【摘要】 目的：探讨临床医学专业本科生压力知觉与心理健康的关系，分析自尊和心理韧性在其中的作用机制。方法：2023年3月，采用压力知觉量表、心理健康问卷、心理韧性量表和自尊量表对上海市某医学院校临床医学专业本科生进行调查。结果：在573名本科生中，心理健康状况阳性检出率为57.60%。压力知觉、自尊、心理韧性和心理健康两两均呈显著相关，且压力知觉正向预测心理健康，自尊在压力知觉与心理健康间起部分中介作用，心理韧性在压力知觉与心理健康关系的前半路径中起调节作用。结论：压力知觉不仅直接影响心理健康，还通过自尊间接作用于心理健康，心理韧性在这一过程中起到调节作用。更多还原

【Abstract】 Objective: To explore the relationship between perceived stress and psychological morbidity among medical students, and to analyze the mechanism of self-esteem and psychological resilience in this relationship.Methods: In March 2023,a survey was conducted among 573 clinical medicine undergraduates from a medical school in Shanghai using the Perceived Stress Scale, the Mental Health Inventory, the Psychological Resilience Scale, and the Self-Esteem Scale.Associations among perceived stress, self-esteem, resilience, and mental health were examined.Results: Among 573 undergraduates, the positive screening rate for mental health problems was 57.60%.Perceived stress, self-esteem, psychological resilience, and mental health were each significantly correlated with each other.Perceived stress positively predicted mental health problems.Self-esteem played a partial mediating role in the relationship between perceived stress and mental health.Psychological resilience moderated the first half of the pathway between perceived stress and mental health.Conclusion: Perceived stress affects mental health of clinical medicine undergraduates both directly and indirectly via self-esteem, with psychological resilience serving as a significant moderator.更多还原