医学生神经症病因的多因素分析

Neuroses in Medical Students

目的 :探讨大学生的人格、负性生活事件和父母教养方式等因素在神经症发病中的作用及其关系。方法 :对某医科大学在校生进行神经症流行病学调查的同时 ,进行EPQ测试和EMBU及大学生生活事件调查。采用单因素及多因素分析并对因子间的交互作用进行了分析。结果 :影响神经症的主要因素是EPQ -N ,其次为负性生活事件和父母的不良教育方式。EPQ -E (低分 )、父母不良教养方式和情感温暖 (低分 )与EPQ -N协同作用时 ,则会产生拮抗作用 ,EPQ -E和父母情感温暖理解与神经症发生呈负相关。结论 :( 1)神经质素质是神经症发病的主要因素 ;( 2 )父母教养方式与神经质素质之间有交互拮抗作用 ;( 3 )EPQ -E和父母情感温暖是神经症发病的保护因素。

Objective:To screen neuroses in medical students and explore related factors.Method:Totally 1677 college students were screened by Neuroses Screener,who was positive(scored 2 or more)was investigated with Questionnaire on History of Neuroses and interviewed by psychiatrist.Psychiatric diagnosis was made if necessary according to CCMD-2-R.EPQ,EMBU and Quality of Life Scale were applied to all subjects.Multi-factor analysis was made.Results:Negative life events,unhealthy parentai education and neuroticism in EPQ were main factors influencing the incidence of neurosis.EPQ-E and warmth from parents had protective effect on occurrence of neurosis.Conclusion:Neuroticism is the basis of neurosis,unhealthy parental education and negative life events precipitate the occurrence of neurosis.Exorcism and warmth of parents have protective effect.