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医学院校和卫生服务高等教育学生中抑郁症状的患病率、应对方式及相关因素

[Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students].

作者信息

Kaya Mine, Genç Metin, Kaya Burhanettin, Pehlivan Erkan

出版信息

Turk Psikiyatri Derg. 2007 Summer;18(2):137-46.

Abstract

OBJECTIVE

The aims of this study were to explore the prevalence of depressive symptoms, ways of coping, and their relationships to sociodemographic variables among students of the Medical Faculty (MF) and the Health Services Higher Education School (HSHES) at Inönü University.

METHOD

The Beck Depression Inventory (BDI), Styles of Coping Inventory (SCI), and a sociodemographic questionnaire were used.

RESULTS

Among the HSHES students (n = 128), the prevalence of depressive symptoms was higher. The MF students whose fathers had a higher level of education had higher BDI scores. The MF students from families with lower levels of income had a higher frequency of depressive symptoms. In both groups, the students with previous histories of psychiatric and physical ilness had higher BDI scores. Among the MF students, older age (OR = 2.72), and among the HSHES students, having a previous history of psychiatric disorder (OR = 5.25) and female gender (OR = 1.85) affected the prevalence of depressive symptoms. The HSHES students used passive styles of coping more frequently. Active coping styles were used more frequently by the male students in both groups. The HSHES students whose mothers had lower levels of education, had higher passive coping style scores; active coping styles and higher family income correlated positively. In both groups, BDI and active styles scores correlated positively. Passive styles were used more frequently by male and female students that had a higher frequency of depressive symptoms.

CONCLUSION

The rate of mental health problems was quite high among the students. Preventive mental health programs should be developed and implemented.

摘要

目的

本研究旨在探讨伊诺努大学医学院(MF)和卫生服务高等教育学院(HSHES)学生中抑郁症状的患病率、应对方式及其与社会人口统计学变量的关系。

方法

使用贝克抑郁量表(BDI)、应对方式量表(SCI)和一份社会人口统计学调查问卷。

结果

在HSHES学生(n = 128)中,抑郁症状的患病率更高。父亲受教育程度较高的MF学生BDI得分更高。来自低收入家庭的MF学生抑郁症状出现的频率更高。在两组中,有精神疾病和身体疾病既往史的学生BDI得分更高。在MF学生中,年龄较大(OR = 2.72),而在HSHES学生中,有精神疾病既往史(OR = 5.25)和女性(OR = 1.85)会影响抑郁症状的患病率。HSHES学生更频繁地使用消极应对方式。两组中的男学生更频繁地使用积极应对方式。母亲受教育程度较低的HSHES学生消极应对方式得分更高;积极应对方式与较高的家庭收入呈正相关。在两组中,BDI与积极应对方式得分呈正相关。抑郁症状出现频率较高的男女生更频繁地使用消极应对方式。

结论

学生中的心理健康问题发生率相当高。应制定并实施预防性心理健康计划。

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