丹江口库区待迁移民心理健康与心理应激的相关性研究  

Study on the correlation between mental health and psychological stress among quasi-migrants in Danjiangkou reservoir area

作　　者：蔡青[1] 时松和[1] 张书敏[2] 张智民 

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]河南牧业经济学院,河南郑州450011 [3]河南省卫生厅,河南郑州450003

出　　处：《现代预防医学》2014年第8期1436-1438,1441,共4页Modern Preventive Medicine

基　　金：河南省南水北调移民迁安科研计划基金(2010020016)

摘　　要：目的分析南水北调丹江口库区待迁移民的心理健康与心理应激的相关性。方法采用多阶段分层整群抽样的方法,采用自行设计的基本情况调查表、症状自评量表(SCL-90)和团体用心理社会应激量表(PSSG)对淅川县575例待迁移民,564例原住地不搬迁居民进行调查。结果 (1)待迁移民的心理健康状况得分(除躯体化和附加项目外)均高于不搬迁居民(P<0.05);(2)待迁移民在PSSG应激总分及其各因子(除积极应对方式)得分均高于原住地不搬迁居民(P<0.05);(3)影响SCL-90总分的因素有搬迁地区、家庭年收入、治安情况和文化程度(β=-0.12579,2.917 49,-1.337 89,5.508 81);(4)影响心理应激的因素有搬迁地区、家庭年收入、生活压力(β=-4.682,0.000,-2.851);(5)待迁移民PSSG中生活事件、消极情绪体验、消极应对方式及应激总分这几个指标与SCL-90中所有因子均成正相关。结论待迁移民总体心理健康较差,且心理健康水平与心理应激密切相关。Objective The objective of the study was to assess the correlation between mental health and psychological stress among quasi-migrants in Danjiangkou south-to-north water diversion reservoir area. Methods Muhi-stage stratified cluster sampling was used to select 575 residents in quasi-migranting households and 564 residents in non-moving households in Xichuan County, who were then surveyed by a self-designed questionnaire, a symptom check list-90 （SCL-90）, and a psychosocial stress survey for groups （PSSG）. Results （1） Scores of the quasi-migrants on mental health were higher than those of the non-moving residents （except for the scores on somatization and the additional items） （P〈0.05）; （2） The quasi-migrants scored higher on overall stress and the individual factors in PSSG （except positive copying strategies） than of the non-moving residents （P〈0.05）; （3） Factors affecting the overall SCL-90 score included relocation area, annual household income, safety situation, and educational level （~=-0.12579, 2.91749, -1.33789, 5.50881）; （4） Factors affecting the psychological stress included relocation area, annual household income, and pressure of life ~=-4.682, 0.000, -2.851）; （5） Life events, passive emotional experiences, passive coping strategies, and overall stress score in the PSSG of the quasi-migrants were positively correlated with all factors in the SCL-90. Conclusion The quasi-migrants had poor mental health conditions in general, and the mental health levels were closely related to their psychological stress.

关 键 词：丹江口库区 待迁移民 心理健康 心理应激 

分 类 号：R181[医药卫生—流行病学]