三峡库区农村外迁移民心理健康状况及相关因素分析  

Status of Mental Health and Psychosocial Factors in Three Gorges Immigrants

作　　者：庄立辉[1] 郭继志[1] 汪洋[2] 马安宁[3] 卢官庐[1] 严瑞雪[1] 宋棠[1] 

机构地区：[1]潍坊医学院卫生管理学院医院管理学教研室,山东潍坊261042 [2]重庆医科大学公共卫生学院 [3]潍坊市卫生局

出　　处：《中国病毒病杂志》2008年第3期183-186,共4页Chinese Journal of Viral Diseases

基　　金：重庆市教委科学研究项目基金资助(2003-7号)

摘　　要：目的研究三峡农村外迁移民心理健康状况与相关影响因素。方法采用整群分层随机抽样,调查对象接受居民基本情况表与团体用心理社会应激调查表(PSSG)、症状自评量表(SCL-90)、社会支持评定量表(SSRS)的测查。结果①移民组的SCL-90除去敌对、恐怖和偏执三个因子以外,其他都高于当地居民组(P<0.05);②男性移民与女性移民的恐怖因子得分差异有统计学意义(P<0.05);③不同年龄段的移民SCL-90各因子分比较:症状总分和躯体化、人际关系、抑郁、敌对因子得分差异有统计学意义(P<0.001);④强迫和焦虑因子得分随着家庭收入的增加而减少(P<0.05);⑤在安置地不同实际居住时间SCL-90各因子分比较:躯体化、强迫、恐怖因子得分差异有统计学意义(P<0.05);⑥移民SCL-90与PSSG的相关分析:症状总分和躯体化、强迫、人际关系因子与消极情绪体验呈正相关(P<0.05),偏执因子与生活事件呈正相关(P<0.05),移民SCL-90与SSRS的相关分析:症状总分和躯体化、焦虑、敌对因子与客观支持呈负相关(P<0.05),躯体化、强迫、抑郁、焦虑、恐怖、精神病性因子与支持利用度呈负相关(P<0.05),焦虑和偏执因子与支持总分呈负相关(P<0.05)。结论移民组与当地居民组心理健康状态有明显差异,应针对影响因素采取措施,进一步做好移民工作。Objective To investigate the effect of psychosocial factors on mental health of Three Gorges immigrants.Methods The group sampling was used for the investment.Both immigrant group and local resident group were investigated by four questionnaires that included Questionnaire of General Status、Psychosocial Stress Survey for Groups(PSSG)、Symptom Checklist 90(SCL-90)、Social Support Rating Scale(SSRS).Results Besides hostility,horror and crankiness,all factor scores of SCL-90 in the immigrant group were higher than those of local resident group;Immigrants of different sex showed significant difference on horror factor of SCL-90.Immigrants of different age showed significant differences on somatization,interpersonal sensitivity,depression,hostility factors.Immigrants of different income showed significant differences on obsessive-compulsive,anxiety factors.Immigrants of different time showed significant differences on somatization,obsessive-compulsive,horror factors.Correlation analysis revealed that somatization,obsessive-compulsive,interpersonal sensitivity factors were related to the negative emotion,and somatization,anxiety,hostility factors were related to the objective support.Conclusion The mental health status of immigrant group was much worse than that of the local resident group.Taking relevant measures according to psychosocial factors is beneficial to Three Gorges immigrants.

关 键 词：心理健康 三峡农村外迁移民 影响因素 

分 类 号：R195[医药卫生—卫生统计学]