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目的:考察医学生共情与生命意义感之间的关系，并探讨利他行为在其中的作用。方法:招募581名医学生，采用中文版人际反应指针量表(IRI-C)、大学生利他行为问卷(ABQ-CS)和四维存在意义量表(QEMS)进行测量，采用Bootstrap法检验中介效应。结果:IRI-C得分与ABQ-CS、QEMS得分均呈正关联(r=0.45、0.21,均P<0.001);ABQ-CS得分与QEMS得分正关联(r=0.46,P<0.001)。利他行为在共情与生命意义感之间起完全中介作用，中介效应为0.20,95%CI=0.15～0.26。结论:本研究揭示了医学生的利他行为、共情与生命意义感之间的潜在联系，提示可以通过对共情和利他行为进行干预来提高医学生的生命意义感。
Abstract：Objective:To investigate the relationship between empathy and meaning in life among medical students, and explore the mediating role of altruistic behavior.Methods:A total of 581 medical students were recruited.They were assessed with the Interpersonal Reactivity Index-C(IRI-C),Altruistic Behavior Questionnaire of College Students(ABQ-CS),and Quadripartite Existential Meaning Scale(QEMS).The bootstrap method was used to test the hypothesized mediating effect.Results:The scores of IRI-C were positively correlated with the scores of ABQ-CS and QEMS(r=0.45,0.21,Ps<0.001).The scores of ABQ-CS were positively correlated with the QEMS scores(r=0.46,P<0.001).Altruism was a complete mediator between empathy and meaning in life, the indirect effect was 0.20(95%CI:0.15-0.26).Conclusion:This study reveals the underlying connections among altruistic behavior, empathy, and meaning in life among medical students, suggesting that interventions targeting empathy and altruistic behavior may enhance their meaning in life.
[1] Steger MF.Making meaning in life [J].Psychol Inq,2012,23(4):381-385.
[2] 张懿.我国台湾地区生命教育对医学生生命意义感提升的启示[J].医学与社会，2024,37(9):100-107.
[3] Shahhosseini Z,Hamzehgardeshi Z,Marzband R,et al.Meaning in life as a predictor of the general health among medical sciences students:a cross-sectional study[J].Nurs Open,2020,8(3):1175-1182.
[4] Huang Z,Zhang L,Wang J,et al.Family function and life satisfaction of postgraduate medical students during the COVID-19 pandemic:the mediating role of meaning in life and depression[J].Heliyon,2022,8 (4):e09282.doi:10.1016/j.heliyon.2022.e09282.
[5] 王枫，钱艳，叶剑辉.医学生生命意义感、生活目的与主观幸福感的关系[J].中国健康心理学杂志，2018,26(8):1253-1257.
[6] 叶有好，高钰琳，李婷.医学生主观幸福感在生命意义感与学习动机关系中的中介作用研究[J].护理研究，2019,33(9):1482-1485.
[7] 吴利平，陈利平，徐晔.医学生死亡焦虑及生命意义感问题调研及对策研究[J].中国卫生事业管理，2022,39(6):467-470.
[8] 岳童，黄希庭，傅安国，等.特质积极共情：一种高利他性的人格品质[J].心理科学，2021,44(3):754-760.
[9] Depow GJ,Francis Z,Inzlicht M.The experience of empathy in everyday life[J].Psychol Sci,2021,32(8):1198-1213.
[10]Manczak EM,DeLongis A,Chen E.Does empathy have a cost?Diverging psychological and physiological effects within families[J].Health Psychol,2016,35(3):211-218.
[11]EI Boghdady M,Ewalds-Kvist BM.Surgeons′ personality,characteristics and presence of meaning in life [J].Surgeon,2024,22(2):67-73.
[12]Malin H,Reilly TS,Quinn B,et al.Adolescent purpose development:exploring empathy,discovering roles,shifting priorities,and creating pathways[J].J Res Adolesc,2014,24(1):186-199.
[13]娄宇，谢晓非.双向视角下受助者心理困境及其化解路径[J].心理科学，2024,47(2):502-511.
[14]王文超，伍新春.共情对灾后青少年亲社会行为的影响：感恩，社会支持和创伤后成长的中介作用[J].心理学报，2020,52(3):307-316.
[15]Klein N.Prosocial behavior increases perceptions of meaning in life[J].J Posit Psychol,2017,12(4):354-361.
[16]张荣伟，李丹.如何过上有意义的生活?——基于生命意义理论模型的整合[J].心理科学进展，2018,26(4):744-760.
[17]Weinstein N,Ryan RM.When helping helps:autonomous motivation for prosocial behavior and its influence on well-being for the helper and recipient[J].J Pers Soc Psychol,2010,98(2):222-244.
[18]Xie J,Wen Z,Shen J,et al.Longitudinal relationship between prosocial behavior and meaning in life of junior high school students:a three-wave cross-lagged study[J].J Adolesc,2023,95(5):1017-1032.
[19]肖凤秋，郑志伟，陈英和.亲社会行为产生机制的理论演进[J].心理科学，2014,37(5):1263-1270.
[20]Batson CD,Shaw LL.Evidence for altruism:toward a pluralism of prosocial motives[J].Psychol Inq,1991,2(2):107-122.
[21]Marshall SL,Ciarrochi J,Parker PD,et al.Is self-compassion selfish?the development of self-compassion,empathy,and prosocial behavior in adolescence[J].J Res Adolesc,2020,30:472-484.doi:10.1111/jora.12492.
[22]Schnell T,Hoof M.Meaningful commitment:finding meaning in volunteer work[J].J Beliefs Values,2012,33(1):35-53.
