| Objective This study is to evaluate the mediation and regulation of the coping style and social support to the the psychology scales of the Symptom and general well-being among the college students in vocational school, and to provide the strategies for the mental health education.Methods A total of 1916 college students were sampled from a vocational college in Anhui province in 2009 by the use of the stratified cluster sampling. The self-administered survey was conducted with the mental health questionnaires. The context of the questionnaires included: (1) the demographic characteristic, such as gender, age, only child or not; (2) the psychology scales of the Symptom Check List-90; (3) General Well-Being Schedule; (4) Social Support Scale; (5) Personal Scene-Trait Coping Style Scale. The associations of the self-assessment symptom, general well-being, coping style and social support were analyzed. The mediation and regulation of the coping style and social support in associations between self-assessment and general well-being were tested. The database was installed by EpiData 3.0, and datasets were analyzed by SPSS16.0 package, statistical methods includes Pearson Chi-square, correlation analysis, structural equation modeling, and path analysis.Results A total of 1916 vocational college students were enrolled in this study, including 611 male participants, aged from 19 to 22, mean age: 20.35±1.09, 1305 were female, mean age: 20.15±1.00. 66.02% of college students were from rural areas, ratio of one-child was 20.51%. The total score of the SCL-90 was 148.80±50.33 points, the total symptom index was 1.65±0.56, and number of positive items was 35.28±23.45, and the difference of the three indicators was significant between grades and majors(P<0.05), the low grade students were higher than high grade and information specialized higher than others specialized, but the differences were no significant in different genders, different household register and whether only child or not. In every dimension of SCL-90, the factor scores of the somatization (0.50±0.62 vs 0.40±0.52,Z=2.917,P=0.004), phobia (0.69±0.69 vs 0.60±0.65,Z=2.528,P=0.011) , paranoia (0.69±0.67 vs 0.59±0.59,Z=2.646,P=0.008) and psychosis scores (0.65±0.65 vs 0.55±0.56,Z=2.123,P=0.034) in male students were significant higher than in female students, and the terrorist factor was statistically significant higher in female students than in female students. SCL-90 total score and the every dimension factor scores were positive correlated to the negative coping style, but negative correlated with scores of active coping style, social support and general well-being (P<0.01). The Cronbach'sαof the psychological scales in this study were all closed to 1, indicated that the rating scales of the internal consistency were good. The every dimension factors of the SCL-90 and negative coping style were both negatively correlated with general well-being, and positive coping style and social support were both positively correlated with general well-being. Among them, negative correlation of the dimension factors of the somatization, paranoid and psychoticism and general well-being was regulated by the negative coping. Negative correlation of the dimension factors of the depression, anxiety and terror and general well-being was regulated by the positive coping. Negative correlation of the dimension factors of the interpersonal relation, depression, anxiety and terror and general well-being was regulated by the social support. Negative coping style, coping style and social support had the intermediation on the every dimensions of the SCL-90. The mediating effect of the coping style and social support to SCL-90 were both less than 10% of the total effect.Conclusions The mental health status of the higher vocational colleges is not optimistic, coping style and social support were partial mediation and regulation to psychology scales of the Symptom and general well-being among the vocational college students, these findings suggest that it is necessary to strengthen and take positive coping style and develop the ability of searching social support when carry out the mental health education in higher vocational college. |
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