医科院校学生完美主义和自动思维与抑郁三者之间的关系研究

doi:10.3760/cma.j.cn115259-20200320-00384

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (11): 879-882.DOI: 10.3760/cma.j.cn115259-20200320-00384

医科院校学生完美主义和自动思维与抑郁三者之间的关系研究

林中鹂, 林贤浩

福建医科大学人文学院应用心理学系,福州 350122

收稿日期:2020-03-20 出版日期:2020-11-01 发布日期:2020-12-08
通讯作者: 林贤浩, Email: linxh@fjmu.edu.cn, 电话: 0591-22862389
基金资助:
福建省中青年教师教育科研项目(JAS180135)

Relationship between perfectionism, automatic thinking and depression in medical college students

Lin Zhongli, Lin Xianhao

Department of Applied Psychology, School of Humanities, Fujian Medical University, Fuzhou 350122, China

Received:2020-03-20 Online:2020-11-01 Published:2020-12-08
Contact: Lin Xianhao, Email: linxh@fjmu.edu.cn, Tel: 0086-591-22862389
Supported by:
The Scientific Research Project of Young and Middle-aged Teachers from Fujian Province(JAS180135)

摘要/Abstract

摘要： 目的探索医科院校学生完美主义、自动思维和抑郁之间的关系,为改善学生负性情绪提供建议。方法使用Frost多维完美主义量表、自动思维量表及贝克抑郁量表对某医科院校的335名本科生展开调查并分析。结果非适应性完美主义与自动思维、抑郁均正相关(r=0.42~0.47,P<0.01),自动思维与抑郁正相关(r=0.69,P<0.01)。自动思维在非适应性完美主义与抑郁之间起中介作用,中介效应占总效应的比值为64.9%。自动思维在适应性完美主义与抑郁之间不起中介作用。结论自动思维在非适应性完美主义和抑郁之间起中介作用,提示可以从认知方面改善学生的抑郁情绪。

关键词: 完美主义, 抑郁, 自动思维, 医科院校学生

Abstract: Objective To explore the relationships between the perfectionism,automatic thoughts and depression in medical university students,to provide suggestions for improving students' negative emotions. Methods The questionnaire including the Frost Multidimensional Perfectionism Scale,Automatic Thoughts Questionnaire and Beck Depression Inventory, was administrated among 334 students. Results Depression were significantly and correlated with automatic thoughts and perfectionism(except for the organized dimension),while automatic thoughts positively related to depression(r=0.42~0.47,P<0.01).Students' automatic thoughts had mediating effect between maladapitive perfectionism and depression (r=0.69,P<0.01), the ratio of mediating effect to total effect was 64.9%. Conclusions The effect of perfectionism on depression is partially mediated by automatic thoughts.This will provide a new perspective on depression intervention for maladaptive perfectionists.

Key words: Perfectionism, Depression, Automatic thoughts, Medical college students

中图分类号:

R-05
R0

林中鹂, 林贤浩. 医科院校学生完美主义和自动思维与抑郁三者之间的关系研究[J]. 中华医学教育杂志, 2020, 40(11): 879-882.

Lin Zhongli, Lin Xianhao. Relationship between perfectionism, automatic thinking and depression in medical college students[J]. Chinese Journal of Medical Education, 2020, 40(11): 879-882.

参考文献

[1] Kawamura KY,Hunt SL,Frost RO,et al.Perfectionism,anxiety,and depression:are the relationships independent?[J].Cognitive Therapy and Research,2001, 25(3):291-301.DOI:10.1023/a:1010736529013.
[2]Chang EC.Conceptualization and measurement of adaptive and maladaptive aspects of performance perfectionism:relations to personality,psychological functioning,and academic achievement[J].Cognitive Therapy and Research,2006, 30(6):677-697.DOI:10.1007/s10608-006-9060-7.
[3]徐华春,黄希庭,柳春香,等.抑郁的人格易感性:概念、理论与发展[J].心理科学进展,2009(2):132-138.
[4]张斌,蔡太生,罗兴伟,等.大学生完美主义对抑郁症状的预测研究[J].中国临床心理学杂志,2017(1):105-109.
[5]张斌, 蒋怀滨, 陈贵, 等. 应对方式在完美主义和抑郁症状关系间的中介作用[J].中国临床心理学杂志,2018,26(3):599-602,609. DOI: 10.16128/j.cnki.1005-3611.2018.03.039.
[6]邹涛, 姚树桥. 抑郁认知易感性应激模式的研究:起源、发展和整合[J].心理科学进展,2006,14(5):762-768. DOI: 10.3969/j.issn.1671-3710.2006.05.018.
[7]Beck AT,Lerner RM,Phillipson A,et al.Cognitive therapy and the emotional disorders(Meridian)[M]. New York:Penguin USA,1976:3.
[8]宋锐, 刘爱书. 儿童心理虐待与抑郁:自动思维的中介作用[J].心理科学,2013,36(4):855-859.
[9] 訾非, 周旭. 中文Frost多维度完美主义问卷的信效度检验[J]. 中国临床心理学杂志, 2006, 14(6):560-563. DOI: 10.3969/j.issn.1005-3611.2006.06.003.
[10]汪向东,王希林,马弘,等.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999: 181-183.
[11] 戴晓阳, 张进辅, 程灶火. 常用心理评估量表手册[M]. 北京:人民军医出版社, 2010: 141-144.
[12]温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.DOI:10.3724/SP.J.1042.2014.00731.
[13]林君瑜, 芦朝霞. 乐观悲观倾向、负性自动思维与抑郁的关系[J].赤峰学院学报(哲学社会科学版),2019,40(8):39-42. DOI: 10.3969/j.issn.1673-2596.2019.08.011.
[14]邱炳武, 王极盛. 抑郁研究中的素质-压力理论述评[J].心理科学,2000,23(3):361-362. DOI: 10.3969/j.issn.1671-6981.2000.03.029.
[15]Chaby LE, Cavigelli SA, White A, et al. Long-term changes in cognitive bias and coping response as a result of chronic unpredictable stress during adolescence[J]. Front Hum Neurosci, 2013,7:328. DOI: 10.3389/fnhum.2013.00328.
[16]张轶文, 甘怡群. 完美主义对抑郁的影响及人格的调节作用[J].中国临床心理学杂志,2006,14(4):381-383.DOI: 10.3969/j.issn.1005-3611.2006.04.020.
[17]Slade PD, Owens RG. A dual process model of perfectionism based on reinforcement theory[J].Behav Modif,1998,22(3):372-390. DOI: 10.1177/01454455980223010.
[18]Steer RA,Ranieri WF, Kumar G, et al. Beck depression inventory-II items associated with self-reported symptoms of ADHD in adult psychiatric outpatients[J].J Pers Assess,2003,80(1):58-63.DOI: 10.1207/S15327752JPA8001_14.
[19]汪涛, 王乃文, 胡鸿群, 等. 医科大学生抑郁情绪与自动思维、人格特征关系的研究[J].第三军医大学学报,2007,29(5):442-444. DOI: 10.3321/j.issn:1000-5404.2007.05.022.

医科院校学生完美主义和自动思维与抑郁三者之间的关系研究

Relationship between perfectionism, automatic thinking and depression in medical college students

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