Study Of Effects Of Crisis Intervention On Medical Students Based On Positive Psychology

BACKGROUDIt is an important turning point in life from secondary school to enter university, college students have to face with changes in living environment, learning style and interpersonal tremendous, but the psychological development is lagging behind, is bound to bring them to the adaptation and development of the enormous pressure and mental confusion, prone to psychological crisis. Crisis intervention is precisely to be care and support for people in distress or suffered a setback, so as to restore the psychological balance. In recent years, the theory of positive psychology by the American psychologist Martin Seligman, lead gradually into the vision of the researchers, their value is, we are concerned about mental illness eyes and instead invest in human good and positive aspects, and help mankind to tap and stimulate the inherent quality and strength, to get a better life. This coincides with the thrust of the ideological education of college students, but at present the theory of positive psychology at the core of the empirical research, especially in the absolute number of group counseling is also less, and poor health, depression specific groups, the study of universal psychological crisis intervention are rare. Positive psychology-oriented group counseling in this study, groups of medical students psychological crisis intervention for college students to provide a turning point of growth in order to provide a reference, but also for the improvement of students’ psychological crisis intervention model. OBJECTIVE1To explore the risk factors of students’mental crisis according to investigation;2To discuss the best way of intervention for medical students with mental crisis according to the experimental study;3To establish the contents system of group counseling based on positive psychology.SIGNIFICANCE1A reference to explore the students’ psychological crisis;2Psychological Crisis Intervention provides a positive perspective in the new situation;3Improving College Students’ positive emotions and the ability to fight against setbacks.OBJECTTaken by grade stratified sampling method to extract the Southern Medical University, School of Public Health and Tropical Medicine, School of Nursing, School of Biomedical Engineering, Second Clinical Medical College freshman to senior four-grade students. As the first part of the research object. Screening for psychological crisis among college students, through the voluntary recruitment and a brief interview, were randomly assigned to the experimental group and control group for the second part of the intervention study.Study inclusion criteria:(1) full-time undergraduate students;(2) senior high school as an ordinary full-time high school;(3) is normally enrolled in school;(4) volunteered to participate in this research.Study exclusion criteria were:(1), Wei Pei Health Education for Students;(2) trainee, outside the Big Five students in the internship can not participate in the study; promoted, leading to (3) students refused to participate in the study. METHODSThis study is divided in two parts.The content is research, after small-scale pre-test, revise and improve their own choice and prepared in the first part of students’psychological crisis health questionnaire (including social demographic data, symptom checklist, the overall well-being scale and adolescent mental Resilience Scale, Simple ways of Coping Questionnaire) to investigate. Use stratified convenience sampling of900undergraduate students of the four colleges of Southern Medical University, four year investigation. Symptoms rating scale (SCL-90) score entered the heart of the heart of the sea Navigation Technology Co., Ltd. R&D software and sea school mental management system software, built-in SCL-90subject to the norm, to determine abnormalities occur as a psychological crisis standard. In order to understand the students’psychological crisis, the incidence of overall well-being of college students, mental toughness against setbacks, as well as crisis management mode, also known as "response (Coping)".The second part of the intervention study. In the first part of the research base, from the screening out of college students meet the standards of the psychological crisis, and follow the principle of voluntary recruitment into the group after a brief interview, and randomly assigned to experimental and control groups. The development of positive psychology oriented group counseling programs, focusing on the positive cognitive, emotional culture and the solution of practical problems. Psychological crisis intervention for students enrolled in the study carried out for six weeks. Before the intervention began, the end of the day and three months after the end of test and control groups for mental health assessment to evaluate the immediate and short-term group counseling to maintain the effect.STATISTICAL METHODSAll data, after careful examination, check the application Epidata software entry, SPSS19.0software for statistical analysis. General information on descriptive statistics, chi-square test, two independent samples t-test, single factor analysis of variance, multiple linear regression analysis, changes in the two sets of data at different time points using a repeated measures analysis of variance to adjust the a level independent samples t-test, pairwise