潜艇艇员心理健康风险评估量表的编制及信效度评价  

Development and validity of the submariners＇mental health risk assessment scale

作　　者：肖蓉[1] 张小远[1] 马海鹰[2] 雷呈祥[2] 李珂娴[2] 余浩[2] 江楠楠[2] 

机构地区：[1]南方医科大学公共卫生与热带医学学院心理学系,广东省广州510515 [2]海军医学研究所

出　　处：《中华航海医学与高气压医学杂志》2009年第6期332-336,共5页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：海军后勤部科研基金课题（08-3304）,海军医学研究所青年科研基金（06HY33）,总后勤部科研基金课题（08G038）

摘　　要：目的编制潜艇艇员心理健康风险评估量表，并评价其信、效度。方法通过文献检索、访谈及开放式量表调查，编制潜艇艇员心理健康风险评估量表，以康奈尔医学指数（CMI）为效标对1838名潜艇艇员进行测试。结果探索性因素分析表明，量表可分为环境适应、职业认可、人际关系、生活满意度、工作压力、健康忧虑、自我调控、安全感、成就感和约束感共10个因子。量表的内部一致性信度为0．942，10个因子的α系数为0．581～0．890；效标效度评价与CMI量表的MR总分、CIJ总分的效标相关系数（r）分别为0．447和0．507，各因子分与总分之间呈中高度相关（r=0．580～0．796，P〈0．01）。结论量表具有良好的信、效度，能较好地评估潜艇艇员心理健康风险度，在潜艇部队心理健康管理工作中具有较好的应用价值。Objective To develop the submariners＇ Mental Health Risk Assessment Scale and evaluate its reliability and validity. Methods Through literature retrieval, personal interviews and open-ended questionnaire, the Submariners＇ Mental Health Risk Assessment Questionnaire was developed and the Cornell Medical Index （CMI） was used as the criterion to measure 1838 submariners. Results The exploratory factor analysis indicated that the Submariners＇ Mental Health Risk Assessment Scale or the Questionnaire had 10 factors, i. e. environment adaption, occupational recognition, interpersonal relationship, life satisfaction, working pressure, health concerns, self-regulation, sense of security, achievement and constraint. The Cronbach α-coefficient of the Questionnaire was 0. 942, and a-coefficient of the 10 factors was between 0. 581- 0.890. The criterion correlation coefficients with MR scores and CIJ scores of CMI were 0. 447 and 0.507 respectively, middle and high correlation could be seen between the factor scores and total scores of the Questionnaire （r = 0. 580-0.796, P 〈0.01 ）. The score of mental health risk of 1838 submariners is 149.65 ± 26.63. According to the percentile distribution of the 4 categories of mental health status by division of CMI, the percentiles of 32%, 68% and 92% were used as demarcation points, the corresponding scores were 136,161 and 187, which could be defined as the non-risk, low-risk, medium-risk and high-risk groups. Conclusions The Questionnaire seemed to have good reliability and validity to assess the mental health risks of submariners and could be widely used in the management of mental health of submariners in naval units.

关 键 词：潜艇艇员 心理健康 风险评估 信度 效度 

分 类 号：U67[交通运输工程—船舶及航道工程]