某部消防新兵心理健康和疾病观念与求医行为的相关分析  

The Correlation between Mental Health Status and Self-rating Scale of Illness Conception and Health Seeking Behavior in Recruits

作　　者：卫芋君 叶天利[2] 李竺君[1] 元静[1] 杨帆[1] 杨建中[1] 

机构地区：[1]昆明医科大学第四附属医院临床心理科,云南昆明650032 [2]武警云南省消防总队门诊部,云南昆明650021

出　　处：《昆明医科大学学报》2013年第10期14-17,共4页Journal of Kunming Medical University

基　　金：国家科技支撑计划资助项目(2009BAI77B05);云南省高层次卫生技术人才培养专项经费资助项目(D-201237);香港理工大学研究基金资助项目(HKPU/G-U455)

摘　　要：目的探讨新兵对自己疾病和健康的关注程度,以及这些疾病观念、求医行为与其心理健康状况之间的关系.方法对865名消防新兵分别进行90项症状自评量表(symptom checklist 90,SCL-90)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、疾病观念与求医行为问卷(self-rating scale of illness conception and health seeking behavior,SSICHSB)测评.结果 (1)消防新兵SCL-90除人际关系、抑郁、敌对因子外,其余因子分均高于全国常模;和军人常模相比,躯体化和焦虑显著高于军人常模;SDS评分和SAS评分均高于全国常模;(2)SCL-90总分和各因子分、SAS总分与SDS总分和疾病观念与求医行为总分和各因子分均呈负相关;(3)以SCL-90各因子、抑郁自评量表各因子、焦虑自评量表各因子为自变量,疾病观念与求医行为总分为因变量进行逐步回归分析,焦虑因子、SAS总分和强迫状态因子进入回归方程,结果有统计学意义(P<0.05).结论消防新兵存在明显的躯体化、焦虑、抑郁症状,且症状越明显,疾病观念与求医行为越被动.Objective To explore the correlation between illness conception, health seeking behavior and mental health status in recruits. Methods 865 recruits were evaluated by Symptom Checklist 90 （SCL-90）, Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS） and Self-Rating Scale of Illness Conception and Health Seeking Behavior （SSICHSB） . Results （1） Except interpersonal sensitivity, depression and hostility, there were significantly differences in other factors of SCL-90 between recruit and the national norm. Somatization and anxiety scres were significantly higher ghan the military norm. The scores of SAS and SDS were significantly higher for recruits compared to national norm. （2） There was negative correlation between the total score, each factor score of SCL-90, the total score of SDS, the total score of SAS and SSICHSB; （3） Stepwise lines regression found three factors including anxiety, the total score of SAS and obsessiveness statistically significant, when the dependent variable was the total score of SSICHSB. Conclusion There are obvious somatization,anxiety and depression in recruits. The more obvious the symptoms are, the more passive the illness conception and health seeking behavior are.

关 键 词：90项症状自评量表 焦虑自评量表 抑郁自评量表 疾病观念 求医行为 

分 类 号：R395[哲学宗教—心理学]