目的分析某医学院校学生的心理健康状况和影响因素,为有针对性的开展心理健康教育活动提供依据。方法采用自制医学生心理健康影响因素调查问卷和SCL-90症状自评量表,对某医学院669名学生进行心理测评。结果在本研究中,SCL-90症状自评量表的信效度指标良好。医学生有强迫症状的比例最多,为26.61%,其余由高到低依次为人际关系敏感、抑郁、精神病性、偏执、焦虑、敌对、躯体化、恐怖;医学生强迫症状、抑郁、焦虑、恐怖、精神病性因子分均高于全国常模,差别有统计学意义;医学生女生抑郁、焦虑和恐怖因子分要高于男生,差别有统计学意义;医学生敌对、恐怖、偏执因子分在不同年级间有统计学差异,进一步两两比较知,大三的敌对因子分要高于大一、大二和大四,大一的恐怖因子分要高于大四,大三的偏执因子分要高于大一。多因素logistic回归表明家庭居住地,体育锻炼,一周早餐次数,每天蔬菜水果,每周熬夜,每天上网为医学生心理健康的影响因素。结论医学生心理健康状况不容忽视,根据医学生心理健康状况特点和影响因素开展心理健康教育活动,才能达到最佳的效果。
Objective To analyze the condition and influence factors of the psychosomatic health in medical college students and supply the support to conduct the targeted mental health education. Methods A total of 669 students from a medi- cal college were measured by using self-designed question-naire and Symptom Checklist,90. Results Symptom Checklist 90 had good reliability and validity indicators. About 26.61% of medical college students had compulsion symptom, which was the big- gest proportion. The proportion from high to low was interpersonal sensitivity, depression, psychotieism, paranoididefition, anxie- ty, hostility, somatization, photic anxiety. Mean scores of compulsion, depression, anxiety, phobia anxiety, psychoticism were higher than Chinese youth norm. The differences were statistically significant. Mean scores of female depression, anxiety, phobia anxiety were higher than those of male. The differences of hostility, phobia anxiety, paranoid ideation were statistically significant among different grades. Through POSTHOC multiple comparison by SNK-q test, the results showed the score of hostility factor for grade 3 was higher than those of grade 1, 2 and 4. At the same time, the score of phobia anxiety factor for grade 1 was higher than that of grade 4 and the score of paranoid ideation factor for grade 3 was higher than that of grade 1. The results of logistic re- gression analysis showed that family residence, physical exercise, breakfast times per week, fruits and vegetables per day, sta- ying up late per week, surfing the Internet per day were Influencing factors. Conclusion More attention should be paid to men- tal health of medical college students. Mental health promotion activities should be developed according to mental health status of medical college students.