医学生文化信仰及其与抑郁的关系

Chinese traditional cultural belief of medical students and its relationship with depression

目的研究医学生文化信仰状况及其与抑郁的关系。方法使用中国传统文化信仰量表(CTCBS)和9条目患者健康问卷(PHQ-9)对977名医学生采用方便抽样进行网络问卷调查。结果(1)医学生文化信仰总体水平为48.34±7.31,54.4%的医学生拥有明确的文化信仰;(2)医学生文化信仰水平不存在性别、居住地和经济状况上的差异,但有理想信念者的文化信仰显著高于无理想信念者[48.87±7.40 vs 47.09±6.95,P<0.001];(3)医学生文化信仰水平与抑郁呈负相关(r=-0.215,P<0.001);高文化信仰者的抑郁情绪表现更少[6.09±3.88 vs 7.42±3.82 vs 9.00±4.90,P<0.001]。无抑郁者的总体文化信仰和各维度表现均显著高于有抑郁者(P<0.01)。文化信仰程度越低者的抑郁筛查阳性率越高(37.8%vs 18.8%vs 12.2%)。结论医学生具有较高水平的文化信仰,高文化信仰有利于减轻医学生的抑郁症状,降低抑郁的发病率。在医学生人文素质教育中应增强中国传统文化教育。

Objective To study the cultural beliefs of medical students and its relationship with depression.Method A questionnaire survey was conducted among 977 medical students using the Chinese Traditional Culture Belief Scale(CTCBS)and Nine Item-Patient Health Questionnaire(PHQ-9).Results The total score of medical students'cultural belief was 48.34±7.31,and 54.4%of them had clear cultural belief.Cultural belief did not differ significantly among the medical students with different genders,places of residence or economic status,but those with ideals and beliefs had significantly higher cultural belief than those without(48.87±7.40 vs 47.09±6.95,P<0.001).Cultural belief was negatively correlated to depression among the medical students(r=-0.215,P<0.001),and those with a high-level cultural belief had lower levels of depression(6.09±3.88 vs 7.42±3.82 vs 9.00±4.90,P<0.001).The total and all the dimensions scores of CTCBS of the students without depressive symptoms were significantly higher than those in students with depressive symptoms.The medical students with lower cultural beliefs had a higher positive rate for depression screening(37.8%vs 18.8%vs 12.2%).Conclusion Medical students have a high level of cultural beliefs.Strong culture beliefs are beneficial to relieve depression symptoms and reduce the incidence rate of depression.Chinese traditional culture education should be strengthened in the quality education of medical students.