摘要
目的 探究医学研究生忍耐心理的表现及其与抑郁的关系,为抑郁的预防和干预提供实证参考。方法 采用9项患者健康问卷(PHQ-9)和忍耐力量表(Patience Scale)对687名医学研究生进行调查,依据潜在类别分析的结果对医学研究生的忍耐心理进行分类,采用相关分析、方差分析和χ2检验分析忍耐心理与抑郁症状之间的关系。结果 (1)医学研究生的忍耐心理与抑郁之间呈负相关(r=-0.12,P <0.01)。(2)医学研究生的忍耐心理表现可分为尚忍组(39.0%)、压抑组(30.4%)、自律组(18.8%)和冲动组(11.8%)4个潜在类别。(3)不同忍耐类别研究生的抑郁状况比较显示压抑组、冲动组、尚忍组和自律组在抑郁表现上差异有统计学意义(F=23.60,P <0.01),抑郁阳性率差异有统计学意义(χ2=49.67,P <0.01)。压抑组和冲动组的抑郁症状更为严重[(9.10±4.25)vs.(7.83±4.27)vs.(6.26±3.84)vs.(6.20±3.83)],阳性筛查率也更高(37.8%vs.24.7%vs.14.2%vs.10.9%)。结论 医学研究生的忍耐心理与其抑郁症状存在关联,压抑型忍耐者及低忍耐力,行事冲动者有更多的抑郁表现,而高忍耐力以及表现出更多延迟满足和耐心平和特点者的抑郁症状较少。
Objective To explore the characteristics of patience in medical postgraduates,and to provide reference for the prevention and intervention of depression among them.Methods A total of 687 students were surveyed with the Patient Health Questionnaire-9(PHQ-9)and Patience Scale through an online survey.The patience of medical postgraduates was classified based on the results of latent class analysis,and the relationship between patience and depression was determined by correlation analysis,analysis of variance and chi-square test.Results(1)There was significant negative correlation between patience and depression in medical postgraduates(r =-0.12,P < 0.01).(2)Four latent class models of patience had been found among medical postgraduates:“patience group(39.0%)”,“repression group(30.4%)”,“self-discipline group(18.8%)”and“impulsion group(11.8%)”.(3)There was difference in terms of depression in the four latent class models(F = 23.60,P < 0.01)and in terms of positive rate of depression(χ2= 49.67,P < 0.01).Higher depression score[(9.10 ± 4.25)vs.(7.83 ± 4.27)vs.(6.26 ± 3.84)vs.(6.20 ± 3.83)]and higher positive screening rate(37.8% vs.24.7% vs.14.2% vs.10.9%)were found in the“repression group”and“impulsion group”than those in the other two groups.Conclusion The psychological performance of patience among medical postgraduates is correlated with depressive symptoms,revealing that students who suppress emotions and act impulsively present more signs of depression,whereas those with higher patience and delayed gratification show fewer signs of depression.
作者
邓俊豪
肖蓉
DENG Junhao;XIAO Rong(Department of Psychology,School of Public Health,Southern Medical University,Guangzhou 510515,China)
出处
《实用医学杂志》
CAS
北大核心
2022年第7期857-862,共6页
The Journal of Practical Medicine
基金
广东省教育科学“十三五”规划2020年度德育专项(编号:2020JKDY010)。
关键词
抑郁
医学研究生
忍耐心理
潜在类别分析
depression
medical postgraduates
patience
latent class analysis
