Objective To understand the relationship between general self-efficacy, self-consistency and congruence and coping styles among medical students. Methods By stratified random sampling method, 300 medical students were surveyed by general self-efficacy scale, self-consistency and congruence scale and coping style questionnaire. Results The score of general self-efficacy was (2. 64 ±0. 46) and self-consistency and congruence was (86. 51 ± 12. 10) among medical students. They were all at the medium level compared with their norms. General self-efficacy was positive related to solving problem and rationalization (r =0. 382, P <0. 01; r =0. 174, P <0. 01), and negative related to self-criticism and back-off (r= -0. 170, P <0.01; r= -0. 127, P <0. 05). Self-consistency and congruence was positive related to self-criticism , fantasy and back-off (r = 0. 363, P < 0.01; r = 0. 379, P < 0. 01; r = 0. 282, P < 0. 01). Self-consistency and congruence was negative related to solving problem and seeking help (r = - 0. 388, P < 0. 01; r = - 0. 247, P < 0.01). Conclusion General self-efficacy and self-consistency and congruence were closely associated with coping styles among medical students. It is necessary to pay attention to medical students' general self-efficacy and self-consistency and congruence and guide them to take positive coping styles.%目的 探讨医学生的一般自我效能感、自我和谐与应付方式及其相互关系,为医学生的人格培养和心理健康建设提供依据.方法 采用分层随机抽样方法,抽取某医学院300名在校大学生进行一般自我效能感量表、自我和谐量表和应付方式问卷调查.结果 医学生一般自我效能感与自我和谐状况得分分别为(2.64±0.46)分,(86.51±12.10)分,均处于大学生群体的中等水平.一般自我效能感与解决问题、合理化呈显著正相关(r =0.382,P＜0.01；r=0.174,P＜0.01),与自责、退避呈显著负相关(r=-0.170,P＜0.01；r=-0.127,P＜0.05)；自我和谐总分与自责、幻想、退避呈显著正相关(r=0.363,P＜0.01；r=0.379,P＜0.01；r=0.282,P＜0.01),与解决问题、求助呈显著负相关(r=-0.388,P＜0.01；r=-0.247,P＜0.01).结论 医学生的应付方式与一般自我效能感和自我和谐密切相关,要引导医学生采取积极的应付方式、提高心理健康水平,医学院校应注重提升医学生自我效能感、促进自我和谐的发展.
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