40例医学生失眠症患者心理健康影响因素的通径分析

目的：探讨医学生失眠者心理健康的影响因素及其相互作用方式。方法：通过对40例医学生失眠者和53例非失眠者心理健康状况及相关因素的调查，采用单因素相关分析和通径分析的方法研究心理健康影响因素的作用方式和途径。结果：学习压力是医学生中主要的生活应激性事件，通过间接作用影响了失眠者的心理健康；情绪稳定性的高低可能是影响心理健康的个性素质因素，具有直接作用和间接作用两个方面；应付方式是生活应激性事件、个性影响心理健康的中间环节。结论：加强认知心理治疗和改变医学生失眠者的不良应付方式可能是治疗和预防其心理问题的根本途径。

A Path Analysis on Influential Factors of Mental Health Status in 40 Medical Students with Insomnia

Objective: To analyze the influential factors of mental health status and their interaction models in medical students suffering from insomnia. Methods: A survey was carried out concerning mental health status, stressful life events, coping styles and personality in 53 normal controls and 40 medical students meeting the criteria of insomnia according to CCMD-3 . Results: The stress of learning was the major life event which played an indirect role in the level of mental health status in medical students with insomnia students, and the stability of emotion was a disposition factor of mental health with direct and indirect action. The coping style was an intermediate link between life events as stressors and personality. Conclusion:Cognitive therapy and change of bad coping styles would be effective on insomnia and psychological problems in medical college students.