本文選題：大學(xué)生 + 心理健康教育��； 參考：《上海交通大學(xué)》2013年博士論文

【摘要】：【背景】心理疾患已成為嚴(yán)重的公共衛(wèi)生問題和較為突出的社會(huì)問題,大學(xué)生心理健康狀況與心理健康教育工作受到國(guó)家和社會(huì)的日益關(guān)注。目前我國(guó)大學(xué)生對(duì)心理疾患認(rèn)識(shí)不足;高校心理健康服務(wù)體系亟待完善。當(dāng)代精神衛(wèi)生服務(wù)對(duì)心理疾患的預(yù)防、早期識(shí)別與干預(yù)更受關(guān)注。提升高校心理健康服務(wù)能力對(duì)精神疾病的預(yù)防和治療起著重要作用。【目的】1.了解大學(xué)新生心理健康狀況,開展普遍性心理健康教育活動(dòng),并評(píng)估其效果。2.對(duì)在校大學(xué)生心理問題早期人群進(jìn)行重點(diǎn)干預(yù),建立兩種心理疾患(焦慮、抑郁/自殺)的規(guī)范化干預(yù)方案,并評(píng)估其效果。3.了解PHQ-9、GAD-7、PSS中文版在大學(xué)生人群中的信效度,確立大學(xué)生心理健康的評(píng)估工具�！痉椒ā勘狙芯糠謩e采用橫斷面研究和對(duì)照研究方法。1.大學(xué)新生心理健康狀況及心理健康教育效果研究在上海交大新生入學(xué)時(shí)對(duì)其開展首次心理普測(cè)以了解基本心理健康狀況,然后開展普及性心理健康教育一年后進(jìn)行心理健康狀況前后對(duì)比。2.大學(xué)新生心理問題干預(yù)研究選擇上海交通大學(xué)新生進(jìn)行心理相關(guān)量表普測(cè)后,按入組標(biāo)準(zhǔn)確定入組對(duì)象,分為干預(yù)組和對(duì)照組,干預(yù)組接受干預(yù)后前后對(duì)比;同時(shí)與對(duì)照組進(jìn)行對(duì)比研究。3.PHQ-9、GAD-7、PSS中文版信效度測(cè)試PHQ-9、GAD-7量表測(cè)試對(duì)象為上海交通大學(xué)及華東師范大學(xué)四個(gè)年級(jí)學(xué)生,先集中進(jìn)行測(cè)試,計(jì)算量表的信度,其中以MINI(成人版)作為金標(biāo)準(zhǔn),分別研究其敏感度、特異度和ROC曲線系數(shù),并用SDS、SAS、SF-36分別作平行效度測(cè)試。完成首測(cè)二周左右,再在其中隨機(jī)選取10%進(jìn)行重測(cè)以了解重測(cè)信度。PSS量表測(cè)試對(duì)象為上海交大2011級(jí)學(xué)生。集中完成首測(cè)以計(jì)算信度系數(shù),同時(shí)使用PHQ-9、GAD-7做平行效度測(cè)試。完成首測(cè)一個(gè)月內(nèi)隨機(jī)抽取120人左右進(jìn)行重測(cè)以了解重測(cè)信度。【結(jié)果】1.大學(xué)新生心理健康狀況及心理健康教育活動(dòng)效果研究。首次測(cè)試結(jié)果PHQ-9均分為6.80±4.42;GAD-7均分為4.76±3.83;按分界值,無抑郁361人(34.45%),有抑郁687人(65.55%);無焦慮557人(53.15%),有焦慮491人(46.85%)。經(jīng)過宣教,學(xué)生抑郁評(píng)分下降、自測(cè)健康評(píng)分提高、自殺風(fēng)險(xiǎn)下降,精神衛(wèi)生與心理保健知識(shí)得分提高,變化具有顯著意義。2.大學(xué)新生心理問題干預(yù)研究。干預(yù)組經(jīng)干預(yù)后,抑郁、焦慮程度下降,較之對(duì)照組變化明顯且有顯著意義。3.量表的信效度研究。三個(gè)量表信度及重測(cè)信度值良好,平行效度及結(jié)構(gòu)效度值良好。【結(jié)論】1.以上海交大為代表的大學(xué)新生總體心理狀況基本尚可,但存在抑郁、自殺風(fēng)險(xiǎn)及應(yīng)激問題等。開展適合大學(xué)生人群的普遍性心理健康教育活動(dòng)是必要而有效的。2.針對(duì)大學(xué)生心理問題干預(yù),應(yīng)當(dāng)采用適合該人群特點(diǎn)的干預(yù)方式,如朋輩教育(咨詢)、團(tuán)隊(duì)治療等多種方法。研究證明此類方式是合適并有效的。3.在大學(xué)生人群建立一個(gè)完整、良好、持續(xù)的早期診斷、早期干預(yù)的心理健康管理及預(yù)防體系,有助于完善高校心理健康教育和管理工作。4.在大學(xué)生人群中,PHQ-9、GAD-7、PSS-10中文版具有良好的信度與效度。
[Abstract]:[background] mental disease has become a serious public health problem and a prominent social problem, college students psychological health and psychological health education has attracted more and more attention to the state and society. At present, lack of awareness of mental disorders; college mental health service system needs to be improved. The mental health services for mental disorders prevention. Early identification and intervention of more attention. To enhance the mental health service ability of mental diseases prevention and treatment plays an important role. [Objective] to understand the mental health status of Freshmen in 1., open universal mental health education activities, and to evaluate the effect of.2. on psychological problems of college students in early intervention, the establishment of two for mental disorders (anxiety, depression / Dutch act) standardized intervention program, and evaluate the effect of.3. GAD-7 PSS, about PHQ-9, Chinese version in the University Reliability and validity of student population, the establishment of College Students' mental health assessment tools. [method] this study used a cross-sectional study and comparative study on mental health of Freshmen in.1. University and the psychological effect of health education methods in Shanghai Jiaotong University Freshmen to carry out its