有自杀意念的7国维和官兵心理健康与社会支持的相关性研究  

A correlation study on mental health and social support of peacekeeping soldiers with suicidal ideation in seven countries

作　　者：张理义[1] 王艳玲 郭健[1] 林海[3] 陈春霞[1] 姚高峰[1] 

机构地区：[1]解放军第102医院全军心理疾病防治中心,常州213003 [2]徐州市东方医院心理一科 [3]南京军区福州总医院院部

出　　处：《中华行为医学与脑科学杂志》2013年第2期150-152,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技部支撑计划项目（2009BA177801）

摘　　要：目的探讨有自杀意念的7国维和官兵心理健康与社会支持的相关性，为提高维和官兵的心理健康状况提供理论指导。方法采用随机整群抽样法，选取7国维和官兵共1143名，以中国军人心理健康量表（CMMHS）、社会支持量表进行测评。结果有自杀意念的维和官兵CMMHS总分及抑郁因子分[（61．06±3．99）分，（10．114±1．67）分]显著高于无自杀意念的维和官兵[（59．97±3．73）分，（8．97±1．81）分]（P〈0．05）；参加维和官兵的CMMHS总分及各因子分均明显高于中国军人常模（P〈0．05）；有自杀意念的维和官兵社会支持总分[（28．50±1．69）分]低于无自杀观念的维和官兵[（28．92±1．78）分]（P〈0．05）；强迫、焦虑、抑郁、恐怖、神经衰弱、躯体化及人际关系敏感等因子是有自杀意念维和官兵发生心理障碍的高危因子，尤其是抑郁因子最为显著（OR=27．00，X^2=439．46，P〈0．05）；维和官兵CMMHS总分及各因子分与社会支持总分呈明显的负相关（r=-0，199—0．434，P〈0．01）。多元逐步回归分析显示，年龄、受教育水平、性别及社会支持是影响7国维和官兵心理健康的主要因素（年龄t=2．428，受教年数t=-3．310，社会支持t=1．990，P=0．047～0．01）。结论自杀意念与维和官兵心理障碍关系密切，7国维和官兵心理健康状况受年龄、受教育水平、性别及社会支持等多因素影响，社会支持缺乏对7国维和官兵心坪僻康影响较大。Objective To explore the correlation between mental health and social support of the seven countries peacekeeping soldiers, and provide theoretical guidance for the peacekeeping soldiers to improve the men- tal health status. Methods Through random cluster sampling, 1143 peaeekeeping soldiers were investigated with Chinese Military Mental Health Scale （ CMMHS ） and Social Support Scale （ SSS ）. Results The total score of CMMHS and depression factor（ （61.06 ~ 3.99 ） , （ 10.11 ~ 1.67 ） ） of the suicidal ideation peaeekeeping soldiers were significantly higher than the no-suicidal ideation peaeekeeping soldiers （ （59.97 ~ 3.73 ） , （8.97 ± 1.81 ） ） （ P 〈 0.05 ） ,CMMHS total score and each factors of the seven countries peacekeeping soldiers were significantly higher than the Chinese soldiers norms（P〈0.05） ,and the total scores（ （28.50 ± 1.69） ） of the social support of the suicide idea peacekeeping soldiers was lower than the no-suicidal ideation peacekeeping soldiers （ （28.92 ± 1.78 ） ） （P 〈 0.05 ）. The obsessive-compulsive factor, anxiety factor, depression factor, phobic anxiety factor, somati-zation factor, neurastheria factor and interpersonal sensitivity factor of CMMHS were the risk factors arise the mental diseases of the peacekeeping soldiers, especially the depression factor（ OR = 27.00, X^2 = 439.46, P 〈 0.05 ）. The CMMHS total score and each factors had obvious negative correlation with social support scores （ r = -0. 199 0. 434, P 〈 0.05 ）. Analysis of multiple stepwise back displayed that the age, gender, education and social support were main factors of influencing mental health of the seven-country peacekeeping soldiers （ age ： t = 2. 428, educa-tional level ： t = - 3. 310, social support ： t = 1. 990, P = 0. 047 - 0.01 ）. Conclusion The suicidal ideation has close relationship with peacekeeping soldiers＇ psychological disease, and the mental health of the peacekeeping sol- diers is influenced by the age, gend

关 键 词：维和官兵 心理健康 社会支持 自杀意念 

分 类 号：E[军事]