目的 探讨医学硕士研究生心理压力现状及其影响因素,并尝试提出能够有效缓解其心理压力的建议,为医学硕士研究生的培养提供一定的参考。方法 采用心理压力源量表(修订版)、心理弹性量表、积极情绪和消极情绪量表及自编的一般情况调查表,对哈尔滨医科大学403名医学硕士研究生的心理压力源及其心理弹性、情绪状态进行调查,并进行描述统计和线性回归分析。结果 修订版心理压力源量表的KMO值为0.904,可解释总变异67.4%。被调查的医学硕士研究生心理压力得分为(2.61±0.60)分,主要心理压力来源为经济压力(3.33±0.77),其次为学业压力(2.88±0.68)、就业和前途压力(2.85±0.81)。心理弹性(2.32±0.58)、专业满意度、家庭年收入是医学硕士研究生心理压力的影响因素。结论 医学硕士研究生的心理压力受诸多因素的影响,学校应该有针对性地对医学硕士研究生进行心理健康教育。
Objective To discuss the current situation of the postgraduate students' mental stress and its influencing factors, and to offer some suggestions that can be effective to relieve the mental stress, to provide a certain reference to the development of the training for the medical postgraduate students.Methods The mental stress scale, connor-davidson resilience scale(CD-RISC), positive and negative affect schedule (PANAS),self-compiled general information questionnaire were used to test the mental stress source and resilience, emotional state of 403 medical postgraduate students.Results The KMO value of the mental stress scale was 0.904, which could explain the total variation of 67.4%.The main mental stress source of medical postgraduate students is economic stress (3.33±0.77), followed by academic stress (2.88±0.68), employment and future stress (2.85±0.81). The resilience (2.32±0.58), professional satisfaction, the annual family income are positive to alleviate the medical postgraduate students' mental stress factors.Conclusions Medical postgraduate students' mental stress is influenced by many factors. School should have a targeted mental health education for medical postgraduate students.
[1] 林春梅. 心理压力与健康[J].民族教育研究,2001,12(4):89-92. DOI: 10.3969/j.issn.1001-7178.2001.04.019.
[2] 刘萌, 刘明婷, 廖淑梅. 医学硕士研究生心理压力源及应对方式调查[J].中国公共卫生,2010,26(6):766-767. DOI: 10.11847/zgggws2010-26-06-70.
[3] 金晓凤, 苏丹, 陈莉, 等. 医学研究生心理压力、应对方式与心理健康水平的相关性调查 [J].医学与社会,2010, 23(2): 76-77. DOI: 10.3870/YXYSH.2010.02.029.
[4] 叶韧, 李一峰, 赵嘉芸. 临床医学专业学位硕士研究生心理健康问题分析及应对策略 [J] 中国农村卫生事业管理,2018,38(1): 10-12. DOI:10.3969/j.issn.1005-5916.2018.01.004.
[5] 程利娜, 吴筱玫. 研究生心理压力源量表的编制[J].中国临床心理学杂志,2006,14(1):17-19. DOI: 10.3969/j.issn.1005-3611.2006.01.006.
[6] Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC)[J]. Depress Anxiety, 2003,18(2):76-82. DOI: 10.1002/da.10113.
[7] Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales[J]. J Pers Soc Psychol, 1988,54(6):1063-1070.
[8] Yu XN, Zhang JX. Factor analysis and psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) with Chinese people[J]. Social Behavior and Personality An International Journal, 2007, 35(1): 19-30.DOI: 10.2224/sbp.2007.35.1.19
[9] 张卫东,刁静,Constance JS. 正、负性情绪的跨文化心理测量: PANAS维度结构检验[J].心理科学,2004,27(1):77-79.
[10] 牟基伟, 张美佳, 李江华, 等. 医学硕士研究生心理健康问题及对策[J].继续医学教育,2017,31(2):62-63,64. DOI: 10.3969/j.issn.1004-6763.2017.02.029.
[11] 王洪恩, 吉峰. 压力源与压力强度对医学硕士研究生心理健康的影响[J].中国健康心理学杂志,2013,21(6):902-904. DOI:10.13342/j.cnki.cjhp.2013.06.039.
[12] 李永鑫, 骆鹏程, 聂光辉. 人格特征、社会支持对留守儿童心理弹性的影响[J].河南大学学报(社会科学版),2009,49(6):127-130. DOI: 10.3969/j.issn.1000-5242.2009.06.022.
[13] 史光远, 崔丽霞, 雷雳, 等. 大学生的压力、情绪与心理弹性[J].中国心理卫生杂志,2013,27(9):703-708. DOI: 10.3969/j.issn.1000-6729.2013.09.013.
[14] Kevin ME, Dooyoung S. Student satisfaction: An alternative approach to assessing this important concept[J].Journal of Higher Education Policy and Management,2002,24(2):197-209.DOI:10.1080/1360080022000013518.
[15] 李斯璐,刘镛. 医学类院校贫困生心理健康问题及教育对策[J]. 中国科教创新导刊,2009(14):249.DOI:10.3969/j.issn.1673-9795.2009.14.214.
[16] Peeters F, Nicolson NA, Berkhof J, et al. Effects of daily events on mood states in major depressive disorder[J]. J Abnorm Psychol, 2003,112(2):203-211.
