Psychological distress and coping amongst higher education students: a mixed method enquiry.

Psychological distress and coping amongst higher education students: a mixed method enquiry.
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DOI:
10.1371/journal.pone.0115193
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Mannix-McNamara P
Mannix-McNamara P
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Deasy C;Coughlan B;Pironom J;Jourdan D;Mannix-McNamara P

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高校学生心理困境是全球关注的问题。参加护理和教师教育等实践性课程的学生面临着额外的压力,这可能会进一步增加他们心理困扰的风险。这些学生应对痛苦的方式可能会对他们的健康和学业表现产生影响。深入了解护理/助产和教师教育的学生如何经历心理痛苦和应对,对于使高等教育提供者能够充分支持这些学生是必要的。本研究采用混合研究方法,对爱尔兰一所大学的护理/助产和师范教育本科生的总体样本(n = 1557)进行自我报告的心理困扰(一般健康问卷)、应对过程(应对方式问卷)和生活方式行为(生活方式行为问卷)。个别访谈(n = 59)提供了对学生心理困扰和应对经验的深入了解。有很大比例(41.9%)的受访者感到心理痛苦。造成他们痛苦的因素包括学习、经济、生活和社会压力。学生使用了不同的应对策略,包括寻求社会支持、解决问题和逃避。心理痛苦加剧与逃避行为,包括使用物质(酒精、烟草和大麻)和不健康饮食之间的积极关系尤其令人关切。在统计上,“逃避”与性别、年龄、婚姻状况、居住地、学习计划/年份和生活方式行为(如饮食、药物使用和缺乏运动)之间存在显著关系。这篇论文补充了现有的研究,阐明了本科护理/助产和教师教育学生经历的心理苦恼。它还确定了他们的痛苦、适应不良的应对方式以及与他们的生活方式行为的关系。这一发现可以为在大学期间和未来的职业生涯中最大限度地减少学生痛苦和适应不良应对的策略提供参考。
Psychological distress among higher education students is of global concern. Students on programmes with practicum components such as nursing and teacher education are exposed to additional stressors which may further increase their risk for psychological distress. The ways in which these students cope with distress has potential consequences for their health and academic performance. An in-depth understanding of how nursing/midwifery and teacher education students experience psychological distress and coping is necessary to enable higher education providers to adequately support these students. This mixed method study was employed to establish self-reported psychological distress (General Health Questionnaire), coping processes (Ways of Coping Questionnaire) and lifestyle behaviour (Lifestyle Behaviour Questionnaire) of a total sample (n = 1557) of undergraduate nursing/midwifery and teacher education students in one university in Ireland. Individual interviews (n = 59) provided an in-depth understanding of students experiences of psychological distress and coping. A significant percentage (41.9%) of respondents was psychologically distressed. The factors which contributed to their distress, included study, financial, living and social pressures. Students used varied coping strategies including seeking social support, problem solving and escape avoidance. The positive relationship between elevated psychological distress and escape avoidance behaviours including substance use (alcohol, tobacco and cannabis) and unhealthy diet is of particular concern. Statistically significant relationships were identified between “escape-avoidance” and gender, age, marital status, place of residence, programme/year of study and lifestyle behaviours such as diet, substance use and physical inactivity. The paper adds to existing research by illuminating the psychological distress experienced by undergraduate nursing/midwifery and teacher education students. It also identifies their distress, maladaptive coping and the relationship to their lifestyle behaviours. The findings can inform strategies to minimise student distress and maladaptive coping during college and in future professional years.
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