医学生心理健康状况影响因素分析

Analysis on influence factors of mental health in medical students

目的评价家庭社会经济状况（SES）与生活事件对医学生心理健康的影响。方法采用症状自评量表（SCL-90）、青少年生活事件量表（ASLEC）及自制基本情况调查表对整群随机抽取的1 753名医学生进行调查。结果各影响因素对SCL-90的9个因子分的多元逐步回归分析显示,家庭月收入、父亲职业、母亲文化程度、父母离异进入了方程。将ASLEC总分也引入分析时,则方程中只有父亲职业和ASLEC总分2个影响因素,且方程的决定系数增加了5~6倍;影响SCL-90总分共有8项生活事件（R2=0.511,P=0.000）,其中有5项与学业压力有关。结论生活事件与家庭社会经济状况相比,对心理健康有着更强的影响。

Objective To evaluate effect of family socioeconomic status and life events on mental health of medical students. Methods 1 753 medical students were chosen by cluster-random sampling and three questionnaires including one for general states, Symptom Checldist-90（SCL-90） and Adolescent Self-Rating Life Events Check List（ASLEC）, were adopted. Results Four variables including family monthly income, father＇s occupation, mother＇s education, and parental divorce were retained in the multivariate stepwise regraessions with 9 scales of SCL-90 as dependences. Father＇s occupation were included in equations when score of ASLEC was taken as another independece with 5-6 times of increascing of R-square. 8 items of ASLEC were included in the stepwise regression with the total sccore of SCL-90 as the dependense（ R^ 2 = 0.511, P = 0. 000）. Conclusion Negative life events show a stronger effect on mental health than family c status.