重大社会生活事件后大学生的应激障碍及应对策略
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
大学生处在生理、心理发展的特殊时期,处在人生观、世界观形成的关键期,一旦出现社会生活应激情境,他们往往因不知如何应对而导致心理障碍的发生。已有研究表明,大学生的心理问题主要表现在应激生活事件及应对特点上,负性生活事件、重大的挫折、无效的应对是其产生心理问题的主要原因。“非典”事件发生后,大学生中也出现了种种心理问题,如何采取有效的应对措施,将灾难后造成的心理问题的消极影响减少到最低限度,是高校心理健康教育迫切需要解决的问题,也是提高大学生社会适应能力和自我发展能力的需要。本研究通过系统研究重大社会生活事件——“非典”后大学生应激障碍、应对策略及其影响因素,为提高大学生的心理素质和心理健康水平提供科学的理论依据,丰富大学生心理健康教育理论。
     本研究在文献分析和开放式问卷调查的基础上,借鉴国内外的有关量表,主要采用因素分析方法,编制了“重大社会生活事件后大学生的应激障碍及应对策略问卷”。同时运用已有的人格问卷、社会支持量表、心理控制感量表对不同疫区的大学生进行测量,探讨其应激障碍、应对策略的特点及各个影响因素作用的情况。研究结果得出了如下的结论:
     1.自编的“重大社会生活事件后大学生的应激障碍问卷”有较好的信度、效度。通过因素分析得到了五个因素:生理异常、行为过度、抑郁、敏感恐惧、轻信。
     2.自编的“重大社会生活事件后大学生的应对策略问卷”有较好的信度、效度。
    
    通过因素分析得到了五个因素:抱怨幻想、积极行动、独自承受、等待、转移.分为三
    个维度:卷人性应对、维持性应对、摆脱性应对.
    3.应激障碍方面,较重疫区与其他疫区有显著的学校疫区、家庭疫区差异,在专
    业类型、性别上没有显著的差异,在痛苦经历、健康状况上有显著的差异.
    4.应对策略方面,较重疫区与严重疫区有显著的学校疫区、家庭疫区差异,理工
    科与文科、医学类有显著的差异,在隔离状况、痛苦经历方面有显著的差异,而在性别、
    健康状况方面没有显著的差异.
    5.人格特征对应激障碍有影响,其中神经质的解释率最大,精神质次之,内外向
    最小.
    6.人格特征各维度对应对策略的影响是不同的,卷人性应对策略主要是受精神质、
    内外向维度的影响,其中精神质的解释量最大。摆脱性应对主要受神经质一个维度的影
    响。内外向、神经质、精神质三个维度对维持性应对都有影响,其中神经质的解释量最
    大,内外向次之,精神质的解释量最小.
    7.社会支持特别是来自朋友的支持作为缓冲器能降低应激障碍,社会支持的多少
    也影响应对策略的选择.
    8.应对策略、社会支持、人格特征、心理控制感、情境因素对应激障碍有直接效
    应.应对策略、社会支持、人格特征、心理控制感互为中介对应激障碍有间接效应。
Undergraduates are in the period of physical and mental development, also they are forming philosophy of life and world views, so they often don't know how to cope with society life stress events and result in mental disorder. Some investigated data show that undergraduates' mental problems are mainly revealed in stress life events and coping characteristics. Negative life events, important frustration and ineffective coping result in mental problems. Many kinds of mental problems appear among undergraduates after S ARS event, so it is an urgent thing for college mental health education how to use effective coping strategies to decrease the negative influence after traumas into the lowest degree, and it is a need to improve undergraduates' abilities of adaptability and development. We make systematic studies on undergraduates' stress disorder, coping strategies and their influence factors after SARS event in order to provide scientifical theory bases to improve undergraduates' mental quality and mental healt
    h level, and enrich the theory of college mental health education.
    Based on document analysis and open questionnaire investigation, and consulting relative scales at home and abroad, we compile the Undergraduates' Stress Disorder and Coping Strategies Qestionnaires after Serious Society Life Events mainly by factor-analysis approach. We also measure undergraduates in different epidemic areas using Eysenck Personality Questionnaire, Perceived Social Support Scale and Spheres of Control in order to explore the characteristics of undergraduates' stress disorder, coping strategies and the influence of all factors. The concisions show that:
    1. The self-compiled Undergraduates' Stress Disorder Questionnaire after Serious Society Life Events has satisfying reliability and validity. By factor analysis, we get five factors: physical abnormality, behavioral excess, depression, sensitivity and phobia, and credulity.
    
