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目的了解医科院校新生心理亚健康状况,为开展及时有效的干预提供科学依据。方法采用问卷调查法初筛与精神科访谈复筛的方法,对1195名某医科院校大一新生进行筛查。结果1195名医科院校新生中,位于领域Ⅲ(准神经症)的有201名(16.8%),领域Ⅳ(神经症)的有37名(3.1%);领域Ⅲ、Ⅳ之和低于师范生(P<0.01),MR分、CIJ分均低于普通大学生(P值均<0.01)。复筛所得心理亚健康大学生185人,心理亚健康总发生率为15.48%;男、女生心理亚健康的发生率分别为13.82%和17.45%(P>0.05),男、女心理亚健康学生MR分与CIJ分差异均无统计学意义;男生MR分高于美国及国内筛查标准参考界值(P值均<0.01),女生MR分高于美国筛查标准参考界值,但低于国内筛查标准参考界值(P值均<0.01)。结论医科院校新生的心理亚健康状况不容乐观。应及时开展有效的心理辅导,促进心理亚健康的转化。
Objective To understand the mental health of undergraduates in medical colleges and universities and provide a scientific basis for timely and effective intervention. Methods The method of questionnaire survey and psychiatric interviews were used to screen 1195 freshmen in a certain medical college. Results Of the 1195 new medical students, 201 (16.8%) were in field Ⅲ (quasi-neurosis) and 37 (3.1%) were in field Ⅳ (neurosis). The sum of field Ⅲ and Ⅳ was lower than that of normal (P <0.01). The scores of MR and CIJ were lower than those of normal college students (P <0.01). Mental sub-health college students were enrolled in this study, and the total number of mental sub-health students was 15.48%. The incidences of sub-health mental health among boys and girls were 13.82% and 17.45% (P> 0.05) There was no significant difference between the score of CIJ and the score of boys. MR score of boys was higher than that of American and domestic screening standards (P <0.01), MR score of girls was higher than that of American screening standard, but lower than that of domestic Screening standard reference threshold (P value <0.01). Conclusion Psychological sub-health status of medical students is not optimistic. Psychological counseling should be promptly carried out to promote the psychological sub-health transformation.