comparisons using the LSD method. The inspection level a=0.05, P<0.05was considered statistically significant difference.RESULTS1Students’psychological crisis incidenceThe questionnaires were distributed and983were900valid questionnaires, recovery efficiency of91.84%. To the heart of the sea software school mental management system built-in SCL-90subject to the norm, according to the SCL-90score of psychological crisis, college students screened223people, the psychological crisis rate of24.8%.2Students overall sense of happiness and mental toughness statusIn addition to health in accordance with the psychological crisis occurs or not students were divided into two groups, worried that this factor abnormalities was comparable to the overall well-being scale score and factor scores were lower than the normal group, adolescent mental toughness scale total points and factor scores lower than the normal group, and simple coping style scale low positive scores, and high negative scores (P<0.05).3Mental Health of Related FactorsSymptom Checklist90:received counseling or treatment of students of the SCL-90score was significantly higher than the score of the students had not received psychological treatment (t=7.989, P=0.005), SCL-90total score of the freshman (152.46±39.68), the most serious psychological problems; junior SCL-90score the lowest (131.52±36.23), the relatively good state of mind. Stepwise multiple regression analysis for multivariate analysis, regression equation SCL-90total score=159.828-6.092grade-16.053whether to accept counseling or treatment+3.125professional feel to read+4.02family residence+2.663Mother’s education level the above five variables most closely with the SCL-90total score relationship. General Weil-Being Schedule:GWB for boys than girls score high, the difference was statistically significant (t=7.530, P=0.006). Students to read the professional satisfaction of students, their overall well-being scale score higher than all students do not care "attitude, satisfaction and general satisfaction score than less satisfied with the students score higher, indicating that professional satisfaction can affect the overall well-being of the students.Resilience Scale for Chinese Adolescents:the public health and clinical college students score higher than students of the College of Nursing score (P<0.01), indicating a better public health and clinical expertise of the students to face the pressure of the psychological tolerance. The professional satisfaction of the students read their adolescent mental toughness scores higher than all students do not care "attitude, the satisfaction of students score higher than is generally not satisfied with the students, I feel that the average student score are more dissatisfied students score higher, indicating that professional satisfaction can also affect students’ psychological toughness, and students of higher professional satisfaction, the better their mental toughness.4Before and after the intervention the experimental group and control group scores of the repeated measures analysis of variance(1) time effect test results show that three months before and after the intervention and after the intervention, the SCL-90total scores and compulsion, interpersonal sensitivity, depression, anxiety, terror and paranoia, the main effect of other factors differ (P<0.05).(2) The time and group interaction effect showed that, in addition to paranoia and psychosis factor, SCL-90total score and each factor score, total score of general well-being scores of adolescent mental toughness to the existence of time and group other interaction(P<0.05), and the change in magnitude of the experimental group and control group’s score on the different time points before and after intervention, with time, the test group SCL-90score decreased significantly, the overall amount of happiness table score and youth Resilience Scale scores increased significantly. (3) Further simple effect test, a fixed time factors, indicators of the two groups at different time points, no more than0.05in order to ensure the proportion of experimental error of3independent samples t-test, adjust alpha to.016(0.05/3≈0.16). The results showed that the intervention to end the immediate test group the SCL-90total score and terrorism, the depression factor scores than the control group, the difference was statistically significant (P<0.016); the end of the intervention the experimental group three months after SCL-90total score and depression, anxiety, hostility, paranoia, psychosis factor score is lower than the control group, the overall well-being scale score and youth Resilience Scale score higher than the differences were statistically significant (P<0.016).CONCLUSIONSMedical students’mental crisis, a higher incidence of mental crisis, medical students to their overall sense of happiness and mental toughness is low; positive psychology-oriented group counseling can significantly improve the psychological symptoms of medical students and improve their overall sense of happiness and mental toughness. Proved by empirical research, positive psychology-oriented group counseling can effectively develop, train and guide the self-potential of the medical students to practice the concept of positive change become possible more simple compared to the individual intervention, may well be to maintain the mental health of college students feasible policy.