜0.001),while the scores of immature and mixed coping styles were higher in the symptom group than those in the control group(P＜0.001).The total scores of the symptom stress response group were positively correlated to the total scores of SCL-90 and each factor score (P＜0.01),and negatively correlated to problem solving and asking for help(P＜0.01),and positively correlated to fancy,self-reproach,and withdrawal(P＜0.01).Conclusion: As for the people who have posttraumatic stress response,their mental health status was poor,and it may be related to their inappropriately coping styles.

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作者简介：

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