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手机成瘾在中国医学生述情障碍与学习倦怠关系中起中介作用:一项结构方程模型分析

Mobile Phone Addiction Mediates the Relationship Between Alexithymia and Learning Burnout in Chinese Medical Students: A Structural Equation Model Analysis.

作者信息

Zhang Chang-Hong, Li Ge, Fan Zhao-Ya, Tang Xiao-Jun, Zhang Fan

机构信息

School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, 400016, People's Republic of China.

The Center of Experimental Teaching Management, Chongqing Medical University, Chongqing, 401331, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2021 Apr 12;14:455-465. doi: 10.2147/PRBM.S304635. eCollection 2021.

Abstract

BACKGROUND

Learning burnout is a passive mental state among students. It is a common phenomenon that can cause many bad outcomes in Chinese medical students, such as mental disorders and suicide, and its causes are complex.

PURPOSE

To analyze the relationship between alexithymia and learning burnout, as well as the mediating effect of mobile phone addiction, and provide clues for future interventions to deal with learning burnout among Chinese medical students.

METHODS

In this cross-sectional study, convenience cluster sampling was used to produce a sample of 1200 medical universities in Chongqing, China. The Toronto Alexithymia Scale (TAS-20), Mobile Phone Addiction Tendency Scale (MPATS), and Learning Burnout Questionnaire (LBQ) were used to examine participants. Hierarchical regression was used to analyze the effect of alexithymia and mobile phone addiction on learning burnout. A structural equation model (SEM) with maximum likelihood was used to evaluate the mediating effect of mobile phone addiction on the relationship between alexithymia and learning burnout. The bootstrap method was used to confirm the significance of this mediating effect.

RESULTS

The final sample size was 1062, with a valid response rate of 88.5%. The prevalence of learning burnout among Chinese medical students was 39.6%. Results of hierarchical regression revealed that alexithymia (ΔR=0.198, P<0.01) and mobile phone addiction (ΔR=0.021, P<0.01) were independent factors of learning burnout; the SEM revealed that the mediating effect of mobile phone addiction between alexithymia and learning burnout accounted for 25.16% of the total effect of alexithymia on learning burnout; the bootstrap method revealed that the bounds of the CI did not contain 0, confirming the significance of this mediating effect.

CONCLUSION

Of the medical students, 39.6% had learning burnout. Alexithymia can positively predict learning burnout, and this relationship is partially mediated by mobile phone addiction.

摘要

背景

学习倦怠是学生中的一种消极心理状态。在中国医学生中,这是一种常见现象,可导致许多不良后果,如精神障碍和自杀,其成因复杂。

目的

分析述情障碍与学习倦怠之间的关系以及手机成瘾的中介作用,为未来干预中国医学生学习倦怠提供线索。

方法

在这项横断面研究中,采用便利整群抽样法选取了中国重庆1200名医科大学学生作为样本。使用多伦多述情障碍量表(TAS-20)、手机成瘾倾向量表(MPATS)和学习倦怠问卷(LBQ)对参与者进行测评。采用分层回归分析述情障碍和手机成瘾对学习倦怠的影响。使用最大似然法的结构方程模型(SEM)评估手机成瘾在述情障碍与学习倦怠关系中的中介作用。采用Bootstrap法确定这种中介作用的显著性。

结果

最终样本量为1062,有效应答率为88.5%。中国医学生学习倦怠的患病率为39.6%。分层回归结果显示,述情障碍(ΔR=0.198,P<0.01)和手机成瘾(ΔR=0.021,P<0.01)是学习倦怠的独立影响因素;结构方程模型显示,手机成瘾在述情障碍与学习倦怠之间的中介作用占述情障碍对学习倦怠总效应的25.16%;Bootstrap法显示,置信区间边界不包含0,证实了这种中介作用的显著性。

结论

39.6%的医学生存在学习倦怠。述情障碍能正向预测学习倦怠,且这种关系部分由手机成瘾介导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0422/8053701/f46fe9038577/PRBM-14-455-g0001.jpg

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