低年级医学生自尊与心理健康状况的关系研究

目的探讨低年级医学生自尊水平与其心理健康状况之间的关系。方法采用整群抽样方法,选取某医学院大一,大二学生共1089人,对其采用自尊量表(SES)测试自尊水平和症状自评量表(SCL-90)测试心理健康状况。结果低年级医学生心理问题的检出率为53.17%。高自尊组学生与低自尊组学生SCL-90各因子与总得分差异均有显著性意义(p<0.05);且自尊水平与SCL-90各因子和SCL-90总得分均呈现负相关。SCL-90中人际关系敏感、抑郁、偏执3个因子进入logistic回归模型。其中,偏执为自尊水平保护因素,其余为危险因素。结论低年级医学生心理健康状况越好,自尊水平越高。因此,在对低年级医学生进行心理健康教育时,应重视对其自尊心理进行考察、评定和培养。

Relationship between Self- esteem and Mental Health in Junior Medical Students

Objective To explore the relationship between self-esteem and mental health in junior medical students.Methods Cluster sampling method was used to randomly select 1089 students from grade one to grade two in a medical college.Self-Esteem Scale(SES) was used to evaluate the level of self-esteem and symptom Checklist 90(SCL-90) was used to evaluate the condition of mental health.ResultsThe detection rate of mentality problem is(about) 53.17% in junior medical students.The score of all factor of SCL-90 and the total score had significant difference between the high self-esteem group and the low self-esteem group(p<0.05);The level of self-esteem had significantly negative correlation with each factor of SCL-90 and the total score of SCL-90 in medical college students.The factors of interpersonal rapport sensitivity,depression and crankiness enter the logistic model.Crankiness is the protect factor of self-esteem,and others are the risk factor.ConclusionThe better the condition of mental health,the higher the level of self-esteem was in junior medical students.Therefore,we must pay more attention to students' self-esteem,and to assess and cultivate their self-esteem when educating junior medical students on mental health.