不同岗位不同军龄士兵应激状态下的心理状况分析

发布时间：2018-11-14 14:02

【摘要】：目的:探讨在抗击传染性非典型肺炎的应激状态下,参战一线士兵心理卫生状况,并分析不同年龄及不同岗位士兵间症状因子评分的差异特征。方法:于2003-05/06选择北京解放军小汤山医院男性战士141人(包括机关士兵)为观察对象进行调查。采用症状自评量表对其心理状态进行调查。该量表共有90个项目并分为躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、恐怖、偏执狂、精神病性等9个症状因子分和总症状指数,采用1～5级评分。评估标准:单项因子分及总症状指数达到3分以上定为阳性,提示可能存在明显的心理问题。在测试前采用统一的指导语,让士兵根据自己的实际情况做出真实的自我评定,独立完成。心理检测由经培训的专业人员进行。并与国内青年常模进行比较。结果:所有战士均完成测试,全部进入结果分析。①参战士兵症状自评量表阳性症状人数分布:参战士兵症状自评量表阳性症状人数依次为躯体化1人(0.7%)、强迫症状13人(9.2%)、人际关系敏感10人(7.1%)、抑郁7人(5.0%)、焦虑3人(2.1%)、敌对5人(3.6%)、恐怖9人(6.4%)、偏执10人(7.1%)、精神病性5人(3.6%)。其中有一项以上分数达到3分者共30人,占调查人数的21.6%。②参战士兵症状自评量表平均分最高的因子为强迫症状,其次为人际关系敏感,最低的因子则是精神病性,中间由高到低依次是敌对、偏执、忧郁、焦虑、躯体化和恐惧。除人际关系敏感因子外,参战士兵症状自评量表各因子分均高于国内青年组常模,差异有显著性。③机关兵的总症状指数和各因子分与非机关兵比较,前者的人际关系敏感因子分显著高于后者。④第2年军龄的战士总症状指数及人际关系、抑郁、恐惧、偏执等因子分显著高于第4年军龄的战士。第2年军龄的战士恐怖因子分也明显高于第1年军龄者(t=2.37,P0.05)。结论:①参战一线士兵症状自评量表的总分、总均分、阳性项目数、躯体化症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执狂、精神病性等标准分显著高于常模组,具有较高的心理异常发生率。②不同岗位,不同年龄士兵的心理健康评分有差异。
[Abstract]:Objective: to explore the mental health status of soldiers in the first line of war under the stress state of fighting SARS, and to analyze the different characteristics of symptom factor scores among soldiers of different ages and positions. Methods: 141 male soldiers (including government soldiers) in Xiaotangshan Hospital of Beijing PLA were investigated in June 2003. Symptom Checklist-90 (SCL-90) was used to investigate their mental state. There were 90 items in the scale, including somatization, obsessive compulsion, interpersonal relationship, depression, anxiety, hostility, phobia, paranoia, psychosis, and total symptom index. Evaluation criteria: single factor score and total symptom index above 3 points as positive, suggesting that there may be obvious psychological problems. Before the test, the soldiers can make a true self-assessment according to their actual situation and complete it independently. Psychological tests are performed by trained professionals. And compared with the domestic youth norm. Results: all the soldiers completed the test, all entered into the result analysis. 1 the distribution of the positive symptoms of the soldiers participating in the war: the number of the positive symptoms of the soldiers participating in the war was 1 somatization (0.7%). There were 13 patients (9.2%) with obsessive-compulsive symptoms, 10 (7.1%) with interpersonal sensitivity, 7 (5.0%) with depression, 3 (2.1%) with anxiety, 5 (3.6%) with hostility, 9 (6.4%) with terror. Paranoid 10 (7.1%), psychotic 5 (3.6%). Among them, 30 people had a score of 3 or more, accounting for 21.6.2% of the respondents. The highest score of the SCL-90 was obsessive-compulsive symptom, the second was interpersonal sensitivity, and the lowest factor was psychosis, the highest score was obsessive-compulsive symptom, the second was interpersonal sensitivity, and the lowest was psychosis. From high to low are hostility, paranoia, depression, anxiety, somatization, and fear. With the exception of interpersonal sensitivity factors, the scores of all the factors in the SCL-90 were higher than those in the national youth group, and the difference was significant. 3 the total symptom index and the factor scores of the Organ soldiers were compared with those of the non-organ soldiers. The scores of interpersonal sensitivity factors of the former were significantly higher than those of the latter. 4 the scores of the total symptom index, interpersonal relationship, depression, fear and paranoid ideation of the soldiers in the second year of military service were significantly higher than those of the soldiers in the fourth year. The scores of terror factor of the soldiers in the second year were also higher than those in the first year (t = 2.37, P 0.05). Conclusion: 1 the total score, mean score, positive items, somatization symptoms, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoia and psychosis of the soldiers in the first line of war were significantly higher than those in the normal model group. There was a higher incidence of psychological abnormality. 2 there were differences in mental health scores of soldiers in different positions and different ages.
【作者单位】：沈阳军区总医院医疗科沈阳军区总医院医疗科沈阳军区总医院医疗科
【分类号】：R82;

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