医学生人际关系敏感与儿童期不良经历：负性情绪的关系模型

Interpersonal sensitivity and adverse childhood experiences among medical college students： the mediating role of negative emotions

目的探讨医学生儿童期不良经历、负性情绪与人际关系敏感的关系模型。方法以某综合性大学492名医科新生为研究对象，采用儿童期不良经历问卷（ACEQ）、抑郁-焦虑-压力量表（The Depression Anxietv Stress Scale，DASS-21）及症状自评量表（SCL-90）的人际关系敏感因子对其进行测试，分析人际关联敏感、儿童期不良经历、负性情绪的关系模型。结果男生ACEQ平均秩次显著高于女生；非独生子女抑郁、人际关系敏感平均秩显著高于独生子女；农村医学生的抑郁、焦虑、压力、人际关系敏感平均秩次显著高于非农村；父亲文化程度不同的子女在ACEQ、抑郁、焦虑、压力、人际关系敏感方面比较差异有统计学意义；不同母亲文化程度的子女在抑郁、焦虑、人际关系敏感有差异。ACEQ评分=0、1、2、≥3组之间抑郁、焦虑、压力、人际关系敏感得分方面比较差异有统计学意义。双变量相关分析表明，各量表、各因子间均呈不同程度的相关。结构方程模型结果显示，在儿童期不良经历与人际关系敏感之间负性情绪起完全中介作用。结论医学生儿童期不良经历对成年期负性情绪和人际关系敏感有重要影响，负性情绪在儿童期不良经历与人际关系敏感之间起完全中介作用。

Objective To explore the relationship between adverse childhood experiences, negative emotions and interpersonal sensitivity. Methods Adverse Childhood Experiences Questionnaire （ACEQ）, Depression Anxiety Stress Scale （DASS-21） and the Interpersonal Sensitivity Subseale of Symptom Cheek-List （SCL-90） were applied to investigate the 492 new enrolled medical students. Results Boys got higher ACEQ scores than girls; Compared with only-child, non-only-child scored higher in depression, interpersonal sensitivity; Compared with students from non- rural areas, those from rural areas got higher scores in depression, anxiety stress, interpersonal sensitivity. There existed significant differences of scores on ACEQ, depression, anxiety, stress, interpersonal sensitivity among children of fathers of different educational level; while differences of scores on depression, anxiety, interpersonal sensitivity among children of mothers of different education level were statistically significant. There were significantly differences of scores on depression, anxiety, stress, interpersonal sensitivity among participants with 0, 1, 2 and 3 or more ACEQ. The results of correlative analysis provided evidence that adverse childhood experiences, all the factors of negative emotions and interpersonal sensitivity were significantly positively correlative. The SEM suggested that adverse childhood experiences had an indirect effect on interpersonal sensitivity through negative emotions. Conclusions Adverse childhood experiences has a great influence on negative emotions and interpersonal sensitivity. Negative emotions has a completely mediating role between adverse childhood experiences and interpersonal sensitivity.