医学生心理健康、应对方式与创伤后应激反应的相关研究

Correlative Study on Mental Health, Coping Styles and Posttraumatic Stress Response among Medical Students

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.