•儿匱少年心理卫生•留守初中生心理健康与生活事件、应对方式的关系周丽①离玉峰①邱海棠①杜莲①郑玉萍①蒙华庆【摘要】目的：了解农村留守初中生心理健康状况，及具与生活卑件和应付方式的关系。方法：采用心理健廉诊断测验(MIIT)、住少年生活川件61农和应付方式何卷对啦庆市348名农村初中生进行调竇。结果：(I)农村留守中学生心理问题检出率为6.2%；(2)农村M守中学生MHT总分、孤独倾向、f[贵倾向、身体症状、冲动倾向因子得分均高于非留守学生[如，MHT总分(42.7±1.1)vs.(33.6±1.6),/>=0.004]；(3)留守组学生的人际关系、受惩罚、健康适应因子分[(&8±0.4)vs.(7.6±0.5).(7.9±0.4)vs.(6.3±0.6)、(4.4±0.2)vs.(3.0±0.3),P=0.031.0.027,0.000]及幻想、退避、合理化等消极应付方式因子分[(6.2±0.6)u$.(3.9±0.2)；(7.3±0.2)vs.(4.8±0.2),P=0.008、0.006、0.000]均高于非留守组；(4)相关分析表明留守中学生MHT总分与消极应付方式和生活弔件址表中除丧失因子外均呈正相关(20.26~0.4X),生活事件址表中丧失因子与MHT各因子相关性最低，应付方式问卷中解决问题因子与MHT身体症状、冲动倾向呈负相关(r=-0.21--0.33)；(5)生活事件和应付方式各因子能解释MHT总分、学习然虑、冲动倾向、身体症状、对人焦虑因子中36%-53%的变异。在生活事件中，人际关系、学习压力事件对心理健康水平影响校大。消极应付方式中幻想因子对MHT总分圾具有预测力，也独解释量达61%。而学习压力因了对学习焦虑最有预测力，单独解释駅为38%o结论：农村留守中学生存在较多心理问题，生活事件和应付方式是影响其心理健康的重要因索。生活事件中人际关系、学习压力因子是心理健康的重要预测指标；积极应付方式和消极应付方式都与心理健康相关，但消极应付方式对其彫响更大。【关键词】心理健康；生活事件；应付方式；留守初中生；横断面调查中图分类号R395.6文献标识码：A文章编号：1000-6729(2008)011-0796-06MentalHealthfLifeEventsandCopingStylesofMiddleSchoolStudentsLeftbyParentsinRuralAreaZHOULi,GAOYu-Fcng,QIUIlai-Tang,DULian,ZHENGYu-Ping,MENGHua-Qing*MentalHealthCenterofHieFirstHospitalofChongqingMedicalUniversity,Chongqing400016@Correspondingauthor：MENGHua-Qing,Email:pzhzl740723@yahoo,com.cn[Abstract]Objective:Toinvestigatethementalhealthoftheruralmiddleschoolstudentswhowereleftbehindbyparentsworkingout9andtoexploreitsrelationshipwiththeirlifeeventsandcopingstyles.Methods：Stratifiedsamplingmethodwasusedtodraw348middleschoolstudentsinChongqingcity.TheywereinvestigatedwiththetaiHealthTest(MHT)fadolescentself-ratinglifeeventschecklistandcopingstylesquestionnaire・Results:Theraleofmentaldisorderinthesamplewas6・2%・Inmiddleschool,studentsbeingleftbehindhadsignificantlyhigherscoresthanthecontrolstudentsinMHTtotalscore[(42.7±1.1)v&(33.6±1.6)fP<0.01]andthefactorsofselfblame[(5.9±0.2)vs.(4.6±0.3).P<0.01].thestudentsbeingleftbehindscoredsigniGcantlyhigherthanthecontrolstudentsinthefactorsofthelifeeventsrelatedtointerpersonalrelationship9beingpunishedfhealthandadaptation[(8.8±0.4)vs.(7.6±0.5)f(7.9±0.4)vs.(6.3±0.6)f(4.4±0.2)vs.(3.0±0.3);P<0.01or0.05]fandthefactorsofcopingstylesrelatedtothenegativecopingstyle[(6.2±0・6)vs.(3.9±0.2)t(7.3±0.2)vs.(4.8±0.2);P<0.001].ThefactorsofMIITwerepositivelycorrelatedwithnegativecopingstylesandthefactorsofthelifeeventsexceptforthelosingfactor(r=0.26*0.48).ThefactorsinMHThadlowornocorrelationwiththefactorsofthelifeeventsrelatedtolosingfactorandthe(actorsofthecopingstylesrelatedtoaskingforhelp.Theproblemresolvingfactorwasnegativelycorrelatedwithphysicalsymptomandimpulsetendency(r=-0.210.33)•Thefactorsoflifeeventsandcopingstylesexplained36%-53%variationofthescoresofMHT(D费庆医科大学附属第一医院心理卫...