ABSTRACT

[Abstract] Objective To study the impact of rational emotive behavior therapy (REBT) on the Symptom Checklist-90 (SCL-90) of medical interns and its related factors was analyzed.
Methods 100 medical interns of the class of 2025 from the Third People's Hospital of Jingdezhen City, Jiangxi Province were selected and were as the research subjects,and the REBT was used for psychological counseling.The SCL-90 was used to assess the psychological status of medical interns before and after intervention.The logistic multiple regression model was used to analyze the relevant factors,which affected the intervention effect of medical interns.
Results After intervention, the scores of various dimensions of SCL-90, including obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia, psychoticism, and others, were significantly reduced in medical interns,which compared with before intervention (P<0.05).There was no significant difference in the somatization scores of medical interns before and after intervention (P>0.05).The incidence of mental health problems among medical interns significantly decreased after intervention,which compared with before intervention (P<0.05).The Logistic multivariate analysis showed that active coping, high social support, and adjuvant medication were independent protective factors,which affected the intervention effect of somatization score for medical interns, while poor sleep quality was an independent risk factor for the intervention effect of somatization score (P<0.05).
Conclusion   REBT is used for the management of medical interns, which can help improve their mental health status, but its impact on somatization factors is limited. This may be related to the quality of sleep, coping strategies, social support, and medication use of medical interns.

Key words: [Key words] rational emotive behavior therapy; medical interns; symptom checklist-90; influence factors