医学生自尊与心理健康的关系:心理灵活性的中介效应

Relationship between self-esteem and mental health of medical students:mediating effect of psychological flexibility

目的探讨医学生自尊、心理灵活性及心理健康之间的关系,为医学生心理健康教育工作提供科学依据。方法采用症状自评量表(symptom checklist 90,SCL-90)、自尊量表(self-esteem scale,SES)、接纳与行动问卷(acceptance and action questionnaire-Ⅱ,AAQ-Ⅱ)、认知融合分问卷(cognitive fusion questionnaire-fusion,CFQ-F)对重庆市某医科大学788名医学生进行问卷调查。利用SPSS 20.0进行数据分析,并使用t检验、方差分析、相关性分析和中介效应检验。结果医学生自尊和心理健康水平在性别、不同年级的差异有统计学意义(t=-2.55,P<0.05;F=6.53,P<0.05);医学生心理健康、自尊与心理灵活性三者之间两两相关(r=-0.528~0.694,P<0.01)。心理灵活性在医学生自尊和心理健康之间起部分中介作用,中介效应占总效应的比例为60.03%。结论自尊可以直接对医学生心理健康产生正向预测作用,也可以通过心理灵活性间接影响心理健康。高校应有针对性地开展宣传教育工作。

Objective To explore the relation among self-esteem,psychological flexibility and mental health in medical students,and to provide scientific reference for mental health education for medical students.Methods A total of 788 medical students selected from a medical university in Chongqing City were investigated with the symptom checklist 90(SCL-90),self-esteem scale(SES),acceptance and action questionnaire-Ⅱ(AAQ-Ⅱ),and cognitive fusion questionnaire-fusion(CFQ-F).SPSS 22.0 software was used for statistical analysis.T test,ANOVA,correlation analysis and tests for mediation effects were conducted.Results There were significant differences in self-esteem and mental health level among medical students in gender and different grades(t=-2.55,P<0.05;F=6.53,P<0.05).Mental health,self-esteem and psychological flexibility of medical students were correlated in pairs(r=-0.528-0.694,P<0.01).Psychological flexibility played a partial mediation role between self-esteem and mental health of medical students,and the mediating effect accounted for 60.03%of the total effect.Conclusion Self-esteem can directly predict the mental health of medical students,and can also indirectly affect mental health through psychological flexibility.Medical universities should carry out psychological education and promotion work with pertinence.