本文選題：模型 + 心理學(xué)��； 參考：《中國(guó)學(xué)校衛(wèi)生》2015年06期

【摘要】：目的通過(guò)比較心理困擾未求助組和主動(dòng)求助組在心理求助行為"階段—決策模型"中的差異,分析阻礙醫(yī)學(xué)生尋求心理咨詢(xún)幫助的原因,為使醫(yī)學(xué)生能夠進(jìn)行心理求助行為提供有效措施。方法用方便整群取樣的方法選取某醫(yī)學(xué)院的731名學(xué)生,采用大學(xué)生人格問(wèn)卷(University Personality Inventory)以及自編的醫(yī)學(xué)生心理求助行為調(diào)查表進(jìn)行匿名問(wèn)卷調(diào)查,篩出存在心理問(wèn)題但不愿進(jìn)行心理咨詢(xún)的學(xué)生15名作為未求助組,另選取該校主動(dòng)前往學(xué)生心理咨詢(xún)中心進(jìn)行心理求助學(xué)生作為求助組,并分為輕癥求助組57名和重癥求助組51名。結(jié)果在心理問(wèn)題的知覺(jué)階段,未求助組生理失調(diào)影響心理狀態(tài)的選擇率(48.89%)與輕癥求助組(29.24%)差異有統(tǒng)計(jì)學(xué)意義(χ2=6.189,P=0.013)。在自助性評(píng)估階段,未求助組(40.00%)與輕癥求助組(21.64%)在心情不好時(shí)采取回避的選擇率差異有統(tǒng)計(jì)學(xué)意義(χ2=12.658,P0.01)。在他助性評(píng)估階段,關(guān)于何種情況應(yīng)進(jìn)行心理咨詢(xún),未求助組(13.33%)比輕癥求助組(61.40%)更少的選擇"想要探索和完善自己"(χ2=10.984,P0.01);另外,相對(duì)于2個(gè)求助組,未求助組更多的選擇希望心理咨詢(xún)師提供"托付和拯救"(χ2輕=10.777,χ2重=4.086,P值均0.05),更多的選擇"不了解心理咨詢(xún),不明白如何啟步"(χ2輕=33.805,χ2重=8.656,P值均0.01)。結(jié)論心理求助行為是一個(gè)復(fù)雜的決策過(guò)程,有困擾但未求助者與主動(dòng)求助者相比更傾向于被動(dòng)、回避、抱有僥幸態(tài)度的應(yīng)對(duì)方式,表現(xiàn)出更多與他人的隔離、對(duì)他人評(píng)判的擔(dān)憂(yōu)和介意,以及對(duì)心理咨詢(xún)的不了解和不切實(shí)際的期待。
[Abstract]:Objective to compare the differences between the psychological distress group and the active help group in the "stage-decision model" of psychological help-seeking behavior, and to analyze the reasons that hinder medical students from seeking psychological counseling and help.In order to enable medical students to psychological help behavior to provide effective measures.Methods 731 students in a medical college were selected by the convenient cluster sampling method. The college students' personality questionnaire (Personality inventory) and the self-designed questionnaire of psychological help-seeking behavior of medical students were used to carry out anonymous questionnaires.Fifteen students who had psychological problems but did not want to do psychological counseling were selected as no help group, and the students who took the initiative to go to the student psychological counseling center were selected as the help group.The patients were divided into mild group (57 cases) and severe group (51 cases).Results in the perceptual stage of psychological problems, the selection rate of physiological disorders affecting mental state in the non-help-seeking group was 48.89 and 29.240.There was a significant difference between the non-help-seeking group and the mild help-seeking group (蠂 ~ 2 = 6.189) (蠂 ~ 2 = 6.189).In the self-help evaluation stage, there was a significant difference between the non-help group (40.00g) and the mild help group (21.64) when they were in a bad mood. There was a significant difference in the selection rate of avoidance (蠂 ~ 2 / 12.658 / P ~ (0.01)).During the evaluation phase, the non-help group (13.33) chose "to explore and improve itself" (蠂 ~ 2 10.984) less than the mild group (61.40) (蠂 ~ (2) 10.984 / P 0.01); in addition, compared to the two help groups, the non-help group (13.33) chose to "want to explore and improve oneself" (蠂 ~ 2 / 10.984 / P _ 0.01).The patients in the non-help group were more likely to offer "entrustment and rescue" (蠂 ~ 2 = 10.777, 蠂 ~ 2 = 4.086P = 0.05), and more choices were "not knowing psychological counseling, not knowing how to start" (蠂 ~ 2 = 33.805, 蠂 ~ 2 = 8.656P = 0.01).Conclusion Psychological help-seeking behavior is a complicated decision-making process. The coping style of psychological help-seeking behavior, which is more passive, evasive and fluky, is more isolated from others than that of active help-seekers.Worry and mind about other people's judgment, and lack of understanding and unrealistic expectations of counseling.
【作者單位】： 北京大學(xué)醫(yī)學(xué)部教育處;
【分類(lèi)號(hào)】：G444

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