[地震灾区初中生心理弹性保护作用下心理健康状况与学业成绩的互惠性分析]

[Analysis of reciprocity between mental health status and academic achievement under the protective effect of psychological resilience in junior school students in earthquake-hit area].

作者信息

Xu Huanyu, Su Chang, Xu Ying, Li Yuchen, Ji Yuanyi, Ma Xiao, Zhou Huan, Yang Yang, Liu Qiaolan

机构信息

Department of Health and Social Behavior, Institute of West China School of Public Health, Sichuan University, Chengdu 610041, China.

出版信息

Wei Sheng Yan Jiu. 2018 Sep;47(5):749-755.

PMID:30593299

Abstract

OBJECTIVE

To verify the reciprocity between mental health status and academic achievement and the protection of psychological resilience.

METHODS

An approximate sampling method was adopted in October, 2010. Two junior high schools were selected from the severely earthquake-hit area( Mianzhu City, Sichuan Province) andthe slight earthquake-hit area( a suburban county of Chengdu City, Sichuan Province), respectively, and conducted the survey by using a self-report questionnaire( including general demographic characteristics, middle school students ' mental health scale and resilience scale). Then, the follow-up surveys were conducted every half year. The data were analyzed by repeated measurement variance analysis, Pearson product moment correlation analysis and non-recursive structural equation model.

RESULTS

1015 participants were included in this study who participated 5 surveys, of whom 49. 3% were male and 57. 9% in the slight disaster areas. The average age in the baseline survey was( 12. 72 ± 0. 50) years old, with a range of 11-15 years old. In the non-recursive structural equation model, the better the mental health status was, the higher academic achievement was( β =-0. 037, P < 0. 001), vice versa( β =-0. 199, P < 0. 001). The psychological resilience was protective factor for academic achievement( β = 0. 199, P <0. 001) and mental health( β =-0. 282, P < 0. 001). The 95% CI of the two intermediate effects( " psychological resilience→ mental health→academic achievement" and " psychological resilience→ academic achievement→mental health") were( 0. 008-0. 017) and(-0. 062--0. 025), with 5. 7% and 13. 0% of total effect, respectively.

CONCLUSION

Mental health status and academic achievement are mutual influence. The effect of academic performance on mental health status is greater than that of mental health status on academic performance. Psychological resilience is an important protective factor of mental health and academic performance.

摘要

目的

验证心理健康状况与学业成绩之间的相互关系以及心理弹性的保护作用。

方法

2010年10月采用近似抽样法。分别从地震重灾区（四川省绵竹市）和地震轻灾区（四川省成都市某郊区县）选取两所初中，使用自填式问卷（包括一般人口学特征、中学生心理健康量表和心理弹性量表）进行调查。之后，每半年进行一次随访调查。采用重复测量方差分析、Pearson积差相关分析和非递归结构方程模型对数据进行分析。

结果

本研究共纳入1015名参与者，他们参与了5次调查，其中男性占49.3%，轻灾区占57.9%。基线调查时的平均年龄为（12.72±0.50）岁，年龄范围为11 - 15岁。在非递归结构方程模型中，心理健康状况越好，学业成绩越高（β = -0.037，P < 0.001），反之亦然（β = -0.199，P < 0.001）。心理弹性是学业成绩（β = 0.199，P < 0.001）和心理健康（β = -0.282，P < 0.001）的保护因素。两个中介效应（“心理弹性→心理健康→学业成绩”和“心理弹性→学业成绩→心理健康”）的95%CI分别为（0.008 - 0.017）和（-0.062 - -0.025），分别占总效应的5.7%和13.0%。