摘要
目的探讨四川省农村中学生心理健康与心理弹性、自尊间的关系以及在不同性别中的差异,为制定心理健康干预计划提供依据。方法通过随机整群抽样方法,选取四川省南部浚中县2所农村中学的初一和高一年级262名学生为研究对象,使用中学生心理健康量表(MMHI-60)、心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)、自尊量表(SES)进行调查,采用结构方程模型进行统计分析。结果男生心理健康量表得分为(2.08±0.68)分,低于女生的(2.17±0.64)分;而心理弹性及自尊得分(56.65±18.13,28.51±4.61)高于女生(51.73±17.13,27.87±4.46)(P值均<0.05)。结构方程结果显示,心理弹性与自尊直接影响心理健康,标准化效应分别为-0.094(95%CI=-0.147^-0.017)和-0.360(95%CI=-0.405^-0.309);心理弹性是自尊与心理健康关系中的中间变量,中介效应值为-0.052(95%CI=-0.084~0.016),占总效应的12.6%。结构方程模型群组分析结果显示,男女生的比较参数均≤0.005,且路径系数间差异临界比值绝对值均小于1.96。结论四川省农村中学生心理弹性、自尊均对心理健康有直接保护作用,自尊可通过心理弹性间接影响心理健康。
Objective To explore the relationship among mental health,resilience and self-esteem of rural middle school students in Sichuan province and to explore the difference of the three relationships between boys and girls,and to provide evidence for mental health intervention in the future. Methods Totally 262 students of grade 7 and grade 10 from 2 middle schools in the south rural area of Sichuan province were selected as research objects by cluster sampling method,and a cross-sectional survey was conducted by using mental health scale（ MMHI-60）,resilience scale（ CD-DISC） and self-esteem scale（ SES） as well as social demographic characteristics questionnaire. Structural equation model（ SEM） was used for statistical analysis. Results The score of boys＇ mental health（ 2.08± 0. 68） was lower than that of girls（ 2. 17 ± 0. 64） while both resilience and self-esteem of boys（ 56. 65 ±18.13,28.51±4.61） scored higher than girls＇（ 51.73±17.13,27.87±4.46）（ P〈0.05）. The results of SEM showed mental resilience and self-esteem directly affected mental health,and the effects were-0. 094（ 95% CI =-0. 147--0.017） and-0. 360（ 95% CI =-0.405--0.309）,respectively. The resilience was a mediator of the relationship between self-esteem and mental health and the mediatory effect was-0.052（ 95% CI =-0. 084-0. 016）,accounting for 12. 6% of the total effect. Multiple group analysis of SEM showed that the difference values of parameters for structural equation model of boys and girls were all less than 0.005.The absolute value of critical ratios for path coefficients were all less than 1.96. Conclusion Resilience and self-esteem are the direct protective factors of mental health among the middle school students in rural area of Sichuan Province,and self-esteem is an indirect factor of mental health.
出处
《中国学校卫生》
CAS
北大核心
2017年第10期1503-1506,共4页
Chinese Journal of School Health
基金
国家自然科学基金项目(81472994)
大学生创新创业计划省级项目(201710612217)
关键词
健康状况
精神卫生
回归分析
学生
Health status
Mental health
Regression analysis
Students
