目的 探讨医学生主观社会地位(subjective social status,SSS)与心理健康(抑郁、焦虑、心盛)的关系,并检验自我同情在其中的调节作用.方法 采用主观社会经济地位量表中文版、自我同情量表、病人健康量表、广泛性焦虑障碍量表和心盛量表,于2021年12月对2 440名在校医学生进行问卷调查.采用SPSS 26.0对数据进行描述统计和相关分析,运用多层回归分析检验自我同情在SSS与心理健康关系中的调节作用.结果 (1)相关分析显示,SSS[(5.32±1.46)分]与抑郁[5.00(3.00,8.00)分]和焦虑[3.00(1.00,6.00)分]呈负相关(r=-0.166,-0.128,均 P＜0.01),与心盛[(40.69±8.45)分]呈正相关(r=0.242,P＜0.01);自我同情[(86.63±13.16)分]与抑郁和焦虑呈负相关(r=-0.538,-0.511,均P＜0.01),与心盛呈正相关(r=0.543,P＜0.01).(2)多层回归分析显示,SSS可以显著负向预测抑郁(β=-0.065,P＜0.001),正向预测心盛(β=0.157,P＜0.001);自我同情在SSS与抑郁的关系中发挥显著的正向调节作用(β=0.055,P＜0.01),SSS与抑郁的负向关系随着自我同情增高而下降;自我同情在SSS与心盛的关系中发挥显著的负向调节作用(β=-0.037,P＜0.05),SSS与心盛的正向关系随着自我同情增高而下降.结论 SSS可以预测医学生的心理健康状况;自我同情在SSS与心理健康的关系中起调节作用,可以缓解低SSS对医学生心理健康的损害.
The relationship between subjective social status and mental health in medical students:the modera-ting role of self-compassion
Objective To explore the relationship between subjective social status(SSS)and men-tal health(depression,anxiety,and flourishing)among medical students,and to examine the moderating role of self-compassion in this process.Methods The Chinese version of the subjective socioeconomic status scale(CSSS),self-compassion scale(SCS),patient health questionnaire(PHQ-9),generalized anxiety dis-order(GAD-7)and flourishing scale(FS)were used to investigate 2 440 medical students in December 2021.SPSS 26.0 software was used for descriptive statistics and correlation analysis.Multilevel regression analysis was used to investigate the moderating role of self-compassion on the relationship between SSS and mental health.Results(1)Correlation analysis showed that SSS(5.32±1.46)was negatively correlated with depression(5.00(3.00,8.00))and anxiety(3.00(1.00,6.00))(r=-0.166,-0.128,both P＜0.01),and was positively correlated with flourishing(40.69±8.45)(r=0.242,P＜0.01).Self-compassion(86.63±13.16)was negatively correlated with depression and anxiety(r=-0.538,-0.511,both P＜0.01),and was positively correlated with flourishing(r=0.543,P＜0.01).(2)Multilevel regression analysis showed that SSS could significantly and negatively predict depression(β=-0.065,P＜0.001),and positively predict flourishing(β=0.157,P＜0.001).Self-compassion played a significantly positive moderating role in the relationship between SSS and depression(β=0.055,P＜0.01),and the negative relationship between SSS and depression decreased with increasing self-compassion.Self-compassion played a significantly negative moderating role in the relationship between SSS and flourishing(β=-0.037,P＜0.05),the positive relation-ship between SSS and flourishing decreased with increasing self-compassion.Conclusion SSS can predict mental health of medical students.Self-compassion plays a moderating role in the relationship between SSS and mental health and can mitigate the damage of low SSS on the mental health of medical students.
Subjective social statusMental healthDepressionAnxietyFlourishingSelf-compassionMedical students
NETL
NSTL
万方数据
维普
