434名医学新生心理健康与生活事件的关系

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目的以石家庄市某医科大学为例,探讨医学新生的心理健康情况,以及生活事件对医学新生心理健康情况的影响。方法从石市某医科大学临床医学专业新生中随机抽取472人,使用自编一般情况调查表、90项症状校核量表、青少年生活事件量表对被试进行调查。结果 (1)抽样调查显示,医学新生中54.8%存在心理问题,9.4%存在中度以上心理问题,SCL-90各项因子分除焦虑、恐怖两因子外,均显著低于全国青年常模;各因子得分均显著低于3个大学生常模。(2)负性生活事件对医学新生产生中度影响率为66.8%,医学新生最常遇到的负性生活事件因子类型为学习压力因子,各负性事件因子刺激量和SCL-90各分量表因子分间存在相关关系,pearson系数为0.206~0.539。(3)通过多元线性回归分析预测SCL-90总均分,进入回归方程的因子有:人际关系因子,特殊因子,学习压力因子,健康适应因子,回归方程的调整R2为0.349。结论医学新生的心理健康情况良好,负性生活事件可较好的预测本人群心理健康水平。 Objective To take a medical university in Shijiazhuang as an example to discuss the mental health status of medical freshmen and the impact of life events on mental health status of medical freshmen. Methods A total of 472 students were selected randomly from freshmen in a medical university of Shishi city. The subjects were investigated by self-compiled general condition questionnaire, 90 symptom checklist and adolescent life event scale. Results (1) According to the sample survey, 54.8% of the medical freshmen had psychological problems and 9.4% had moderate psychological problems. The SCL-90 factors were significantly lower than those of the national youth except for the two factors of anxiety and terror. The score of each factor was significantly lower than that of 3 college students. (2) The negative impact of negative life events on medical new births was 66.8%. The most common negative life events encountered by medical freshmen were learning stress factors, negative factors and SCL-90 components Table factors related to the existence of pearson coefficient of 0.206 ~ 0.539. (3) The multivariate linear regression analysis predicts the total score of SCL-90. The factors that enter the regression equation are: interpersonal factors, special factors, learning stress factors, fitness factors, and the regression equation adjusted R2 is 0.349. Conclusion The mental health of medical freshmen is good, and negative life events can better predict the mental health of their group.
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