民族地区医学生心理健康与生活事件相关性研究

INVESTIGATION OF THE CORRELATION BETWEEN PSYCHOLOGICAL HEALTH STATUS AND LIFE EVENTS OF MEDICAL STUDENTS IN THE MINORITY AREAS

[目的]了解民族地区医学生应激性生活事件及其与心理健康的关系,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]用青少年生活事件量表(ASLEC)和症状自评量表(SCL-90)对百色市的566名医学生进行健康测试。[结果]①医学生心理问题总检出率为44.99%,心理问题检出率较高的依次是强迫症状(33.70%)、人际关系敏感(27.87%)、抑郁(23.50%);不同民族间在强迫症状、人际关系敏感两个因子上有差异(P﹤0.05)。人际关系敏感因子壮族学生得分高于汉族学生(P﹤0.05)。②学习压力因子、丧失因子、健康适应因子3个应激源壮汉族间均有统计学差异(P﹤0.05);③典型相关分析显示,抑郁、偏执与学习压力、人际关系呈正相关。[结论]民族医学生面临的生活事件主要为学习压力和人际关系,而人际冲突,学习压力问题越严重,心理问题越突出,尤其是抑郁和偏执症状越明显。

[Objective] To understand the relationship of stressful life events and psychological heahh stems of medical students in the minority areas and to provide evidences for relieving the influence of stressful life events on the psychological health status of students. [Methods] There were 566 medical students from Baise tested by Adolescent self-rating life events check list （ASLEC） and Symptom checklist-90 （SCL-90）. [ Results] ① The total prevalence of psychologic＇at problems was 44.99%. Among all kinds of mental disorders, compulsion （ 33.70% ） , interpersonal sensitivity （ 27.87% ） , depression （23.50%） were most common. There was statistical significance in compulsion, interpersonal sensitivity among different nationalities （P〈 0.05）. The score of interpersonal sensitivity in Hen students was higher than that of Zhuang students （P〈 0.05）. ② There was statistical significance in learning pressure, deprivation, heahh adaptation between Zhuang students and ttan students （P 〈 0.05）. ③Canonical correlation analysis showed that there were positive correlation among depression, paranoid ideation and learning pressure and interpersonal relationship. [Conclusion] The life events that medical students faced mostly are learning pressure and interpersonal relationship. The more severity learning pressure and interpersonal relationship are, the more projecting psychological problems occur, especially depression and paranoid ideation.