执行远洋护航任务官兵心身状况及与应对方式的关系  

Psychosomatic status and its relationship with coping styles in Chinese servicemen performing anti-piracy escort missions

作　　者：王晓燕[1] 汪微[2] 吴海清[3] 焦佩莉[4] 邓汝松 赵晋丰[2] 

机构地区：[1]中国人民解放军海军疾病预防控制中心,北京101113 [2]中国人民解放军疾病预防控制所 [3]中国人民解放军92509部队卫勤教研室 [4]中国人民解放军海军东海舰队卫生所

出　　处：《实用预防医学》2017年第1期82-84,共3页Practical Preventive Medicine

摘　　要：目的探讨执行远洋护航任务官兵的心身症状特点及与应对方式的关系,为进行心理干预提供依据。方法采用症状自评量表(SCL-90)、应付方式问卷(CSQ)和一般资料问卷对整群抽样的某舰艇233名官兵进行测评和分析,将第一次执行护航任务官兵与第二次执行任务官兵数据进行比较。结果远洋护航任务官兵SCL-90的10个因子分均低于中国军队常模,差异有统计学意义(P<0.05),躯体化因子与附加项目因子得分与中国地方常模相比差异无统计学意义(P>0.05),强迫症状、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子均显著低于中国地方常模(P<0.05);第一次执行护航任务官兵SCL-90各因子得分与第二次执行任务官兵相比差异无统计学意义(P>0.05),CSQ幻想分量表得分低于第二次护航官兵,差异有统计学意义(P<0.05);相关分析显示SCL-90各因子分与CSQ解决问题、求助分量表得分呈显著负相关(r=-0.003^-0.156,P<0.05),与自责、幻想、退避、合理化分量表得分呈显著正相关(r=0.291~0.533,P<0.05)。结论执行远洋护航任务官兵心身状态良好;第二次执行任务官兵与第一次执行任务官兵身心状态无明显差异;成熟型应对方式是维护执行护航任务官兵心身健康的重要因素。Objective To explore the characteristics of psychosomatic symptoms and the relationship between psychosomatic symptoms and coping styles in Chinese servicemen taking part in escort missions against piracy. Methods Symptom Check List -90 （SCL-90）, Coping Style Questionnaire （CSQ） and General Information Questionnaire were used to assess and analyze 233 warship servicemen selected by cluster sampling. The scores of servicemen escorting for the first time and the second time were compared. Results The scores of 10 factors of SCL-90 of the servicemen were all lower than those of the Chinese military norm, with statistically significant differences （all P〈0.05 ）. The scores of obsessive-compulsive symptom, interpersonal relationship, depression, anxiety, hostility, terror, paranoid and psychosis factors of the servicemen were all significantly lower than those of the Chinese local norm （ P〈0.05 ） except the scores of somatization and additional-item factors （ P〉0.05）. No statistically signif/cant differences were observed in the score of each factor in SCL-90 between servicemen escorting for the first and second time （ P〉0. 05 ） , but the score of fantasy factor of CSQ was lower in servicemen escorting for the first time than in those escorting for the second time, with statistically significant differences （P〈0.05）. Correlation analysis showed that the scores of all factors of SCL- 90 were significantly and negatively associated with the scores of problem-solving and help-seeking factors of CSQ I r =-0.003 - -0. 156, P〈0.05 ） , but significantly and positively associated with the scores of self-accusation, fantasy, avoidance and rationalization factors （r= 0.291-0.533, P〈0.05 ）. Conclusions The servicemen performing anti-piracy escort missions are in good psychosomatic condition. We find no significant differences in the psychosomatic status between the servicemen escorting for the first and second time. Mature coping style is an important factor for maintaining good ps

关 键 词：航海心理学 心身症状 应对方式 护航任务 横断面调查研究 

分 类 号：R833[医药卫生—航空、航天与航海医学]