CAJ | 학술논문

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（P﹤0.01），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（P﹤0.01），与躯体化、敌对呈正相关（P﹤0.05）；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。
목적：연구의학생인지정서조절책략대심리증상수평적영향。방법운용증상자평량표（ SCL-90）여인지정서조절문권중문판（ CERQ-C）대강소모대학의학부586명본과생진행조사，안SCL-90계치분조후진행인지정서조절책략비교，병대량개공구각인자간적상관성진행분석。결과의학생양성조（ SCL-90총평분﹥160분）교다운용책난자기、침사、재난화책략，이교소운용이성분석책략；②불괄응성조절책략여SCL-90각인자분급총균분정정상관（P﹤0.01），기중，침사화재난화여각인자분급총균분정상관；책난자기여강박증상、인제관계민감、억욱、초필、정신병성급총균분정상관（P﹤0.01），여구체화、활대정정상관（P﹤0.05）；③재난화、책난자기、침사삼충책략가연합예측심리증상수평15.9%적변이정도。결론의학생월다운용불괄응성조절책략，기심리증상수평월고。
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.