青年官兵偏执型及边缘型人格障碍调查及影响因素分析  

Investigation on paranoid and borderline personality disorder of young soldiers and analysis of its influencing factors

作　　者：韦晓亮 张懿 周武红 史开天 王亚平 刘涛生 WEI Xiaoliang;ZHANG Yi;ZHOU Wuhong;SHI Kaitian;WANG Yaping;LIU Taosheng(Department of Psychiatry,College of Psychology,Naval Medical University,Shanghai 200433,China;Medical Psychology Department,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China;Outpatient Department of the 984th Hospital of the Joint Logistics Support Force,Beijing 100094,China;Teaching and Research Department of Naval Training Base in Southern Theater,Dongguan 523900,Guangdong Province,China)

机构地区：[1]海军军医大学心理系精神医学教研室,上海200433 [2]海军军医大学附属第二医院心理科,上海200003 [3]联勤保障部队第九八四医院门诊部,北京100094 [4]南部战区海军训练基地教研部,广东东莞523900

出　　处：《解放军医学院学报》2022年第7期781-785,790,共6页Academic Journal of Chinese PLA Medical School

基　　金：“十四五”海军大数据典型应用建设项目(145AWX200020011X);长征医院“金字塔人才工程”-军事医学人才项目(202007A02)。

摘　　要：背景偏执型及边缘型人格障碍患者特殊的心理行为模式,给部队安全管理和工作开展带来了隐患,有必要调查青年官兵偏执型及边缘型人格状况,为开展心理干预提供依据。目的了解青年官兵偏执型及边缘型人格障碍分布并初步探讨其相关影响因素。方法由海军军医大学心理系主持调查,于2021年8-9月整群抽样选取1916名青年官兵为调查对象,完成一般情况调查表、人格诊断问卷(PDQ-4+)偏执和边缘分量表的填写,并分析其影响因素。结果参与测评人员平均年龄(25.6±5.1)岁,男性1837名,女性50名。本样本中偏执型人格障碍检出率为6.8%,边缘型人格障碍检出率为4.0%;单因素分析显示教育程度(χ^(2)=15.573,P=0.004)、父母关系(χ^(2)=32.628,P<0.001)、家庭经济(χ^(2)=21.297,P<0.001)是偏执型人格障碍的敏感因素,父母关系(χ^(2)=63.507,P<0.001)、家庭经济(χ^(2)=15.857,P=0.003)、爱好特长(χ^(2)=5.051,P=0.025)是边缘型人格障碍的敏感因素;二元logistic回归分析显示教育程度(P=0.033)、家庭经济(P=0.001)、父母关系(P<0.001)与偏执型人格相关,爱好特长(P=0.049)、父母关系(P<0.001)与边缘型人格相关。结论不良父母关系和家庭经济是两种类型人格障碍的共同风险因素。应对不同人格障碍特点的青年官兵开展针对性心理干预,以提升其心理健康状态。Background The special psychological behavior patterns of patients with paranoid and borderline personality disorders have brought hidden dangers to the safety management and work of the army.It is necessary to investigate the paranoid and borderline personality status of young soldiers so as to provide evidence for psychological intervention.Objective To understand the paranoia and borderline personality disorder tendencies of young soldiers and explore their associated factors preliminarily.Methods The survey was conducted by the Department of Psychology of Naval Military Medical University.Totally 1916 participants were enrolled by cluster sampling from August to September in 2021.The paranoid and borderline personality trait were measured by the demographic questionnaire(PDQ-4+)and its influencing factors were explored.Results The average age of the participants was(25.6±5.1)years old,and there were 1837 males and 50 females.The prevalence of paranoid personality disorder and borderline personality disorder in this sample was 6.8%and 4.0%,respectively.Univariate analysis showed that education level(χ^(2)=15.573,P=0.004),parental relationship(χ^(2)=32.628,P<0.001),family economy(χ^(2)=21.297,P<0.001)were associated factors of paranoid personality,and parental relationship(χ^(2)=63.507,P<0.001),family economy(χ^(2)=15.857,P=0.003),hobbies and specialties(χ^(2)=5.051,P=0.025)were associated factors of borderline personality.Binary logistic regression analysis further showed that education level(P=0.033),family economy(P=0.001),parental relationship(P<0.001)were correlated to paranoid personality and hobbies and specialties(P=0.049),parental relationship(P<0.001)were correlated to borderline personality.Conclusion Poor parental relationship and family economy are common risk factors for paranoid and borderline personality disorder.Targeted psychological interventions are needed for young soldiers with different personality disorder tendency to improve their mental health.

关 键 词：青年官兵 偏执型人格障碍 边缘型人格障碍 心理健康 调查问卷 

分 类 号：R82[医药卫生—临床医学]