first psychological survey to understand the health status of basic psychology, then carry out the popularization of psychology health education for one year after the mental health status of Freshmen's psychological problems before and after contrast.2. University Shanghai Jiao Tong University freshman psychological intervention study selection scale survey, according to the inclusion criteria to determine the subjects, divided into intervention group and control group, the intervention group received intervention before and after contrast; and compared with the control group of.3.PHQ-9. GAD-7, PSS Chinese version validity test PHQ-9, GAD-7 scale test object for the Shanghai Jiao Tong University and East China Normal University four grade school First, focus on testing, calculation of the reliability of the scale, in which MINI (adult edition) as the gold standard, separately study the sensitivity, specificity and ROC curve coefficient, and using SDS, SAS, SF-36 respectively. The parallel validity test completed its first test in two weeks, in which 10% were again randomly selected retest in order to understand the test-retest reliability of.PSS scale test object for Shanghai Jiaotong University Students of grade 2011. Completed first test to calculate the reliability coefficient, while using PHQ-9, GAD-7 to do parallel validity test. The first test completed about a month 120 people randomly selected were retested in order to understand the test-retest reliability. 1. the effect of health research university the condition of Freshmen's psychological and mental health education activities for the first time. [results] the test results of PHQ-9 score was 6.80 + 4.42; GAD-7 score was 4.76 + 3.83; according to the cut-off value, no depression of 361 people (34.45%), 687 (65.55%) had depression without anxiety; 557 (53.15%), 491 (46.85 people have anxiety %). After education, students' depression score decreased, self testing health score increased, decreased risk Dutch act, mental health and mental health knowledge score increased, the study on the new changes have significant psychological problems intervention.2.. The intervention group and the degree of anxiety, depression, decreased, compared with the control group changed obviously and validity study on the significance of the.3. scale. The three scale reliability and test-retest reliability value, validity and structure validity of parallel value. [Conclusion] 1. to Shanghai Jiaotong University as the representative of the freshmen's mental health basic is acceptable, but the risk of depression and stress problems. Dutch act generally carry out mental health education for college students is necessary and effective.2. for college students' psychological problems intervention, intervention should be used for the population characteristics, such as peer education (counseling), group therapy and other methods. The research proves that the method is suitable and effective in.3. college students to establish a complete, well, early diagnosis of persistent, mental health management and prevention system of early intervention, help to improve college mental health education and management of college students in.4., PHQ-9, GAD-7, PSS-10 Chinese version has a good reliability and validity..

【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749;G444

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本文編號(hào)：1750343