导　　师： 郝加虎;陶芳标

学科专业： 100404

授予学位： 硕士

作　　者： ;

机构地区： 安徽医科大学

摘　　要： 目的分析特质应对方式问卷/(TCSQ/)在青少年学生调查中的维度,评价其信度和效度;分析应对方式与青少年自杀心理行为、自我伤害行为、烟酒使用、过度或缺乏体育锻炼及网络成瘾/(Internet addiction, IA/)等健康危害行为的关联强度;探讨应对方式在应激性生活事件与青少年身心亚健康关系中的作用。 方法首先选取安徽省蚌埠市2所大学的学生/(大一～大三年级/)、3所市区中学和3所农村中学的学生/(初一～高三年级/)进行预调查。获得有效问卷7104份;为评价问卷的重测信度,两周后从调查对象中抽取初一、高一、大一共331名学生进行重测。调查内容主要包括一般人口统计学特征和应对方式。随后选取全国8座城市,每座城市城乡初中/(初一、初二/)、城乡高中/(高一、高二/)及大学/(大一、大二/)各一所,从每个年级抽取2个小班,按照自愿参加的原则对学生进行无记名问卷调查,全国共收回有效问卷17 622份。调查内容主要包括:应对方式、亚健康症状、1年内自杀心理行为、1年内自我伤害行为、1个月内烟酒使用情况、每周体育锻炼情况、网络使用情况、应激性生活事件等。 分析蚌埠市7 104名大中学生TCSQ各条目评分/(1分:从不这样;2分:很少这样;3分:有时这样;4分:常常这样;5分:总是这样/)的Cronbach’s a系数和分半系数,分析331名大中学生的TCSQ重测Pearson相关系数;采用因子分析/(主成分分析法/)评价TCSQ结构效度。全国17 622份青少年学生问卷调查结果,首先采用χ~2检验分析不同性别、民族、城乡及是否独生子女的大中学生应对方式评分的四分位数分布的统计学意义,比较不同应对方式青少年学生的自杀心理行为、自我伤害行为、烟酒、体育锻炼及网络等健康危害行为以及躯体亚健康、心理亚健康发生率;运用Pearson相关分析青少年应对方式评分与应激性生活事 Objectives The purpose of the present study was to determine the dimensionality of the Trait Coping Style Questionnaire /(TCSQ/), and to evaluate the reliability and validity of TCSQ. The interrelationships between the coping style, health-risk behaviors and the influence on sub-health in adolescents would be further examined. Methods A total of 7 104 students were selected by cluster sampling who came from two colleges /(from freshmen to junior/), three middle schools /(from grade one to grade six/) in urban area and three middle schools /(from grade one to six/) in suburb in Bengbu. Three hundreds and thirty one students were re-tested with the TCSQ during two weeks interval. The internal consistency reliability of the TCSQ was assessed by Cronbach’s alpha coefficient. Test-retest stability was evaluated using Paired t-test and Pearson correlations. Factor Analysis was applied to assess construct validity. Questionnaire surveys were carried out on 17 622 students from eight selected cities. Two classes were selected in grade 1 and 2 from middle schools, high schools and universities. TCSQ, Multidimensional Sub-health Questionnaire of Adolescents /(MSQA/), Multi-dimensional Life Events Rating Questionnaire for Middle School Students /(MLERQ/) are administered, and the information relating the suicidal ideation and behaviors within one year, self-injurious behaviors, tobacco and alcohol use within one month, physical activity intensity within one year was also collected. Chi-square test was used to compare the rates of coping style status, suicidal ideation and behaviors, self-injurious behaviors, tobacco and alcohol use and these indexes by various numbers of coping style in adolescents. Pearson’s correlation analysis was used to test the relation between coping style and stressful life events and sub-health symptoms. Linear Regression analysis was used to analyze the mediating effect of coping style. Results The results of exploratory factor analysis showed that 2 factors were extracted and the c

关 键 词： 青少年 自杀 自我伤害 吸烟 饮酒 健康状况

领　　域： [哲学宗教] [哲学宗教]