    
    2. The self-compiled Undergraduates' Coping Strategies Qestionnaire after Serious Society Life Events has satisfying reliability and validity. By factor analysis, we obtain five factors: complain and fancy, positive action, endure for oneself, wait, and transfer. The five factors are divided into three dimensionalities: joined coping, maintained coping, avoided coping.
    3. With respect to stress disorder, there is significant difference of school epidemic areas and family epidemic areas between more serious epidemic areas and other areas. Significant difference also exists between male and female, among the types of major. There is no significant difference between different painful experience, and among different health.
    4. With respect to coping strategies, there is significant difference of school epidemic areas and family epidemic areas between more serious epidemic areas and the most serious epidemic areas. There is also significant difference between science, engineering and arts, medicine, between different separate states, and different painful experience. But there is no significant difference between male and female, and among different health.
    5. Personality characteristics have effect on stress disorder. The interpretative ratio in order is: neuroticism, psychoticism, intraversion-extraversion.
    6. Three dimensionalities of personality characteristics have different effect on coping strategies. Joined coping strategies are mainly affected by psychoticism, intraversion-extraversion, and the highest interpretative ratio is psychoticism. Avoided coping strategies are mainly affected by neuroticism. Maintained coping strategies are affected by neuroticism, psychoticism, intraversion-extraversion. And the interpretative ratio in order is: neuroticism, intraversion-extraversion, psychoticism.
    7. As a buffer, social support especially from friends can decrease stress disorder. The amount of social support also affects choosing coping strategies.
    8. Coping strategies, social support, personality characteristics, the sense of control and situational factors have direct effect on str
引文
?
    
    
    [1] 韦有华编著.人格心理辅导[M].上海教育出版社,2000(9):313-315
    [2] 同[1]。319
    [3] 胡冰霜、梁友信.创伤性应激障碍[J].国外医学精神病学分册.1997,24(5):266-269
    [4] 久留一郎、罗丹.灾难受害者的心理与社会支持[J].湖南医科大学学报(社会科学版).2000(4):79—82,93
    [5] 赵丞智等.地震后17个月受灾青少年PTSD及其相关因素[J].中国心理卫生杂志.2001(3):145—147
    [6] Erica Frybenberg (1997).Adolescent coping:theoretical research perspectives. London and New York.29
    [7] 王庆松、王正国、朱佩芳.创伤后应激障碍及其神经生物学机制[J].中华创伤杂志.2001(7):443—445
    [8] 李雪英.PTSD的认知理论及认知行为治疗[J].中国临床心理学杂志.1999,7(2):125—128
    [9] 杜建政、马胜祥、朱新明.创伤后应激障碍的认知理论[J].心理学动态.2001,9(2):157—162
    [10] 刘贤臣等.心理创伤后应激障碍自评量表的编制和信度效度研究[J].中国行为医学科学.1998(2):93—96
    [11] Fullerton,Carol etal.Gender differences in posttraumatic stress disorder after motor vehicle accidents.American Journal of Psychiatry.2001 .vol(158): 1486-1491.
    [12] 高岚等.对受洪灾群体创伤后应激反应的调查[J].中华精神科杂志.2000(2):107—110
    [13] 方明等.大学生精神创伤后应激性障碍的调查[J].中国心理卫生杂志.1998(3).280-281
    [14] 同[5]
    [15] 苏冈、刘金凤.癌症与创伤后应激障碍[J].国外医学精神病学分册.2001(4):207—211
    [16] 同[15]
    [17] Mundy EA,et al.Behav Res Ther.2000,38(10): 1015-1027
    [18] 刘光雄等.车祸事件后创伤后应激障碍的研究[J].中国心理卫生杂志.2002(1):18—20
    [19] Sliva RR,et al :Am J Psychiatry,2000,157:1229-1235
    [20] Emily J.Ozer, teal:Predictors of posttraumatic stress disorder and symptoms in adults:a meta-analysis.Psychological B ulletin.2003.129(1):52-73
    [21] Engelhard et al:A longitudinal study of"intrusion-based reasoning" and posttraumatic stress disorder after exposure to a train disaster.Behaviour Research & Therapy,2002,vol 40(12): 1415-1434
    [22] Dunmore et al :A prospective investigation of the rote of cognitive factors in persistent posttraumatic stress disorder after physical or sexual assault. Behaviour Research & Therapy,2001,vol 39(9):1063-1084
    [23] Mayou et al :Posttraumatic stress disorder after motor vehicle accidents:3-year follow-up of a
    
