亚健康状态人群中心理亚健康类型的特征分析  

Characteristics of mental sub-health state population

作　　者：周雯[1,2] 徐瑞妤[1,2] 李艳[1,2] 魏蕾[3] 原嘉民[3] 杨涛[4] 张嗣博[5] 谢俊明[6] 黄鹂[1,7] 杨志敏[1,7] 

机构地区：[1]广东省中医院 [2]广东省中医药科学院心理门诊,广州510120 [3]广州中医药大学第二临床医学院,广州510405 [4]成都中医药大学附属医院亚健康中心,成都610072 [5]上海中医药大学附属医院体检中心,上海200032 [6]浙江省中医院体检中心,杭州310006 [7]广东省中医药科学院名医工作室,广州510120

出　　处：《广东医学》2011年第10期1326-1330,共5页Guangdong Medical Journal

基　　金：国家"十一五"科技支撑计划项目(编号:2006BAI13B02;2006BAI13B06-2);广东省科技计划项目(编号:2007B031403003)

摘　　要：目的分析亚健康状态人群中心理亚健康类型的特征,为心理亚健康防治提供依据。方法采用《个体身心健康调查量表》对广州、成都、杭州、上海等籍体检人群进行调研,对所回收的调查问卷进行数据分析和统计学处理。结果纳入分析的2 748例亚健康人群中,心理亚健康最为常见,占57.8%,30～39岁年龄段的心理亚健康状态发生率最高,大专以上高学历人群为心理亚健康人群主要组成部分(78.4%)。心理亚健康中较常见的临床症状依次是常无缘无故叹气、精神紧张、焦虑不安等,较常见的不适状态依次是急躁易怒、疲劳、抑郁苦闷等,情感问题、个人患病或受伤及劳累过度等应激事件是影响心理亚健康的主要危险因素。心理亚健康人群与健康人群、躯体亚健康人群在症状自评因子的多个因子均分比较差异有统计学意义(P<0.01),而与社会适应性亚健康人群在总症状指数(总分)及10个因子的比较差异无统计学意义(P>0.05)。结论亚健康状态中的心理亚健康以30～39岁年龄段、高学历、脑力劳动者为高发人群,而应激事件的发生是心理亚健康产生的重要诱因,因此在调治亚健康状态时,应重视心理健康教育和必要的心理治疗,减低心理应激导致的不良后果。Objective To study the characteristics of mental sub-health and to provide evidences for its prevention. Methods Questionnaire of individual physical and mental health survey scale was carried out in population in Guangzhou,Chengdu,Hangzhou,Shanghai and Beijing and the collected data were analyed. Results In the analysis of 2748 cases of sub health,mental sub-health was the most common（57.8%）.Mental sub-health state was most prevalent in individuals between t 30～39 years old and those with college education and above accounted for the majority（77.38%）.The clinical symptoms of mental sub-health were sighed,mental stress,anxiety and etc.The common complaints were irritability,fatigue,and depression.The stress events of emotional problems,personal injury or disease and overwork presented as the main risk factors of mental sub-health.There was significant difference in multiple factors average score comparison of symptoms self-assessment factor between the mental sub-health subjects,health controls and somatic sub-health subjects（P0.01）.However,no significant difference was revealed in total symptoms index or 10 factors of comparison difference between the mental sub-health subjects and social adaptive sub-health subjects（P0.05）. Conclusion Highly-educated and white-collar workers at age of 30 to 39 are at high risk of mental sub-health.Stress events are significant induceers of sub-health,thus psychological health education and necessary therapy,reducing the undesirable consequences,are required.

关 键 词：亚健康 心理亚健康 特征分析 

分 类 号：R181.37[医药卫生—流行病学]