论文部分内容阅读
背景:大学生尤其是医科大学生的心理问题呈逐年上升的趋势,大学生心理问题不仅阻碍自己心身健康发展,而且引起不可忽视的社会危机。目的:调查某医科大学生心理问题的发生率及大学生心理状态与家庭动力学的关系。设计:随机整群抽样调查。单位:重庆医科大学附属第一医院心理卫生中心。对象:2004-11/2005-06根据整群抽样的原则选择重庆市某医科大学二年级学生801名。方法:①采用症状自评量表评估大学生心理问题,其中总分≥200和/或至少一个因子平均分≥3分视为有心理问题。得分越高,心理问题越严重。②采用家庭动力学自评量表评价家庭动力学特点。分为家庭气氛、个性化、系统逻辑、疾病观念4个维度。家庭气氛越轻松、愉快、平等,家庭气氛维度得分越低;家庭成员分化程度越好,个性化维度得分越低;家庭成员越倾向于用“非此即彼”的逻辑思维看待问题,系统逻辑维度得分越低;患者越多地将患病及疾病康复与本人的责任和主观努力联系在一起,疾病观念维度得分越低。主要观察指标:①大学生心理问题检出率。②有心理问题组与无心理问题组大学生家庭动力学评分比较。③大学生症状自评量表评分与家庭动力学各因子得分的相关分析和逐步回归分析结果。结果:共发放问卷801份,回收有效问卷747份。①医科大学生的心理问题的发生率为19.4%。②有心理问题组家庭气氛、个性化、疾病观念、系统逻辑得分高于无心理问题组,差异有显著性(3.10±0.49,2.66±0.64;2.92±0.54,2.77±0.58;2.79±0.55,2.69±0.54;2.58±0.67,2.36±0.62,P<0.05)。③大学生症状自评量表总分与家庭气氛、疾病观念得分呈正相关(r=0.184,0.156,P<0.05)。进入回归方程的是家庭气氛、个性化、疾病观念。结论:大学生的心理问题与家庭动力学密切相关。在影响大学生心理的家庭因素中,家庭气氛、疾病观念的作用更大。
Background: The psychological problems of undergraduates, especially medical undergraduates, have been increasing year by year. The psychological problems of undergraduates not only impede their mental and physical health, but also cause social crisis which can not be neglected. Objective: To investigate the incidence of psychological problems in a medical college student and the relationship between college students’ psychological status and family dynamics. Design: Random cluster sampling survey. Unit: First Affiliated Hospital of Chongqing Medical University Mental Health Center. Subjects: From November 2004 to June 2005, 801 second graders of a medical university in Chongqing were selected according to the principle of cluster sampling. Methods: (1) Symptom self-rating scale was used to assess the psychological problems of college students. The total score ≥200 and / or the average score of at least one factor ≥3 were considered as psychological problems. The higher the score, the more serious psychological problems. ② family dynamics self-rating scale assessment of family dynamics characteristics. Divided into family atmosphere, personalization, system logic, disease concept four dimensions. The family life is more relaxed, happy and equal, and the family life dimension scores lower. The better the family members’ differentiation is, the lower their individualized personality scores are. The family members tend to treat the problem with the logical thinking of “not the other or not,” and the system logic The lower the score of the dimension; the more the patients associate the illness and the disease rehabilitation with their own responsibilities and subjective efforts, the lower the concept dimension of the disease is. MAIN OUTCOME MEASURES: ① The detection rate of college students’ psychological problems. ② Comparison of family dynamics scores of college students with psychological problems and those without psychological problems. ③ Correlation analysis and stepwise regression analysis of scores of college students’ self-rating symptom scales and family dynamics. Results: A total of 801 questionnaires were distributed and 747 valid questionnaires were collected. ① medical college students the incidence of psychological problems was 19.4%. (2) There was a significant difference in psychology group family atmosphere, personality, disease concept and system logic score compared with no psychology group (3.10 ± 0.49,2.66 ± 0.64; 2.92 ± 0.54,2.77 ± 0.58; 2.79 ± 0.55,2.69 ± 0.54; 2.58 ± 0.67, 2.36 ± 0.62, P <0.05). (3) There was a positive correlation between the total score of college students’ symptoms and the family atmosphere and disease concept score (r = 0.184,0.156, P <0.05). Into the regression equation is the family atmosphere, personality, disease concept. Conclusion: The psychological problems of college students are closely related to family dynamics. In the family factors that affect the psychology of college students, the family atmosphere and the concept of disease play a greater role.