军事飞行员述情障碍特征及与应对方式的关系  

Alexithymia of military pilots and its relationship with coping styles

作　　者：丁庆华 刘立志[1] 甘景梨[1] 梁学军[1] 段惠峰[1] 李东河 DING Qing-hua;LIU Li-zhi;GAN Jing-li(The Whole-army Institute for Preventing ＆ Treating Mental Diseases,No.91 Hospital of PLA,Jiaozuo,Henan 4540003,China)

机构地区：[1]解放军91医院全军精神疾病防治研究所,河南焦作454003

出　　处：《实用医药杂志》2018年第6期548-550,共3页Practical Journal of Medicine & Pharmacy

基　　金：军队心理卫生应用性科研课题(12XLZ304);济南军区后勤科研计划课题(JN11L034)

摘　　要：目的了解军事飞行员述情障碍特点,及同应对方式的关系,为针对性地开展心理卫生教育提供科学依据。方法采用一般情况调查表、多伦多述情障碍量表(TAS-20)和应对方式问卷(CSQ)对192名来笔者所在中心体检和疗养的军事飞行员进行评估,分析两者之间的相关性。结果 (1)TAS量表得分显示,述情障碍组41名(21.4%);述情障碍临界状态组112名(58.3%),非述情障碍组39名(20.3%);(2)述情障碍组自责、幻想、退避及合理化等不成熟应对因子分明显高于述情障碍临界组和非述情障碍组(P<0.01);而解决问题、求助等成熟应对因子分明显低于述情障碍临界组和非述情障碍组(P<0.01);非述情障碍组自责、幻想、退避及合理化等不成熟应对因子分明显低于述情障碍临界组(P<0.01);(3)F3因子分与年龄、飞行时长呈负相关,学历与TAS总分及各因子分呈显著负相关(P<0.05或0.01);TAS总分及各因子分同自责、幻想、退避及合理化等不成熟应对因子呈显著的正相关,同解决问题、求助等成熟应对因子分呈显著的负相关(P<0.05或0.01)。结论军事飞行员存在一定程度的述情障碍,不成熟应对方式、学历和飞行时长对述情障碍有显著影响,应充分关注并有针对性地进行心理健康教育。Objective To understand the alexithymia characteristics of military pilots and its relationship with coping style,so as to provide scientific basis for targeted mental health education. Methods A total of 192 military pilots who came to author＇s center for physical examination and recuperation were assessed by the general situation questionnaire with TAS-20 and CSQ,and to analyze the correlation of the both. Results 1）The scores of TAS showed that there were 41（21.4%） of AQI group,112（58.3%） of critical condition group and 39（20.3%） of non-alexithymia group（P〈0.01）. 2）The factors of alexithymia group such as self-accusation factor,fantasy factor,avoidance factor and relationgship factor were significantly higher than those of critical condition group and nonalexithymia group（P〈0.01）. The factors of problem-solving factor and help seeking factor were significantly lower than those critical condition group and non-alexithymia group（P〈0.01）. The factors of self-accusation,fantasy,avoidance in non-alexithymia group were significantly lower than critical condition group（P〈0.01）. 3）There were significant negative correlation of F3 fator with age and flight duration,and negative correlation of TAS-20 total score with education. There were significant positive correlation of TAS-20 total score and factors with self-accusation,fantasy,avoidance and relationgship（P〈0.05 or 0.01）,and significant negative correlation with problemsolving factor and help seeking factor（P〈0.05 or 0.01）. Conclusion Military pilots have a certain degree of estocence disorder,their immature coping style,education and longer flight duration have a significant impact on the disorder＇s situation,thereas they should be fully concerned about and given targeted mental health education.

关 键 词：飞行员 述情障碍 应对方式 心理卫生教育 

分 类 号：R395.6[哲学宗教—心理学]