医学生抑郁与血清皮质醇及应对方式的相关性

摘要

Objective To explore the correlations between depression and serum cortisol or coping style in medical students. Methods Self-making general investigation scale, Simplified Coping Style Questionnaire (SCSQ), and Self-Rating Depression Scale (SDS) were applied on 427 college students. Serum cortisol was assessed on some random students. Results Different between male and female college students compared, found that girls The actively coping score of girls (24.24±6.93) was higher than that of boys (18.94±5.60), and serum cortisol was lower in girls than boys (36.70±7.07 vs. 56.81±11.35). There was significant difference in depression levels of students with active and negative coping styles (P＜0.01). Students with experience in student union had significant lower depression score (44.08±6.453) than those without this experience (48.07±7.153). It was obvious that negative coping style was predominant in students from poor family. Family financial status and serum cortisol levels were compared. The serum cortisol in students from poor family was significantly differed from those from average family and good family (P＜0.05). Conclusion The depression in medical students is correlated to family financial status, coping style and serum cortisol levels.%目的 了解医学生抑郁与血清皮质醇、应对方式的相关性.方法 采用自编一般情况调查表、简易应对方式问卷(SCSQ)、抑郁自评量表(SDS)对427名大学生进行调查,并随机抽取其中部分学生检测其血清皮质醇含量.结果 不同性别间大学生相比,女生的积极应对得分(24.24±6.93)分高于男生(18.94±5.60)分,血清皮质醇含量(36.70±7.07)分较男生(56.81±11.35)分低.积极应对方式下的学生与消极应对方式学生抑郁得分水平差异有统计学意义(P＜0.01).抑郁与各因子的相关性分析,担任过学生干部学生组抑郁得分(44.08±6.453)分与未曾担任过学生干部组抑郁得分(48.07±7.153)分差异有统计学意义(P＜0.05).贫困家庭学生消极应对方式明显.家庭经济状况与血清皮质醇含量比较,贫困家庭与一般家庭、良好家庭学生的血清皮质醇差异有统计学意义(P＜0.05),而一般家庭与良好家庭之间学生的血清皮质醇含量差异无统计学意义(P＞0.05).结论 医学生心理抑郁可能与家庭经济状况、应对方式以及血清皮质醇水平相关.