不同军人群体睡眠质量与心理健康状况的相关性研究  

Relativity study on sleep quality and mental health for different military groups

作　　者：王创[1,2] 李红政[1] 陈海燕[1] 雷美英[1] 赵立琼[1] 周宏奎[1] 

机构地区：[1]中国人民解放军第303医院全军心理卫生指导中心,广西壮族自治区南宁市530021 [2]广西医科大学

出　　处：《职业与健康》2015年第5期591-594,共4页Occupation and Health

基　　金：全军医学科学技术"十二五"计划课题(项目编号:CWS11J278);军队心理卫生应用性科研课题(项目编号:12XLZ204);广州军区心理预防科研专项(项目编号:XLYF20130610);广西自然科学基金(项目编号:桂0991289)

摘　　要：目的探讨不同军人群体的睡眠质量及其与心理健康状况的关系。方法采用整群随机抽样,运用匹兹堡睡眠质量指数(PSQI)和症状自评量表(SCL-90)对某区7 566名军人进行调查,分析不同军人群体的睡眠质量、心理健康以及二者的关系。结果 1以PSQI总分>7分为界,睡眠差者共占20.4%。2野战部队睡眠差者最多(28.1%),后勤次之(16.2%),边海防最少(14.8%)。3PSQI总分与SCL-90总分呈显著正相关(r=0.572,P<0.01)。4多元逐步回归分析显示,躯体化对各个军人群体睡眠质量的预测作用均较大,除此之外进入回归模型的还有强迫、人际关系敏感(边海防);抑郁、敌对(野战);抑郁、强迫(后勤);抑郁(新兵);强迫、敌对(义务兵);强迫、抑郁(士官);抑郁(干部)。结论军人睡眠质量与心理健康状况密切相关,不同军人群体预测睡眠质量的心理因素不同,有必要针对不同的心理问题进行健康教育,从而有效改善睡眠质量。[Objective]To explore the relationship between sleep quality and mental health in different military groups [Methods]7 566 military personnel were collected by the cluster random sampling, and were investigated by the Pittsburgh sleep quality index （PSQI） and Symptom checklist-90 （SCL-90）, to analyze the sleep quality, mental health and the relationship between them. [Results]①People with poor sleep quality（PSQI score〉7 ） accounted for 20.4%.②The proportion of people with poor sleep quality in the field forces was the highest （28.1%）, followed by logistics department （16.2%）, and that in frontier and coastal defense forces was the lowest（ 14.8% ）.③There was a positive correlation between total scores of PSQI and SCL-90（r=0.572, P〈0.01 ）. ④Stepwise multiple regression analysis revealed that somatizationon showed significant predicted effect in all military groups. In addition, other factors included into the regression model were as follows： obsession and interpersonal sensitivity （frontier and coastal defense forces）, depression and hostility （field forces）, depression and obsession （logistics department）, depression （recruits）, obsession and hostility （conscripts）, obsession and depression （non-commissioned officers ）, and depression （ cadres ）. [Conclusion]Sleep quality is closely related to mental health in military personnel, and the psychological factors that predict the sleep quality are different among military groups. It is necessary to carry, out the health education according to the different psychological problems to effectively improve the sleep quality.

关 键 词：军人 睡眠质量 心理健康 

分 类 号：R181.31[医药卫生—流行病学]