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预防医学  2020, Vol. 32 Issue (4): 351-354    DOI: 10.19485/j.cnki.issn2096-5087.2020.04.007
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医学生强迫信念与强迫症状的关联分析
王佳珺, 周文霞, 陈树婷, 王辰
杭州医学院心理学教研室,浙江 杭州 310059
Relationship between obsessive beliefs and obsessive-compulsive symptoms in medical college students
WANG Jiajun*, ZHOU Wenxia, CHEN Shuting, WANG Zhechen
*Department of psychology, Hangzhou Medical University, Hangzhou, Zhejiang 310059, China
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摘要 目的 分析医学生强迫信念与强迫症状的关联,为医学生强迫症状预防及干预提供依据。方法 采用分层整群抽样方法从杭州市某医学院一至四年级各选取3~6个班级学生,采用强迫信念量表和强迫量表修订版评估强迫信念和强迫症状,采用多重线性回归模型分析医学生强迫信念与强迫症状的关联。结果 调查592名医学生,回收有效问卷544份,回收有效率为91.89%。医学生强迫量表修订版总分中位数为15分,检出强迫症状157人,检出率为28.86%。医学生强迫信念量表总分为(154.11±36.05)分,其中责任感/威胁评估(RT)、完美主义/确定性(PC)和重要性/控制思维(ICT)维度得分分别为(61.12±14.53)分、(58.68±14.31)分和(32.90±10.76)分。多重线性回归分析结果显示,性别是医学生检查、清洗、强迫观念和精神中和症状的预测因素;RT是医学生囤积和强迫观念症状的正向预测因素;PC是医学生检查、排序、清洗和精神中和症状的正向预测因素;ICT是医学生囤积、检查、排序、清洗和强迫观念症状的正向预测因素(均P<0.05)。结论 ICT、PC等强迫信念以及性别与医学生强迫症状存在关联。
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王佳珺
周文霞
陈树婷
王辰
关键词 医学生强迫症状强迫信念    
AbstractObjective To investigate the relationship of obsessive beliefs and obsessive-compulsive symptoms in medical students and to provide evidence for prevention and intervention of obsessive-compulsive symptoms in medical students. Methods Medical students were enrolled from a medical college in Hangzhou and were selected among 3 to 6 classes from Grade One to Grade Four using stratified cluster sampling method. The students were assessed with Obsessive Beliefs Scale-44 (OBD-44) and Obsessive Compulsive Scale Revised (OCD-R). Linear regression model was conducted to analyze the association between obsessive beliefs and obsessive-compulsive symptoms in medical students. Results As 592 medical students were surveyed and 544 responses were valid, the response rate was 91.89%. The median score of OCD-R of medical students was 15,and 28.86 of them had obsessive-compulsive symptoms. Concerning OBD-44, the total score of medical students was 154.11±36.05, the scores of responsibility/threat, perfectionism/certainty and importance/control of thoughts were 61.12±14.53, 58.68±14.31 and 32.90±10.76, respectively. The Linear regression analysis demonstrated that gender could predict checking,washing,obsessing and neutralizing; responsibility/threat estimate predicted hoarding and obsessing ;perfectionism/certainty was the most significant predictor of checking,ordering,washing, neutralizing;and importance/control of thoughts predicted hoarding,checking,ordering,washing and obsessing(all P<0.05). Conclusion Gender, importance/control of thoughts and perfectionism/certainty have significant impact over most of obsessive-compulsive symptoms in medical students.
Key wordsmedical students    obsessive-compulsive symptoms    obsessive belief
收稿日期: 2020-01-07      修回日期: 2020-02-14      出版日期: 2020-04-10
中图分类号:  R749.7  
基金资助:浙江省医药卫生科技计划项目(00004C32018KY352)
通信作者: 王佳珺,E-mail:396457173@qq.com   
作者简介: 王佳珺,硕士,助教,主要从事心理学教学工作
引用本文:   
王佳珺, 周文霞, 陈树婷, 王辰. 医学生强迫信念与强迫症状的关联分析[J]. 预防医学, 2020, 32(4): 351-354.
WANG Jiajun, ZHOU Wenxia, CHEN Shuting, WANG Zhechen. Relationship between obsessive beliefs and obsessive-compulsive symptoms in medical college students. Preventive Medicine, 2020, 32(4): 351-354.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2020.04.007      或      http://www.zjyfyxzz.com/CN/Y2020/V32/I4/351
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