基于SCL-90的中国高原驻训新兵心理状况系统评价  

Systematic evaluation of the psychological status of new recruits in high-attitude training in China based on SCL-90

作　　者：肖楚兰 李琳 熊朝叶 武润哲 常运立 XIAO Chulan;LI Lin;XIONG Zhaoye;WU Runzhe;CHANG Yunli(Department of Traditional Chinese Medicine,the 920th Hospital of the Joint Logistics Support Force of the People's Liberation Army,Kunming Yunnan,650000,China;Department of Traditional Chinese Medicine and Gynecology,First Affiliated Hospital of Naval Medical University,Shanghai,200433,China;School of Basic Medicine,Naval Medical University,Shanghai,200433,China)

机构地区：[1]解放军联勤保障部队第九二○医院中医科,云南昆明650000 [2]海军军医大学第一附属医院中医妇科,上海200433 [3]海军军医大学基础医学院,上海200433

出　　处：《职业与健康》2024年第1期103-108,共6页Occupation and Health

基　　金：国家社科基金军事学项目(2019-SKJJ-C-022);上海市哲学社会科学规划青年课题(2019EKS005);上海市教育科学一般项目(C20038)。

摘　　要：目的 基于症状自评量表(symptom checklist 90,SCL-90)结果了解中国高原驻训新兵总体心理健康状况水平及其发展变化趋势,为今后部队官兵SCL-90心理健康测评相关调查研究提供参考。方法 利用Review Manager 5.3软件对中国知网(CNKI)、维普(VIP)、万方(Wanfang)等数据库自建库以来关于中国高原(西藏)驻训新兵SCL-90相关调查研究进行系统评价。结果 共纳入12篇文献,7 640名高原驻训新兵。Meta分析结果显示,高原驻训新兵的SCL-90因子合并效应量中仅有躯体化为正值且差异无统计学意义[d(95%CI)=0.01(-0.12~0.13),P>0.05],其他8项均为负值,其中强迫因子[d(95%CI)=-0.15(-0.26~-0.03),P<0.05]、人际敏感因子[d(95%CI)=-0.19(-0.35~-0.03),P<0.05]、焦虑因子[d(95%CI)=-0.11(-0.22~-0.01),P<0.05]以及精神病性因子[d(95%CI)=-0.17(-0.30~-0.05),P<0.01]的合并效应均显著低于新兵常模,但是效应水平较低。结论 基于SCL-90结果,高原驻训新兵的整体心理健康状况水平高于2000年版中国新兵常模,其中强迫因子、人际敏感因子、焦虑因子以及精神病性因子差异均有统计学意义。Objective:Based on the results of the symptom checklist-90(SCL-90),to understand the overall mental health status and development trends of new recruits in high-altitude training in China,and provide reference for future investigations and research on SCL-90 mental health assessment of military officers and soldiers.Methods Review Manager 5.3 software was used to systematically evaluate the relevant investigation and research on SCL-90 of Chinese plateau(Xizang) recruits since the establishment of CNKI,VIP,Wanfang and other databases.Result A total of 12 articles were included,with 7 640 new recruits for high-altitude training.Meta-analysis results showed that among the combined effect sizes of SCL-90 factors of new recruits in high-altitude training,only somatization was positive with no statistically significant difference[d(95%CI)=0.01(-0.12-0.13),P<0.05],and the other 8 items were all negative,the combined effects of obsessive-compulsive factor[d(95%CI)=-0.15(-0.26--0.03),P<0.05],interpersonal sensitivity factor[d(95%CI)=-0.19(-0.35--0.03),P<0.05],anxiety factor[d(95%CI)=-0.11(-0.22--0.01),P<0.05],and psychiatric factor[d(95%CI)=-0.17(-0.30--0.05),P<0.01] were significantly lower than the new recruit norm,but the effect level was lower.Conclusion Based on the results of SCL-90,the overall mental health status of new recruits in high-altitude training is higher than that of the 2000 version of the Chinese new recruits norm,with significant differences in compulsive factors,interpersonal sensitivity factors,anxiety factors,and psychiatric factors.

关 键 词：症状自评量表 高原 驻训新兵 META分析 

分 类 号：R181.2[医药卫生—流行病学]