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目的：评价天津医科大学生的心理健康状况。方法：用“复合四层评定”标准对８７８名医学生进行ＳＣＬ－９０评定；总均分（ＧＳＩ）及因子分与常模比较研究；分性别、生源地、是否独生子女，进行亚群体总均分及因子分比较研究。结果：心理障碍者１０１人，占１１．５％；总均分及七项因子分均极显著低于常模；心理障碍发生率前３位因子分别是：恐怖、强迫症状和偏执；女学生、非城市生源学生和非独生子女学生的心理问题比较严重。结论：“复合四层评定”标准是较合理的ＳＣＬ－９０筛查标准；医科大学生（特别是部分亚群体）的心理卫生问题值得高度重视
Objective: To evaluate the mental health status of Tianjin medical college students. Methods: 878 medical students were assessed by SCL-90 using the “compound four-layer evaluation” standard. The total mean (GSI) and factor scores were compared with those of the norm. The gender, origin, A Comparative Study on Dividing and Dividing Factors. Results: There were 101 persons with mental disorders, accounting for 11.5%. The total and seven factors were significantly lower than the norm. The first three factors of mental disorders were: horror, obsessive-compulsive disorder and paranoid; female students , Non-urban students and non-single-child students more serious psychological problems. Conclusion: The “compound four-layer evaluation” standard is a more reasonable SCL-90 screening standard; the mental health problem of medical college students (especially some sub-groups) deserves great attention