    prospective longitudinal study. Behaviour Research & Therapy,2002,vol 40(6):665-675
    [24] 同[12]
    [25 同[12]
    [26] Middleton et al :Natural disasters and posttmumatic stress disorder sympton complex:evidence from the Oklahoma tornado outbreak.Interantional Journal of Stress Management.2002,vol 9(3):229-236
    [27] 张本等.唐山大地震所致孤儿心理创伤后应激障碍的调查[J].中华精神科杂志.2000(2):111—114
    [28] 赵承智等.张北尚义地震后创伤后应激障碍随访研究[J].中国心理卫生杂志.2000(6):361—363
    [29] 陈新华等.灾害事件后心理应激、社会支持与心脑血管病关系研究[J].中华内科杂志.2000(7):446—448
    [30] 姜乾金.心理应激:应对的分类与心身健康[J].中国心理卫生杂志.1993(4):145—147
    [31] 解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志.1998(2):114—115
    [32] 韦有华、汤盛钦.COPE量表的初步修订[J].心理学报.1996(4):380—387
    [33] 肖计划、许秀峰.“应付方式问卷”效度与信度研究[J].中国心理卫生杂志.1996(4):164—168
    [34] 黄希庭等.中学生应对方式的初步研究[J].心理科学.2000(1),1—5
    [35] 同[6]
    [36] 同[6]
    [37] Sarah McNamara(2000).Stress in Young People.Continuum London and New York.15—16
    [38] 同[6]
    [39] Marc J.Schabracq et al(1996).Handbook of Work and Health Psychology.Chichester. NewYork.Brisbane.Toronto.Singapore.69
    [40] Daniel A.Girdano,George S.Everly(1985).Controlling Stress and Tension:A Holistic Approach.99
    [41] 同[37]
    [42] Breslau,Naomi:The epidemiology of posttraumatic stress disorder:what is the extent of the problem?Jouranl of Clinical Psychiatry.2001 vol 62:16-22
    [43] Breslau et al:The uniqueness of the DSM definition of post-traumatic stress disorder:implications for research.Psychological Medicine.2002,vo132(4):573-576
    [44] [美]Phillip L.Rice著.石林等译.压力与健康[M].中国轻工业出版社.2000(5):202
    [45] 同[39]
    [46] Annette,Lawrence,Wsllander ,Walker.Stress and Coping in Child Health.the Guilford press /New York/London. 13
    
