2016年西安市城市社区居民基于SCL-90心理量表心理健康状况调查  

Status of psychological health of urban community residents in Xi'an City based on SCL-90 Scale in 2016

作　　者：谭姣[1] 马永红[1] 何宏灵[2] 石明娟 雷静[1] TAN Jiao , MA Yong-hong, HE Hong-ling, SHI Ming-juan, LEI Jing(School of Public Health, Xi＇ an Medical University, Xi＇ an, Shaanxi 710021, China)

机构地区：[1]西安医学院公共卫生系,陕西西安710021 [2]西安交通大学第一附属医院教学部期刊中心

出　　处：《实用预防医学》2018年第11期1313-1316,共4页Practical Preventive Medicine

基　　金：陕西省社会发展科技攻关项目(2016SF-245);陕西省教育厅专项科研计划项目(15JK1628);陕西省软科学研究计划一般项目(NO.2018KRM080)

摘　　要：目的了解西安市城市居民心理健康状况,为建立心理分析常模、促进居民身心健康提供科学依据。方法以2016年6月1日-12月31日,前往西安市新城区8家社区卫生服务中心享受医疗保健服务的1 021名社区居民为研究对象,利用症状自评量表(Symptom Checklist 90,SCL-90)对其心理状况进行测量。结果西安市社区居民SCL-90各因子得分均值在1. 24～1. 67之间,未发现有明显峰值。除敌对(t=1. 111,P=0. 267)、恐怖(t=1. 658,P=0. 098)和精神病性因子意外(t=0. 359,P=0. 719),其余各因子男女间差异均有统计学意义(P<0. 05),且女性得分均高于男性得分; 2016年与1986年男性各因子得分比较发现,躯体化(t=2. 240,P=0. 025)、人际关系(t=5. 132,P=0. 000)、抑郁(t=2. 730,P=0. 006)、焦虑(t=2. 029,P=0. 043) 4个因子2016年得分低于1986年中国正常人常模。女性焦虑(t=2. 722,P=0. 007)和精神病性(t=3. 302,P=0. 001) 2个因子2016年得分高于1986年中国正常人常模;不同年龄组之间比较发现18～<45岁间(青年组)得分最高,尤其是在30～<40岁组中,2016年强迫症状、人际关系、抑郁、焦虑、敌对、偏执和精神病性各因子得分明显高于1986年中国正常人常模得分。结论与1986年中国正常人常模相比,2016年西安市居民总体心理健康保持稳定状态,具体表现为女性心理健康问题日益突出,且在强迫症状、人际关系、精神病性等方面有上升趋势。西安市居民在18～<45岁间(青年组)心理健康问题最为严重,尤其是30～<40岁组中,其强迫症状、人际关系、抑郁、焦虑、敌对、偏执和精神病性等方面有上升趋势。Objective To investigate the status of mental health in urban residents in Xi＇an City,and to provide a scientific basis for establishing a psychoanalysis model and promoting the health of residents. Method The community residents who received health care services at 8 community health service centers in Xincheng District of Xi＇an City from June 1 to December 31 in2016 served as the research subjects,and their psychological status was measured by the Symptom Checklist 90（ SCL-90）. Results The score of each factor of the SCL-90 in community residents in Xi＇an City was between 1.24 and 1.67,and no significant peak was found. There were statistically significant differences between males and females in the scores of all factors（ P〈0. 05） except hostility（ t = 1.111,P = 0.267）,phobia（ t = 1.658,P = 0.098） and psychosis（ t = 0.359,t = 0.719）; moreover,the scores of all factors were higher in females than in males. Comparison of the scores of four factors in males between 2016 and 1986 showed that the scores of somatization（ t = 2.240,P = 0.025）,interpersonal relationship（ t = 5.132,P = 0.000）,depression（ t = 2. 730,P = 0.006） and anxiety（ t = 2. 029,P = 0.043） in 2016 were all lower than those in the norms of normal Chinese in 1986. The scores of anxiety（ t = 2.722,P = 0.007） and psychosis（ t = 3.302,P = 0.001） in females in 2016 were higher than those in the norms of normal Chinese in 1986. The scores of all factors were found to be the highest in the age groups of 18-45 years; moreover,the scores of factors like compulsive symptom,interpersonal relationship,depression,anxiety,hostility,paranoid and psychosis in the age groups of 30-40 years in 2016 were significantly higher than those in the norms of normal Chinese in 1986.Conclusions The general mental health of residents in Xi＇an City in 2016 remained steady compared with the norms of normal Chinese in 1986,and the concrete manifestations include increasingly prominent psychological health problems in females an

关 键 词：社区居民 心理健康 症状自评量表 

分 类 号：R395.6[哲学宗教—心理学]