医学生专业心理求助意向现状及影响因素调查

A survey to investigate the current situation and factors influencingmedical students' intention to seek professional psychological help

目的 探讨医学生专业心理求助意向现状及其与网络自我表露、压力知觉、领悟社会支持的关系,分析其影响因素,为医学生的心理干预提供参考建议。方法 采用压力知觉量表、网络自我表露量表、领悟社会支持量表和专业心理求助意向量表对450名医学生进行问卷调查,采用Pearson相关、多元线性回归和Bootstrap方法进行各量表得分的相关分析和中介、调节分析。结果 医学生的专业心理求助意向得分为(3.53±1.10)分,不同性别和生源地的医学生专业心理求助意向差异有统计学意义(P<0.01);网络自我表露、领悟社会支持、专业心理求助意向之间两两呈正相关(r=0.28~0.41,均P<0.01);领悟社会支持在网络自我表露与专业心理求助意向之间起中介作用,中介效应占总效应的35.71%;压力知觉不仅可以调节网络自我表露与专业心理求助意向的关系(β=-0.08,t=-2.28,P<0.05),也可以调节网络自我表露与领悟社会支持的关系(β=0.09,t=2.75,P<0.01)。结论 医学生的专业心理求助意向处在中等偏上水平。可以通过提高网络自我表露和领悟社会支持、降低压力知觉水平,促进医学生的专业心理求助意向。

Objective To investigate the current state of medical students'inclination towards seeking professional psychological assistance and its correlation with online self-presentation,perception of stress,and utilization of social support networks.Additionally,it aims to analyze the factors that influence these tendencies in order to provide valuable recommendations for psychological interventions targeted at medical students.Methods A sample of 450 college students was recruited in the study to complete self-report questionnaires including the Perceived Stress Scale,the Online Self-disclosure Scale,the Perceived Social Support Questionnaire and the Psychological Help-seeking Intention Questionnaire.Pearson's correlation,multiple linear regression,and Bootstrap methods were used to analyse the correlation,mediation,and moderation of scores on each scale.Results The intention of medical students to seek professional psychological help was scored at 3.53±1.10.There was a statistically significant difference in the intention to seek professional psychological help among medical students of different genders and places of origin(P<0.01).A positive correlation was found between online self-representation,perceived social support,and the intention to seek professional psychological help(r=0.28-0.41,P<0.01).Perceived social support played a mediating role in the relationship between online self-representation and the intention to seek professional psychological help.The mediating effect accounted for 35.71%of the total effect.Stress perception not only moderated the relationship between online self-representation and the intention to seek professional psychological help(β=–0.08,t=–2.28,P<0.05),but also moderated the relationship between online self-representation and perceived social support(β=0.09,t=2.75;P<0.01).Conclusions The professional psychological help-seeking intentions of medical students are moderately high.These intentions can be promoted by increasing online self-representation,apprehending social support,and decreasing the perception of stress.