医学生认知情绪调节对心理症状水平的影响

目的研究医学生认知情绪调节策略对心理症状水平的影响。方法运用症状自评量表(SCL-90)与认知情绪调节问卷中文版(CERQ-C)对江苏某大学医学部586名本科生进行调查,按SCL-90界值分组后进行认知情绪调节策略比较,并对两个工具各因子间的相关性进行分析。结果医学生阳性组(SCL-90总评分160分)较多运用责难自己、沉思、灾难化策略,而较少运用理性分析策略;2不适应性调节策略与SCL-90各因子分及总均分呈正相关(P0.01),其中,沉思和灾难化与各因子分及总均分正相关;责难自己与强迫症状、人际关系敏感、抑郁、焦虑、精神病性及总均分正相关(P0.01),与躯体化、敌对呈正相关(P0.05);3灾难化、责难自己、沉思三种策略可联合预测心理症状水平15.9%的变异程度。结论医学生越多运用不适应性调节策略,其心理症状水平越高。

Impact of cognitive emotion regulation on mental symptom level of medical students

Objective To study the impact of cognitive emotion regulation on mental symptom level of medical students. Methods Medical students of Soochow university were asked to complete Symptom Checklist 90（ SCL-90 ）and Cognitive Emotion Regulation Questionaire- Chinese Version（ CERQ-C）. Results ①The medical students who scored greater than 160 on SCL-90 adopted more self-blame,rumination,and catastrophizing,while less putting-into-perspective.②Maladaptive strategy showed significant positive correlation with each factor marks and total mean marks of SCL-90（P﹤0. 01）,meanwhile,rumination and catastrophizing positively re-lated to each factor marks and total mean marks remarkably,while the positive correlation of self-blame with obsessive-compulsive ,interpersonal sensitivity,depression,anxiety,psychoticism and total mean marks was very significant,with somati-zation and hostility was significant（P﹤0. 05）. ③The combination of Catastrophizing,self-blame and Rumination was able to predict 15. 9% of the variation of mental health. Conclusion When facing negative events,the more maladap-tive regulation strategies medical students adopt,the higher mental symptom level they have.