某高校医学生儿童期虐待、人格、家庭关系、自尊和自我效能感及不安全感关系的调查研究

The effects of childhood abuse, personality, self-esteem, self-efficacy and family relations on insecurity of college students： a path analysis

目的考察医学生不安全感心理、儿童期虐待、人格、家庭关系、自尊和自我效能感的关系。方法采用整群抽样法，对某医学院262例医学生进行调查，使用儿童期虐待史自评量表（PRCA）、不安全感心理自评量表（SRFIS）、简式大五人格问卷（NEO～FFI—R）、社会支持评定量表（ssRS）、自尊量表（SES）、一般自我效能感（GSES）、世界卫生组织生存质量简表（WHOQOL～BREF）、人口社会经济学资料调查问卷等进行现场测试，用结构方程模型分析软件Amos7．0作统计学分析。结果结果显示，儿童期虐待对不安全感、人格和家庭关系有直接影响（Sβ：0．255，-0．189，0．285；P〈0．01）；家庭关系对不安全感、人格有直接影响（Sf3=0．220，-0．221；P〈0．01）；人格对不安全感、自尊和自我效能感有直接影响（Sβ=-0．295，P〈0．05；Sβ=0．598，P〈0．01）；自尊和自我效能感对不安全感有直接影响（Sβ-0．524，P〈0．01）；家庭关系、人格、自尊和自我效能感作为中介变量调节儿童期虐待对医学生不安全感的影响。模型Ⅱ的拟合指数为Y。／af〈3．000，P〉0．05，RMSEA=0．050，PGFI=0．612、PNFI=0．655、PCFI=0．717，均大于0．500，GFI=0．956、AGFI=0．931、NFI=0．909、RFI=0．873、IFI=0．995、TLI=0．992、CFI=0．995，均大于0．900，模型拟合良好。结论家庭关系、人格、自尊和自我效能感作为中介变量，调节着儿童期虐待对医学生不安全感的影响。

Objective To study the mediating effect of personality, self-esteem, self-efficacy and family relations on relationship between childhood abuse and insecurity in college students. Methods Through stratified sampling,262 medical students in Jiang, su were investigated by the Personal Report of Childhood Abuse（PRCA）,Self-Rating Feeling of Insecurity Scale（SRFIS）, the Revised NEO Five-Factor Inventory（NEO-FFI-R）, Social Support Rating Scale（SSRS）, The Rosenberg Self - Esteem Scale（SES） ,General selfefficacy scale（GSES）, the World Health of Organization Quality of Life Brief .Scale（WHOQOL-BREF） and Social Population Economics Scale. A path analysis was applied by AMOS（Analysis of Moment Structures） version 7.0. Results The analysis results showed that child- hood abuse was directly related to insecurity, personality, and family relations （S~= 0~ 255,-0. 189,0. 285~ P 〈 0.01） ~ family relations was directly related to insecurity and personality（S/3=0. 220, -0. 221 ~ P 〈 0. 01） ~ personality was directly related to insecurity, self- esteem, and selfeffieacy（Sβ= - 0. 295, P 〈 0.05 , Sβ= 0. 598, P 〈 0.01） ,self- esteem and self- efficacy were directly related to insecurity （ Sβ = - 0.524, P 〈 0.01 ）. Family relations, personality, self- esteem, and self- efficacy mediate the re- lationship between childhood abuse and insecurity of college students. The model Ⅱ fit indexes were/df =1. 055〈3. 000, P = 0. 334 〉0.05, RMSEA= 0. 015〈0. 050,PGFI=0. 612,PNFI=0, 655,PCFI= 0. 717, GFI=0. 956,AGFI=0. 931,NFI=0. 909,RFI=0. 873, IFI- 0. 995,TLI=0. 992,CFI= 0. 995. Conclusions Family relations, personality, self-esteem and self-efficacy as mediated variable influence the relationship between childhood abuse and insecurity of college students.