性别与成人依恋类型对医学生心理健康的影响
广东医科大学, 人文与管理学院心理学系, 广东东莞 523808
| 摘 要： | 目的：了解医学本科生的成人依恋和心理健康的特征，探讨性别与成人依恋类型对医学本科生心理健康的影响。方法：采用分层随机抽样法，选取855名医学本科生，使用亲密关系经历量表中文版（Experiences in Close Relationships Inventory, ECR）和症状自评量表（Symptom Check-List90, SCL-90）对他们进行调查。结果：（1）本组医学本科生在ECR的依恋焦虑和依恋回避两个维度的得分分别是（3.89±0.74）和（3.77±0.55）；依恋类型的分布如下：安全型占30.53%，迷恋型占12.63%，冷漠型占15.09%，恐惧型占41.75%。（2）SCL-90总均分为（1.87±0.47），强迫和人际关系敏感两因子得分高于阳性下限2.0。（3）不同性别的不同依恋类型的医学生心理健康问题的阳性率差异显著（χ2=107.598~303.919，均P<0.001）。结论：医学本科生的成人依恋和心理健康状况有待改善，性别和成人依恋类型可能是医学生心理健康的重要影响因素。 |
| 关 键 词： | 医学本科生; 成人依恋; 心理健康; 问卷调查 |
| DOI： | 10.57237/j.ha.2022.02.002 |
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收稿日期: 2022-11-23
接受日期: 2023-01-30
在线出版日期: 2023-02-03
The Influences of Adult Attachment and Gender onMental Health Among Medical Undergraduates
Department of Psychology, School of Humanities and Administration, Guangdong Medical University, Dongguan 523808, China
| Abstract: | Objective:To explore the present status and charactistics of adult attachmentand mental health among medical undergraduates, and analyze the influences of gender and adult attachment categery on mental health among medical undergraduates. Methods: Stratified random sampling was used to select 855 medical undergraduates from Guangdong Province, China. They were investigated with Experiences in Close Relationships Inventory (ECR) and Symptom Check-List90 (SCL-90). Results: (1) The scores in the dimensions of attachment anxiety and attachment avoidance of ECR were (3.89±0.74) and (3.77±0.55), respectively. There are 30.53% of students in this group with a secure attachment style, 12.63% with a preoccupied attachment style, 15.09% with a dimissingattachment style, and 41.75% with a fearful attachment style. (2) The total score of SCL-90 was (1.87±0.47), andthe scores of obsessive-compulsive and interpersonal sensitivity were higher than 2.0, the lower score limit of postive symptom. (3) The positive rates of mental problems of students with different genders and attachment styles were significantly different (χ2=107.598-303.919, all P<.001). Conclusion: The adult attachment and mental health of medical undergraduates need to be improved. Gender and adult attachment may be important influencing factors of mental health. |
| Keywords: | Medical Undergraduates; Adult Attachment; Gender; Mental Health; Questionnaire |
参考文献
| [1] | Berman WH, Sperling MB. The structure and function of adult attachment [A]. In: MB Sperling, Berman WH (Eds.), Attachment in Adults: Clinical and Developmental Perspectives. New York and London: Guilford Press, 1994: 3-28. |
| [2] | Bowlby J. Attachment and loss[M]. London: The Hogarth Pressj, 1982: 15-37. |
| [3] | Bowlby J. Attachment and loss: Vol. 1. Attachment [M]. New York: Basic Books. 1969. |
