Sender Rosa, Salamero Manel, Vallés Antoni, Valdés Manuel
a Dept. of Psychiatry and Clinical Psychobiology , University of Barcelona , Spain.
b Institut Clínic of Psychiatry and Psychology , IDIBAPS, Hospital Clínic of Barcelona.
Med Educ Online. 2004 Dec;9(1):4350. doi: 10.3402/meo.v9i.4350.
This study analyses some psychological variables related to susceptibility to mental disorders in medical students.
A sample of 209 first- and second-year medical students was evaluated using the State and Trait Anxiety Inventory (STAI), and three questionnaires: Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ), General Health Questionnaire (GHQ-28) and UNCAHS scale of STRAIN.
Thirty percent of the students suffered from emotional distress as measured by de GHQ-28, and showed significantly higher scores on trait anxiety, sensitivity to punishment and reward scales, and had higher levels of strain both in the academic environment and their personal life. Women scored significantly higher than men on trait anxiety and sensitivity to reward. Logistical regression found that trait anxiety and strain in non-academic life were the best predictors of the development of a mental disorder.
The study confirms the usefulness of the STAI for detecting psychological distress and the validity of the SPSRQ for identifying subjects likely to present emotional distress when facing high environmental demands. Subjects most likely to present with mental illness are those who evaluate their personal (non-academic) lives as more stressful.
本研究分析了与医学生精神障碍易感性相关的一些心理变量。
使用状态-特质焦虑量表(STAI)以及三份问卷对209名大一和大二医学生样本进行评估,这三份问卷分别是:惩罚敏感性与奖励敏感性问卷(SPSRQ)、一般健康问卷(GHQ - 28)和应变STRAIN量表。
根据GHQ - 28测量,30%的学生存在情绪困扰,在特质焦虑、惩罚和奖励敏感性量表上得分显著更高,并且在学术环境和个人生活中的应变水平更高。女性在特质焦虑和奖励敏感性方面的得分显著高于男性。逻辑回归发现,特质焦虑和非学术生活中的应变是精神障碍发展的最佳预测因素。
该研究证实了STAI在检测心理困扰方面的有用性以及SPSRQ在识别面对高环境要求时可能出现情绪困扰的受试者方面的有效性。最有可能出现精神疾病的受试者是那些认为其个人(非学术)生活压力更大的人。