Dai Peilin, Yi Guoguo, Qian Dandan, Wu Zhe, Fu Min, Peng Hui
School of Nursing, Hunan University of Medicine, Huaihua, Hunan, People's Republic of China.
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, People's Republic of China.
Psychol Res Behav Manag. 2023 Apr 19;16:1299-1313. doi: 10.2147/PRBM.S405580. eCollection 2023.
This study aimed to explore the impact that coping styles and social support have on the mental health of medical students by constructing a corresponding structural situation model that reveals the complex relationship between these three factors. In doing so, it seeks to help medication students better manage mental health problems.
The online study was conducted between March 6, 2021 and May 6, 2021. A total of 318 participants from multiple medical schools were involved. The general information questionnaire, simple coping style questionnaire (SCSQ), perceived social support scale (PSSS) and symptom checklist 90 (SCL-90) were used to collect relevant information from the subjects by snowball sampling. An independent -test, ANOVA, Pearson correlation coefficient analysis, and intermediary effect analysis were all used to analyze the relevant data and construct the structural equation model.
There was a significant difference in SCL-90 between medical students and national college students (1.78±0.70, P < 0.001), and the positive rate of mental health status was as high as 40.3%. Sleep quality, regular diet, and positive coping style were positively correlated with mental health (P < 0.01), while negative coping styles and total scores of coping style as well as family, friends, and other sources of social support and total scores of social support were negatively correlated with mental health problems (P < 0.01). Positive and negative coping styles have an impact on mental health through the mediating effect of between social support and coping styles, as well as in the direct pathway.
The mental health status of medical students was significantly poor. Medical schools should thus pay close attention to the mental health status of students and encourage them to develop healthy living habits, optimize coping styles, and establish stable sources of social support to improve their psychological wellbeing.
本研究旨在通过构建一个揭示应对方式、社会支持与医学生心理健康之间复杂关系的结构情境模型，探讨应对方式和社会支持对医学生心理健康的影响。通过这样做，旨在帮助医学生更好地管理心理健康问题。
在线研究于2021年3月6日至2021年5月6日进行。共有来自多所医学院校的318名参与者。采用一般信息问卷、简易应对方式问卷（SCSQ）、领悟社会支持量表（PSSS）和症状自评量表90（SCL-90），通过滚雪球抽样从受试者中收集相关信息。采用独立样本t检验、方差分析、Pearson相关系数分析和中介效应分析对相关数据进行分析，并构建结构方程模型。
医学生与全国大学生的SCL-90存在显著差异（1.78±0.70，P<0.001），心理健康状况阳性率高达40.3%。睡眠质量、规律饮食和积极应对方式与心理健康呈正相关（P<0.01），而消极应对方式、应对方式总分以及家庭、朋友和其他社会支持来源及社会支持总分与心理健康问题呈负相关（P<0.01）。积极和消极应对方式通过社会支持与应对方式之间的中介效应以及直接路径对心理健康产生影响。
医学生心理健康状况明显较差。医学院校应密切关注学生的心理健康状况，鼓励他们养成健康的生活习惯，优化应对方式，建立稳定的社会支持来源，以改善他们的心理健康。
