新战士进入高原前的心理状况调查  

Psychological status of new soldiers before entering into plateau

作　　者：郭灵常[1] 朱晓星[2] 蒋红梅[1] 高彦明[1] 

机构地区：[1]解放军西藏军区总医院实验中心,西藏自治区拉萨市850003 [2]解放军西藏军区总医院医务部保健科,西藏自治区拉萨市850003

出　　处：《中国临床康复》2004年第30期6602-6603,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨新战士在进入高原前的心理变化,为新战士进入高原前的心理干预、心理治疗提供理论依据。方法:采用症状自评量表(SCL-90),对新入伍在成都等待进西藏的战士作团体评定,结果与军人常模进行比较。结果:与军队常模新比较,新战士进入高原前的强迫症状(t=2.49)、抑郁(t=2.1)、敌对(t=2.38)精神病性因子分(t=2.01)、阳性项目(t=2.05)和总分(t=2.36)与军人常模比较差异有显著性意义(P<0.05),焦虑(t=5.34)和恐怖(t=7.97)因子分有差异有非常显著性意义(P<0.01),并随着文化教育程度越低心理障碍越明显,尤其以焦虑(t1=1.99,t2=2.02,t3=2.97)和恐怖(t1=2.14,t2=2.17,t3=2.96)较为明显。结论:新战士进入高原前心理问题较多,主要是对部队的生活的不了解以及对高原环境的恐惧心理造成的。AIM:To investigate the changes of mental status of new soldiers before entering into the plateau,so as to provide theoretical evidence for the psychological intervention and treatment of the new soldiers before entering into the plateau.METHODS:New soldiers,who joined the army in Chengdu City,were evaluated with the symptom checklist(SCL 90) before they entered into the plateau,and the results were compared with those of the normal soldier of Chinese PLA.RESULTS:The scores of compulsion(t=2.49),depression(t=2.1),hostility(t=2.38),psychosis(t=2.01),positive items(t=2.05) and total scores (t=2.36)of the new soldier were significantly higher than those of the normal soldiers of Chinese PLA(P< 0.05),and there were very significant differences in the scores of anxiety(t=5.34) and panic(t=7.97)(P< 0.01),and the degree of mental disorder of the new soldier became more obvious if their educational levels were lower,especially in anxiety(t1=1.99,t2 =2.02,t3=2.97) and panic(t1=2.14,t2=2.17,t3=2.96). CONCLUSION:New soldiers have more mental problems before entering into the plateau,which is mainly because of their unawareness of the army life and fear of the environments of plateau.

关 键 词：心理学 横断面研究 高海拔 军事人员 

分 类 号：R749[医药卫生—神经病学与精神病学]