[23]Decety J,Bartal IBA,Uzefovsky F,et al.Empathy as a driver of prosocial behaviour:highly conserved neurobehavioural mechanisms across species [J].Philos Trans R Soc Lond B Biol Sci,2016,371(1686):20150077.doi:10.1098/rstb.2015.0077.
[24]Stavrova O,Luhmann M.Social connectedness as a source and consequence of meaning in life[J].J Posit Psychol,2016,11(5):470-479.
[25]Schnell T.The Sources of Meaning and Meaning in Life Questionnaire (SoMe):relations to demographics and well-being[J].J Posit Psychol,2009,4(6):483-499.
[26]黄悦勤.医学科研中随机误差控制和样本量确定[J].中国心理卫生杂志，2015,29(11):874-880.
[27]张凤凤，董毅，汪凯，等.中文版人际反应指针量表 (IRI-C) 的信度及效度研究 [J].中国临床心理学杂志，2010,18(2):155-157.
[28]李艳芳.大学生道德价值观，自我概念与利他行为关系研究[D].武汉：华中科技大学，2008.
[29]王苑芮，黄时华，金艳，等.基于潜变量增长模型的大学生利他行为变化轨迹[J].中国心理卫生杂志，2023,37(10):887-893.
[30]Li Z,Liu Y,Peng K,et al.Developing a Quadripartite Existential Meaning Scale and exploring the internal structure of meaning in life [J].J Happiness Stud,2021,22:887-905.https://doi.org/10.1007/s10902-020-00256-2
[31]Qi WG,Zhou Z,Miao M.Quadripartite existential meaning among Chinese:internal conceptual structure and reciprocating relationship with psychological flexibility and inflexibility [J].Pers Individ Dif,2023,202:111961.https:∥doi.org/10.1016/j.paid.2022.111961
[32]李雨鑫，樊秋俊，黄凤英，等.大学生心理丰富性与主观幸福感的关系：自尊和生命意义感的链式中介作用[J].心理学进展，2023,13(7):2726-2733.
[33]Hayes AF,Scharkow M.The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis:does method really matter?[J].Psychol Sci,2013,24(10):1918-1927.
[34]汤丹丹，温忠麟.共同方法偏差检验：问题与建议[J].心理科学，2020,43(1):215-223.
[35]宋锐，韩玲玲，刘爱书，等.知性谦逊对大学生利他行为的影响：感恩和共情的中介作用[J].中国临床心理学杂志，2023,31(3):734-737.
[36]Hojat M,Vergare MJ,Maxwell K,et al.The devil is in the third year:a longitudinal study of erosion of empathy in medical school[J].Acad Med,2009,84:1182-1191.doi:10.1097/ACM.0b013e3181b17e55.
[37]Howick J,Dudko M,Feng SN,et al.Why might medical student empathy change throughout medical school?A systematic review and thematic synthesis of qualitative studies[J].BMC Med Educ,2023,23(1):270.doi:10.1186/s12909-023-04165-9.
[38]Kasule OH.Medical professionalism and professional organizations[J].J Taibah Univ Med Sci,2013,8(3):137-141.
[39]Kardos P,Leidner B,Pléh C,et al.Empathic people have more friends:empathic abilities predict social network size and position in social network predicts empathic efforts [J].Soc Networks,2017,50:1-5.https://doi.org/10.1016/j.socnet.2017.01.004
[40]Zhou K,Zhu X,Chen BB.Understanding the link between social relationships and adolescent Internet addiction:perspectives from two approaches to well-being[J].Comput Hum Behav,2024,151:107995.https://doi.org/10.1016/j.chb.2023.107995
[41]King LA,Hicks JA.The science of meaning in life [J].Annu Rev Psychol,2021,72(1):561-584.
[42]Morelli SA,Ong DC,Makati R,et al.Empathy and well-being correlate with centrality in different social networks[J].Proc Nat Acad Sci U S A,2017,114(37):9843-9847.
[43]Lambert NM,Stillman TF,Hicks JA,et al.To belong is to matter:sense of belonging enhances meaning in life [J].Pers Soc Psychol Bull,2013,39(11):1418-1427.
[44]Aknin LB,Whillans AV.Helping and happiness:a review and guide for public policy[J].Soc Issues Policy Rev,2020,15(1):3-34.
[45]Aknin LB,Dunn EW,Proulx J,et al.Does spending money on others promote happiness?:a registered replication report [J].J Pers Soc Psychol,2020,119(2):15-26.
[46]King LA,Hicks JA,Krull JL,et al.Positive affect and the experience of meaning in life[J].J Pers Soc Psychol,2006,90(1):179-196.
[47]Van Tongeren DR,Green JD,Davis DE,et al.Prosociality enhances meaning in life [J].J Posit Psychol,2016,11(3):225-236.
[48]Pfund GN,Brazeau H,Allemand M,et al.Associations between sense of purpose and romantic relationship quality in adulthood [J].J Soc Pers Relat,2020,37(5):1563-1580.
[49]Gold AI,Ryjova Y,Aviv EC,et al.Social contributions to meaning in life:the role of romantic relationship quality,parenting,and gender [J].Front Psychol,2024,15:1349642.doi:10.3389/fpsyg.2024.1349642.
[50]Preston SD.A perception-action model for empathy[M]// Farrow T,Woodruff P.Empathy in mental illness.Cambridge,UK:Cambridge University Press,2007:428-447.
基本信息:
中图分类号:R-4;G444;G645.5
引用信息:
[1]赫英娟,刘雨洁,董凯,等.医学生共情与生命意义感及利他行为的关系[J].中国心理卫生杂志,2025,39(11):1007-1012.
基金信息:
黑龙江省高等教育教学改革项目(SJGY20220584)
2025-10-15
2025-10-15
2025-10-15