CAJ | 학술논문

目的：构建医学生儿童期虐待、人格、不安全感与分离特质的关系模型。方法采用整群抽样法抽取某医学院262名医学生，使用解离特质量表（ DTS）、儿童期虐待史自评量表（ PRCA）、不安全感心理自评量表（SRFIS）、简式大五人格问卷（NEO?FFI?R）等工具进行测评，用Amos7．0作路径分析。结果①儿童期虐待与不安全感、分离特质、神经质呈正相关（ r＝0．248～0．361， P＜0．01），与外向性、友善性、谨慎性呈负相关（ r＝－0．168～－0．250， P＜0．01）；不安全感与分离特质、神经质呈正相关（ r＝0．479～0．522， P＜0．01），与外向性、友善性、谨慎性呈负相关（ r＝－0．234～－0．324， P＜0．01）；分离特质与神经质呈正相关（ r＝0．597， P＜0．01），与外向性、开放性、友善性、谨慎性呈负相关（ r＝－0．133～－0．453， P＜0．05）。②路径分析结果显示，儿童期虐待对不安全感有直接正向影响（B＝0．339， P＜0．01），对大五人格有直接负向影响（B＝－0．226， P＜0．01），对分离特质无直接影响（B＝－0．014， P＞0．05）；大五人格对不安全感、分离特质有直接负向影响（ B＝－0．609～－0．363， P＜0．01）；不安全感对分离特质有直接正向影响（ B＝0．448， P＜0．01）；大五人格和不安全感作为中介变量调节儿童期虐待对分离特质的影响。模型的拟合指数为χ2／ df ＝1．151＜3．000， P＝0．080＞0．05，RMSEA＝0．024＜0．050，GFI＝0．935，AGFI＝0．909，NFI＝0．923，RFI＝0．902，IFI＝0．989，TLI＝0．986，CFI＝0．989，模型拟合良好。结论大五人格和不安全感作为中介变量调节着儿童期虐待对医学生分离特质的影响作用，儿童期虐待对分离特质无直接影响。
목적：구건의학생인동기학대、인격、불안전감여분리특질적관계모형。방법채용정군추양법추취모의학원262명의학생，사용해리특질량표（ DTS）、인동기학대사자평량표（ PRCA）、불안전감심리자평량표（SRFIS）、간식대오인격문권（NEO?FFI?R）등공구진행측평，용Amos7．0작로경분석。결과①인동기학대여불안전감、분리특질、신경질정정상관（ r＝0．248～0．361， P＜0．01），여외향성、우선성、근신성정부상관（ r＝－0．168～－0．250， P＜0．01）；불안전감여분리특질、신경질정정상관（ r＝0．479～0．522， P＜0．01），여외향성、우선성、근신성정부상관（ r＝－0．234～－0．324， P＜0．01）；분리특질여신경질정정상관（ r＝0．597， P＜0．01），여외향성、개방성、우선성、근신성정부상관（ r＝－0．133～－0．453， P＜0．05）。②로경분석결과현시，인동기학대대불안전감유직접정향영향（B＝0．339， P＜0．01），대대오인격유직접부향영향（B＝－0．226， P＜0．01），대분리특질무직접영향（B＝－0．014， P＞0．05）；대오인격대불안전감、분리특질유직접부향영향（ B＝－0．609～－0．363， P＜0．01）；불안전감대분리특질유직접정향영향（ B＝0．448， P＜0．01）；대오인격화불안전감작위중개변량조절인동기학대대분리특질적영향。모형적의합지수위χ2／ df ＝1．151＜3．000， P＝0．080＞0．05，RMSEA＝0．024＜0．050，GFI＝0．935，AGFI＝0．909，NFI＝0．923，RFI＝0．902，IFI＝0．989，TLI＝0．986，CFI＝0．989，모형의합량호。결론대오인격화불안전감작위중개변량조절착인동기학대대의학생분리특질적영향작용，인동기학대대분리특질무직접영향。
Objective To build the relationship model of childhood aubuse, personality, insecurity and dissociative trait in medical students. Methods Through stratified sampling,262 medical students were investiga?ted by the Personal Report of Childhood Abuse( PRCA) ,Dissociative Trait Scale( DTS) ,Self?Rating Feeling of In?security Scale( SRFIS) ,Revised NEO Five?Factor Inventory( NEO?FFI?R) . A path analysis was applied by AMOS (Analysis of Moment Structures) version 7.0. Results ①Childhood abuse was positively related to insecurity, dissociative trait and neuroticism( r=0.248~0.361, P<0.01) ,but was passively related to extraversion,agreeable?ness and conscientiousness( r=-0.168~-0.250, P<0.01). Insecurity was positively related to dissociative trait and neuroticism( r=0.479~0.522, P<0.01) ,but was passively related to extraversion,agreeableness and conscien?tiousness( r=-0.234~-0.324, P<0.01). Dissociative trait was positively related to neuroticism( r=0.597, P<0.01) ,but was passively related to openness, extraversion, agreeableness and conscientiousness ( r=-0. 133~-0.453, P<0.05). ②The path analysis showed that childhood abuse was directly related to insecurity(B=0.339, P<0.01)and personality(B=-0.226, P<0.01)of medical students. Personality was directly related to insecurity and dissociative( B=-0.609~-0.363, P<0.01) . Insecurity was directly related to dissociative trait( B=0.448, P<0.01) . Personality and insecurity mediated entirely the relationship between childhood abuse and dissociative trait of medical students. The model fit indexes were χ2/ df =1.151<3.000, P=O.080>0.05,RMSEA=0.024<0.050, GFI=0.935,AGFI=0.909,NFI=0.923,RFI=0.902,IFI=0.989,TLI=0.986 and CFI=0.989. Conclusion Per?sonality and insecurity as mediated variable mediate the relationship between childhood abuse and dissociative trait of medical students. Childhood abuse has no direct effect on dissociative trait of medical students.