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中国医学生的专业心理素质:理论模型、问卷编制及其与心理健康的关系

Professional psychological qualities of Chinese medical students: theoretical models, questionnaire development, and relationship with mental health.

作者信息

Luo Wenping, Fan Wenshu, Xia Yanglin, Dou Yanchun, Du Juan

机构信息

School of Clinical Medicine/Affiliated Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Mental Health Education Center for College Students, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

Front Psychol. 2024 Jul 4;15:1411085. doi: 10.3389/fpsyg.2024.1411085. eCollection 2024.

Abstract

INTRODUCTION

Professional psychological qualities are crucial for individuals' career development and overall well-being, especially in clinical medical professions. Medical students often face significant work, academic, and doctor-patient communication pressures, which can challenge their mental and emotional health. Measuring and understanding the relationship between medical students' professional psychological qualities and their mental health is of significant practical importance.

METHODS

This study developed a comprehensive professional psychological qualities scale through a series of qualitative and quantitative studies, consisting of three main components and thirteen secondary dimensions. The scale's reliability was assessed using Cronbach's α coefficients. In Study 2, the scale was administered to 972 medical students to explore their anxiety and depression levels. A simple mediation analysis was conducted to investigate the relationship between professional psychological qualities, anxiety, and depression.

RESULTS

The professional psychological qualities scale demonstrated satisfactory reliability, with a total scale α coefficient of 0.947 and subscale α coefficients ranging from 0.895 to 0.933. The mediation analysis revealed that medical students' professional psychological qualities directly negatively impact depression levels and indirectly positively influence them via their effects on anxiety levels, exhibiting an overall masking effect unrelated to depression levels.

DISCUSSION

This study addresses the gap in research on the professional psychological qualities of medical students by providing a reliable measurement tool. The findings shed light on the complex mechanisms through which these qualities impact the mental health process. The scale can be used by other researchers to assess medical students' professional psychological qualities and further investigate their relationship with mental health outcomes.

摘要

引言

专业心理素质对个人的职业发展和整体幸福感至关重要,尤其是在临床医学专业中。医学生经常面临巨大的工作、学业和医患沟通压力,这可能会对他们的心理和情绪健康构成挑战。测量和理解医学生的专业心理素质与他们心理健康之间的关系具有重要的实际意义。

方法

本研究通过一系列定性和定量研究开发了一个综合的专业心理素质量表,该量表由三个主要成分和十三个次要维度组成。使用克朗巴哈α系数评估量表的信度。在研究2中,对972名医学生进行了该量表的测试,以探究他们的焦虑和抑郁水平。进行了简单中介分析,以研究专业心理素质、焦虑和抑郁之间的关系。

结果

专业心理素质量表显示出令人满意的信度,总量表α系数为0.947,子量表α系数在0.895至0.933之间。中介分析表明,医学生的专业心理素质直接对抑郁水平产生负面影响,并通过对焦虑水平的影响间接对抑郁水平产生正面影响,呈现出与抑郁水平无关的总体掩盖效应。

讨论

本研究通过提供一种可靠的测量工具,填补了医学生专业心理素质研究的空白。研究结果揭示了这些素质影响心理健康过程的复杂机制。其他研究人员可以使用该量表来评估医学生的专业心理素质,并进一步研究它们与心理健康结果之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d63/11258856/eac7ae6d206b/fpsyg-15-1411085-g001.jpg

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