赴黎巴嫩维和卫勤保障人员心理健康及其相关因素的研究  

Study on mental health and related factors of medical force of peacekeeping in Lebanon

作　　者：胡光涛[1] 宋航[1] 王志阳[2] 王国威[1] 黄一[1] 贺英[1] 陆地[1] 

机构地区：[1]解放军第324医院精神与心理卫生中心,重庆400020 [2]成都军区联勤部卫生部综合计划处

出　　处：《现代预防医学》2013年第21期3991-3994,共4页Modern Preventive Medicine

基　　金：军队心理卫生科研课题(12XLZ324);成都军区"十二五"医学科研重点课题(B12009)

摘　　要：目的探讨赴黎巴嫩维和卫勤保障人员心理健康状况及影响因素,为心理健康教育提供依据。方法应用相关因素问卷、症状自评量表(SCL-90)、自我和谐量表(SCCS)、状态-特质焦虑问卷(STAI)、应对方式问卷对54名赴黎巴嫩维和卫勤保障人员进行集中测试。结果①维和卫勤保障人员SCL-90总分及躯体化、强迫、人际关系、焦虑、敌对性、精神病性因子分显著低于中国军人常模(P﹤0.01或P﹤0.05)。SCCS总分与中国军人常模比较差异无统计学意义(P﹥0.05),自我与经验的不和谐、自我的灵活性、自我的刻板性3个维度因子分均显著低于中国军人常模(P﹤0.01或P﹤0.05)。状态焦虑、特质焦虑分与国内常模比较差异无统计学意义(P﹥0.05)。②维和卫勤保障人员SCL-90总分及各因子分与不成熟及混合性应对方式(自责、幻想、退避、合理化)呈显著正相关,与求助因子分无显著相关性;除精神病性因子分外,SCL-90总分及其他各因子分与解决问题因子分呈显著负相关。SCL-90除躯体化外其他各因子分及总分与SCCS总分、自我与经验的不和谐因子分呈显著正相关;SCL-90总分及各因子分与状态、特质因子分呈显著正相关。③多元线性逐步回归分析显示,影响SCL-90总分的主要因素依次为:自责、退避、状态焦虑、SCCS总分。4个变量的决定系数R2=0.43,对方程检验,F=15.11,P=0.00。结论维和卫勤保障人员整体心理健康状况良好;减少不成熟应对方式,保持适度可控焦虑水平,有利于进一步提高维和军人自我和谐度及心理健康水平。OBJECTIVE This study discusses the mental health and related factors of Lebanon peacekeeping medical force, and to provide basis for the psychological health education. METHODS We implemented a series of centralized tests to 54 Lebanon peacekeeping medical soldiers with related factor questionnaire, Symptom Checklist （SCL-90）, Self-consistency and Congruence Survey （SCCS）, State-Trait anxiety Inventory （STAI）, and Coping Style. RESULTS （1） The SCL-90 total score and somatization, compulsion, interpersonal sensitivity, anxiety, hostility, psychotic factor scores of Lebanon peacekeeping medical force were significantly lower than the norm Chinese soldiers （P 〈 0.01 or P 〈 0.05）. There was no significant difference （P 〉 0.05） in SCCS total score compared with the norm Chinese soldiers, but the disharmony of self-inconsistency, self-agility and self-stiffness factor scores were significantly lower than norm Chinese soldiers （P 〈 0.01 or P 〈 0.05）. And there was no significant difference in state anxiety, trait anxiety scores （P 〉 0.05）. （2） The SCL-90 total score of peacekeeping medical force and factor scores were significantly positively correlated to immature and mixed response （self-blame, fantasy, escapism, rationalization）, but not significantly correlated to the recourse factor score; except psychosis factor, the SCL-90 total score and other scores were significantly negatively correlated to problem-solving factor score. Except somatization, SCL-90 total score and other factor scores were significantly positively correlated to SCCS total score, disharmony of self-inconsistency; SCL-90 total score and factor scores were significantly positively correlated to state-trait factor scores. （3） Multiple linear stepwise regression indicated that the main influencing factors of SCL-90 total score were： selfblame, escapism, state anxiety, SCCS total score. The determination coefficient of the above four variables was R2 = 0.43, after checking the equation, F = 1

关 键 词：维和军人 心理健康 自我和谐 应对 状态-特质焦虑 

分 类 号：R395.6[哲学宗教—心理学]