    
    [47] 王一牛、罗跃嘉.突发公共卫生事件下心境障碍的特点与应对[J].心理科学进展.2003(4):387—392
    [48] 陈勃等.高校学生应对特定压力事件的心态及表现方式[J].青年研究.2001(8):29—33
    [49] 范存欣、马绍斌.大学生心理健康测查结果的研究[J].中国学校卫生.1998(4):262—264
    [50] 李子康、嵇绍岭.308名大学生心理健康状况及影响因素[J].中国校医.1999(4):300—301
    [51] 章竞思、陈铁补、史亚娟。大学生心理健康问题的调查与思考[J].中国高教研究.1999(5):86—87
    [52] 李伦、王谦.大学生心理应激生活事件与应付方式的特点[J].医学与社会.2000(2):58—59,63
    [53] 陈文莉.大学生心理健康与生活事件关系研究[J].健康心理学杂志.1999(2).236—238
    [54] 杨雪花、戴梅竞.大学生心理健康状况及其研究进展[J].国外医学社会医学分册[J].2000(2):65—68
    [55] 孙颖、张宝帆.大学生心理疾患产生原因及心理保健对策[J].天津大学学报(社会科学版).2002(3):254-257
    [56] 同[13]
    [57] 陈旭、张大均.心理健康教育的整合模式探析[J].教育研究.2002(1):71—75
    [58] 马奇柯.新的社会环境条件下大学生心理发展特点及其影响因素研究[J].理论月刊.2002(11):98—99
    [59] 朱智贤主编.心理学大词典.北京师范大学出版社.1989,10(1)
    [60] 钱铭怡等.艾森克人格问卷简式量表中国版(EPQ-RSC)的修订[J].心理学报.2000(3):317—323
    [61] 蔡叶佩.青少年精神疾病与个性特征、应激因素的关系[J].现代护理.2002(3):204—205
    [62] 陈新华等.灾害事件后心理应激、社会支持与心脑血管病关系研究[J].中华内科杂志.2000(7):446—448
    [63] 童辉杰.“非典”应激反应模式及其特征[J].心理学报.2004(1):103—109
    [64] Moore D,Schultz NR. Loneliness at adolescence:correlates,attributions,and coping.Journal of Youth and Adolescence. 1983,12(2):96-100
    [65] Schultz NR,Moore D. Loneliness:correlates,attribution and coping among older adults.Personality and Social Psychology Bulletion. 1984,10(1):67-77
    [66] 童辉杰.孤独、抑郁、焦虑与心理控制源[J].中国临床心理学杂志.2001(3):196—197
    [67] McCrae R R, Costa P T.Personality, coping,and coping effectiveness in an adult sample.Journal of Personality, 1986,54:385-405
    [68] Lazarus R S,Folkman S. Stress,appraisal,and coping.New York:Springer, 1984
    [69] Bolger N,Zuckerman A.A framework for studying personality in the stress process. Journal of
    
    Personality and Social Personality, 1995,69:890-902
    [70] McCrae R R. Situational determinants of coping responses:Loss,threat,and challenge.Journal of Personality and Social Psychology,1984,76:117-122
    [71] Kardum I,Huded-Knezevic J.The relationship between Eysenck's personality traits,coping styles and moods.Personality and Individual Differences, 1996,20:341-350
    [72] Kardum I,Krapic N. Personality traits,stressful life events,and coping styles in early adolescence. Personality and Individual Differences,2001,30:503-515
    [73] 陈红、黄希庭.A型人格、自我价值感对中学生不同情境应对方式的影响[J].心理科学.2001(3):350—351
    [74] 李全彩.大学生人际关系的现状与对策[J].中国学校卫生.2002(1):47—48
    [75] 张本等.唐山大地震对人类心身健康远期影响[J].中国心理卫生杂志.1998(4):200—202
    [76] 汪向东、高岚.灾害后的精神及行为障碍[J].中华精神科杂志.1999(3):186—188
    [77] 张国庆.“9·11事件”卫生调查概述[J].中国公共卫生.2003(8):906—908
    [78] 肖计划等.青少年学生的应对方式与精神健康水平的相关研究中[J].国临床心理学杂志.1996(1):53—55
    [79] 张晓明等.维护创伤患者健康应对方式的护理研究[J].解放军护理杂志.2000(6):1—3
    [80] 张群芳.应对教育——高校心理健康教育的新趋向[J].喀什师范学院学报(社会科学版).2000(4):84—87
    [81] 杨雪花、戴梅竞.大学生个性特征及其与心理健康状况关系的研究[J].中国校医.2001(1):1—3
    [82] 张军.大学生个性特征与心理健康的相关分析[J].青海师专学报(教育科学版).2003(4):103—105
    [83] 和彦芬.大学生健全人格教育[J].云南师范大学学报(哲学社会科学版).2003(3):31—34
    [84] 罗文丽.人格教育是大学生心理素质教育的关键[J].曲靖师范学院学报.2003(3):108—110
    [85] 陈琦等.年轻大学生忧虑的问题、应对策略和寻求帮助的行为[J].心理发展与教育.1998(4):26—31
    [86] 江光荣、王铭.大学生心理求助行为研究[J].中国临床心理学杂志.2003(3):180—184

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700