基于SCL-90的中国水面舰艇部队官兵心理状况的系统评价  

Systematic evaluation of psychological status of Chinese surface ship troops based on SCL-90

作　　者：肖楚兰 谭坤 罗浩麟 李峻辉 常运立 XIAO Chulan;TAN Kun;LUO Haolin;LI Junhui;CHANG Yunli(Department of Traditional Chinese Medicine,92Oth Hospital of PLA Joint Logistic Support Force,Kunming Yunnan,650000,China;Department of Pharmacy,92Oth Hospital of PLA Joint Logistic Support Force,Kunming Yunnan,650000,China;Department of Information,92Oth Hospital of PLA Joint Logistic Support Force,Kunming Yunnan,650000,China;School of Basic Medicine,Nawal 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]解放军联勤保障部队第九二○医院药学部,云南昆明650000 [3]解放军联勤保障部队第九二○医院信息科,云南昆明650000 [4]海军军医大学基础医学院,上海200433

出　　处：《职业与健康》2024年第10期1390-1396,共7页Occupation and Health

基　　金：国家社会科学基金一般项目(20VSZ148);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,探究中国水面舰艇部队官兵心理健康状况及其发展变化趋势,为今后水面舰艇部队官兵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、维普、万方等数据库自建库以来关于中国水面舰艇部队官兵SCL-90相关调查研究进行整理分析以及系统评价。结果共纳入46篇文献、68个组别,水面舰艇部队官兵共16107人。Meta分析结果显示,相较于2016年SCL-90军人常模,水面舰艇部队官兵的躯体化因子合并效应量[MD(95%CI)]为0.14(0.09~0.18),强迫因子为0.13(0.07~0.18),人际敏感因子为0.18(0.12~0.24),抑郁因子为0.16(0.10~0.21),焦虑因子为0.12(0.07~0.16),敌对因子为0.15(0.11~0.19),恐怖因子为0.07(0.03~0.11),偏执因子为0.17(0.12~0.23),精神病性因子为0.10(0.06~0.14)(均P<0.01)。与此同时,各结局指标不同年份的亚组分析结果显示,1991—2000亚组的d值最高,其次为2001—2010亚组,而2011—2020亚组与2016年SCL-90军人常模差异无统计学意义(P>0.05)。结论基于SCL-90结果,水面舰艇部队官兵的整体心理健康状况显著低于2016年SCL-90军人常模。随着调查年份逐年上调,其SCL-90评分逐步下跌,直至2011—2020年,其与2016年SCL-90军人常模基本无差异,水面舰艇部队官兵的心理健康水平正逐年提升。Objective Based on the results of symptom checklist 90(SCL-90),the mental health status and development trends of Chinese surface ship troops were explored,so as to provide reference for future investigation and research on SCL-90 mental health assessment of surface ship troops.Methods The Review Manager 5.3 software was used to organize,analyze and systematically evaluate the investigation and research on SCL-90 related to Chinese surface ship officers and soldiers in databases such as China National Knowledge Infrastructure(CNKI),VIP,and Wanfang since their establishment Results A total of 46 literatures and 68 groups were included,with a total of 16107 officers and soldiers from surface ship forces.The results of meta-analysis showed that compared to the 2016 SCL-90 military norm,the combined effect size[MD(95%CI)]of the somatization factor in surface ship officers and soldiers was 0.14(0.09-0.18),forcing factor was 0.13(0.07-0.18),interpersonal sensitivity factor was 0.18(0.12-0.24),depression factor was 0.16(0.10-0.21),anxiety factor was 0.12(0.07-0.16),hostility factor was 0.15(0.11-0.19),terror factor was 0.07(0.03-0.11),paranoia factor was 0.17(0.12-0.23),and psychosis factor was 0.10(0.06-0.14)(all P<0.01).At the same time,the subgroup analysis results of each outcome index in different years showed that the d value of the 1991-2000 subgroup was the highest,followed by the 2001-2010 subgroup,while there was no significant diference between the 2011-2020 subgroup and the 2016 SCL-90 military norm.Conclusion Based on the SCL-90 results,the overall mental health status of officers and soldiers in surface ship forces was significantly lower than the 2016 SCL-90 military norm.As the survey years increased year by year,the SCL-90 score gradually declined,and there was no statistically significant difference between them and the 2016 SCL-90 military norm between 2011 and 2020.The mental health level of officers and soldiers in surface ship forces was improving year by year.

关 键 词：症状自评量表 水面舰艇部队 心理状况 

分 类 号：R181.2[医药卫生—流行病学]