CAJ | 학술논문

目的探讨医学生社交焦虑与父母权威、心理控制以及依恋的关系,为更好的解决医学生心理健康问题提供理论依据.方法采用社交恐怖症量表(SPIN)、父母权威问卷(PAQ)、父母心理控制量表以及父母依恋量表(IPA)对某医学院校大一、大二全体2105医学生进行调查.结果被试医学生SPIN得分为(17.75±10.47)分,女生得分高于男生,但无统计学意义[(17.97±10.44)分,(17.29±10.52)分,t=-1.305,P=0.192],生长地为农村的学生得分显著高于城市学生[(19.47±10.60)分,(15.85±10.01)分,t=-7.478,P＜0.01];逐步回归分析显示,父亲沟通和母亲权威是城市医学生社交焦虑的保护因素,父亲情感回应不当、母亲疏远、父亲不正确教育观点、母亲沟通是危险因素;而对农村医学生,父亲沟通为保护因素,母亲疏远和母亲专制是危险因素.结论医学生社交焦虑受父母权威和心理控制及依恋等因素的影响,但城乡间影响因素不尽相同,所以在对家长开展健康教育时需要考虑这些因素.
목적 탐토의학생사교초필여부모권위、심리공제이급의련적관계,위경호적해결의학생심리건강문제제공이론의거.방법 채용사교공포증량표(SPIN)、부모권위문권(PAQ)、부모심리공제량표이급부모의련량표(IPA)대모의학원교대일、대이전체2105의학생진행조사.결과 피시의학생SPIN득분위(17.75±10.47)분,녀생득분고우남생,단무통계학의의[(17.97±10.44)분,(17.29±10.52)분,t=-1.305,P=0.192],생장지위농촌적학생득분현저고우성시학생[(19.47±10.60)분,(15.85±10.01)분,t=-7.478,P＜0.01];축보회귀분석현시,부친구통화모친권위시성시의학생사교초필적보호인소,부친정감회응불당、모친소원、부친불정학교육관점、모친구통시위험인소;이대농촌의학생,부친구통위보호인소,모친소원화모친전제시위험인소.결론 의학생사교초필수부모권위화심리공제급의련등인소적영향,단성향간영향인소불진상동,소이재대가장개전건강교육시수요고필저사인소.
Objective To explore the relationship between parental authority,parental psychological control, parental attachment and medical students' social anxiety, and to provide theoretical guidance for medical students' mental health.Methods 2105 medical students were assessed with the social phobia inventory (SPIN), Parental authority questionnaire (PAQ), Parental psychological control questionnaire, Inventory of parent attachment (IPA).Results The mean SPIN score of social anxiety was 17.75 ± 10.47.Girls scored higher than boys,but there were no statistically significant differences between them( 17.97±10.44 vs 17.29 ± 10.52, t =1.305, P=0.192).Rural medical students scored higher than urban students,and the difference had statistical significance (19.47 ± 10.60 vs 15.85 ± 10.01, t = 7.478, P ＜ 0.01 ).Stepwise regression revealed that, for urban students' anxiety, father communication and mother authoritative/flexible were protective factors, father unconscionable emotional response, mother alienation, father unconscionable viewpoint and mother communication were risk factors; and for rural students' anxiety father communication was protective factor, mother alienation and mother authoritarian were risk factors.Conclusion Factors such as parental authority, parental psychological control and parental attachment will affect medical students' social anxiety.But the factors are not same between urban and rural.So these factors are considered when carrying out health education for parents.