【摘要】 目的探讨我校临床医学研究生抑郁、焦虑状况与应对方式的关系。方法采用随机整群抽样的方式抽取我校549名临床医学研究生进行问卷调查,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和应付方式问卷(CSQ)进行调查。结果共发放问卷549份,收回有效问卷510份,有效率为92.9%。本次调查结果显示临床医学研究生抑郁、焦虑检出率分别为24.71%、16.67%。SDS评分(46.48±10.1)和SSA评分(40.4±9.77)均明显高于全国常模[SDS评分为(46.48±10.1)分、SAS评分为(40.4±9.77)分;P<0.05]。抑郁、焦虑与解决问题、求助等应对方式呈负相关(P<0.05),与自责、幻想、退避及合理化等应对方式呈正相关(P<0.05)。多元逐步回归分析显示,解决问题等应对方式有助于缓解抑郁与焦虑,而自责、求助和幻想等应对方式明显加重抑郁与焦虑。结论我校临床医学研究生抑郁和焦虑水平高于一般人群,且抑郁和焦虑与应对方式密切相关。更多还原

【Abstract】 Objective To explore the status of depression and anxiety in the graduates of clinical medicine and its relationship with the coping styles for depression and anxiety. Methods Cluster random sampling was used to select 549 graduates of clinical medicine from Southern Medical University for questionnaire surveys. The questionnaires included self-rating depression scale(SDS),self-rating anxiety scale(SAS) and coping style questionnaire(CSQ). Results A total of 549 questionnaires were issued and 510 were valid questionnaires, with an effective rate of 92.9%. The results of this survey showed that the detection rates of depression and anxiety in clinical medicine graduate students were 24.71% and 16.67%, respectively. SDS score [(46.48±10.1) points] and SSA score [(40.4±9.77) points] were significantly higher than the national norm [SDS score of(46.48±10.1) points, SAS score of(40.4±9.77) points; P<0.05]. Depression and anxiety were signifcantly negatively correlated with coping styles such as problem solving and help seeking(P<0.05), and signifcantly positively correlated with coping styles such as self-blame, fantasy, withdrawal, and rationalization(P<0.05).Multiple stepwise regression analysis showed that coping styles such as problem solving signifcantly relieved the depression and anxiety,while coping styles such as self-blame, help seeking, and fantasy significantly aggravated the depression and anxiety. Conclusion The level of depression and anxiety of clinical medical graduates in our school is higher than that of the general population, and the depression and anxiety are closely related to coping styles.更多还原