严重事故后飞行人员心理健康状况调查  

Investigation of pilots' mental health after serious accidents

作　　者：伊丽[1] 武国城[1] 郭小朝[1] 邓学谦[1] 熊端琴[1] 

机构地区：[1]空军航空医学研究所,北京100036

出　　处：《第四军医大学学报》2005年第4期378-381,共4页Journal of the Fourth Military Medical University

摘　　要：目的:探讨严重事故后飞行人员的心理健康状况, 为开展心理危机干预工作提供理论依据.方法:被调查对象 为发生一等飞行事故(亡2人)的某飞行部队29名飞行人员, 男性,年龄25～37岁.采用症状自评量表(SCL 90)和生活事 件量表(LES),进行群体和个体调查分析.结果:①事故后的29名飞行人员心理素质均良好,SCL 90指标与中国军人常模 比较,除阳性项目数和阳性项目均分之外,其他指标无统计学 意义;②29名飞行人员中SCL 90总分≥178分者11人,占 37.9%.高分组与低分组10项因子均分存在明显差异 (P<0.01),强迫和抑郁为典型症状群;③SCL 90总分高分 组与低分组相比,LES总值、负性事件值、负性家庭问题分值 和负性工作学习问题分值,高分组比低分组的分值高 (P<0.05).结论:严重飞行事故主要对部分飞行人员产生消 极影响,事故后心理危机干预工作应以个体咨询为主.AIM: To explore the mental health of pilots after serious accidents so as to provide some theoretical basis for mental crisis intervention.METHODS: Twenty-nine male pilots aged 25 to 37,who had been involved in a class 1 flying accident (two deaths) in one air group were included in this study.The Symptom Checklist 90 (SCL-90) and the Life Events Scale (LES) were used in the investigation and the subjects were analyzed collectively and individually. RESULTS: ① The average level of mental health in the 29 pilots after accident was fairly good.Compared with the norm of Chinese military personnel,no significant difference was found in other indices in SCL-90,except for the number of positive items and the mean scores of positive items. ② Of the 29 pilots,the SCL-90 total scores were ≥178 in 11 persons (37.93%).The difference in the means of the 10 factors between the high score group and the low score group was significant (P<0.01).The obsession and the depression were the typical symptoms.③ The differences in LES total scores,negative event values, negative family problem values and negative work-study problem values were significant (P<0.05) between the high and the low score groups of SCL-90 total score.CONCLUSION: Serious flight accidents have some negative effect on some pilots.The post-accident mental crisis intervention should give priority to individual counseling and psychotherapy.

关 键 词：飞行事故 飞行人员 精神卫生 危机干预 

分 类 号：B841.7[哲学宗教—基础心理学]