| [4] | Mikulincer M, Shaver PR. Attachment in adulthood: Structure, dynamics, and change [M]. New York, NY: Guilford Press. 2007. |
| [5] | 李旭, 陈世民, 郑雪. 成人依恋对病理性网络使用的影响:社交自我效能感和孤独感的中介作用 [J]. 心理科学. 2015, 38 (3): 721-727. |
| [6] | 李静如, 林邦杰, 修慧兰. 成人依恋、社交自我效能、困扰的自我揭露、寂寞与忧郁之关系: 以有恋爱经验的大学生为例 [J]. 教育心理学报, 2011, 43 (1), 155-174. |
| [7] | Feeney BC. The dependency paradox in close relationships: Accepting dependence promotesindependence [J]. Journal of Personality and Social Psychology, 2007, 92, 268-285. |
| [8] | 刘颖, 翟晶, 陈旭.不同依恋风格者情绪调节策略的认知神经特点 [J]. 心理科学Journal of Psychological Science 2016, 39 (1): 109-115. |
| [9] | 郭梅英, 张平, 张玉英. 不同依恋类型大学生的心理品质和睡眠质量 [J]. 中国健康心理学杂志. 2014, 22 (4): 586-588. |
| [10] | Mallinckrodt B, Wei M. Attachment, social competencies, social support, and psychological distress [J]. Journal of Counseling Psychology, 2005, 52 (3), 358-367. |
| [11] | 史战明, 杨琴, 薛莹, 等. 抑郁症患者的成人依恋类型研究[J]. 中国临床心理学杂志, 2013, 21 (4): 616-619. |
| [12] | 薛莹, 杨蕴萍. 门诊焦虑障碍患者的成人依恋类型研究[J]. 中国临床心理学杂志, 2013, 21 (1): 81-84 |
| [13] | 王雪梅, 史占明, 王倩, 等. 强迫障碍患者的成人依恋类型及其与压力觉知的关系 [J]. 中国临床心理学杂志, 2013, 21 (3): 426-429. |
| [14] | Brennan K A, Clark C L, Shaver P R. Self- report measurement of adult attachment: An integrativeoverview. In Simpson J A, Rholes W S eds [M]. Attachment theory and close relati- onships. New York: The Guilford Press, 1998: 46-76. |
| [15] | 李同归, 加藤和生. 成人依恋的测量: 亲密关系经历量表（ECR）中文版[J]. 心理学报. 2006, 38 (3): 399-406. |
| [16] | Derogatis LR. How to use the systom Distress Checklist (SCL-90) in clinical evaluation, Psychiatric Rating Scale, VolIII. Self-Report Rating Scale [M]. Hoffmann-La Roche Inc, 1975. |
| [17] | Wang Xiangdong, Wang Xilin, Ma Hong. Handbook of mental health assessment scales [M] Beijing: China Journal of Mental Health, 1999. |
| [18] | 杨青, 杨博, 邱慧卉, 何娟娟. 大学生成人依恋类型与情绪调节策略的关系 [J]. 中国健康教育. 2016, 32 (3): 230-232. |
| [19] | 张红梅, 梁炜, 朱金富. 医科大学生依恋模式与应对方式和抑郁焦虑相关性分析[J]. 新乡医学院学报. 2012, 29 (7): 496-498. |
| [20] | 赵四平. 医学生成人依恋、人际关系敏感对人际困扰的影响[J]. 山西高等学校社会科学学报.2015, 27 (12): 60-62. |
| [21] | 裴志珍, 张灵聪. 医学生成人依恋与人际关系的相关研究[J]. 卫生职业教育. 2016, 34 (17): 99-101. |
| [22] | 冀婷婷, 王家奇. 大学生依恋对自我表露的影响 [J]. 文学教育. 2013, (6): 32-33. |
| [23] | 李小龙, 卢宁. 深圳大学生述情障碍在网络成瘾与成人依恋中的中介作用 [J]. 中国学校卫生. 2014, 35 (5): 760-762. |
| [24] | 顾思梦, 郭本禹, 杜文东, 王福顺. 大学生抑郁与成人依恋的关系: 自尊的中介作用 [J]. 中国特殊教育. 2015, (9): 64-70. |
| [25] | 王效广,王云.民族大学生依恋类型和孤独感的相关研究 [J]. 扬州教育学院学报. 2012, 30 (2): 48-51. |
| [26] | 苏元元. 从成人依恋入手提高“90后”大学生人际信任度 [J]. 前沿. 2013, (22): 183-184. |
| [27] | 张建华, 桂立辉, 郭冰杰,等. 依恋在大学生主观幸福感与手机依赖间的调节作用 [J]. 中国学校卫生. 2015, 36 (10): 1557-1559. |
| [28] | 颜桂, 张敏强. 大学生成人依恋特点的研究 [J]. 宁夏大学学报 (人文社会科学版). 2012, 34 (1): 185-188. |
| [29] | Mikulince RM, Shaver PR. The attachment behavioral system in adulthood: Activation, psychodynamics, and interpersonal processes [J]. Advances in Experimental Social Psychology, 2003, (35): 53-152. |
