基于SCL-90的中国潜艇部队官兵心理状况影响因素系统评价  

Systematic evaluation of factors influencing the psychological status of Chinese submarine force officers and soldiers based on SCL-90

作　　者：谭坤 梁景童 崔阳 肖楚兰 TAN Kun;LIANG Jingtong;CUI Yang;XIAO Chulan(Department of Pharmacy,PLA Joint Logistics Support Force 920 Hospital,Kunming,Yunnan 650000,China;Department of Endocrinology,PLA Joint Logistics Support Force 920 Hospital,Kunming,Yunnan 650000,China;Department of Cardiology,PLA Joint Logistics Support Force 920 Hospital,Kunming,Yunnan 650000,China;Traditional Chinese Medicine Department,PLA Joint Logistics Support Force 920 Hospital,Kunming,Yunnan 650000,China)

机构地区：[1]解放军联勤保障部队第九二○医院药剂科,云南昆明650000 [2]解放军联勤保障部队第九二○医院内分泌科,云南昆明650000 [3]解放军联勤保障部队第九二○医院心内科,云南昆明650000 [4]解放军联勤保障部队第九二○医院中医科,云南昆明650000

出　　处：《职业与健康》2024年第23期3284-3288,共5页Occupation and Health

基　　金：联勤保障部队第九二〇医院院管课题(2023YGY29)。

摘　　要：目的基于症状自评量表(symptom checklist 90,SCL-90)结果,探究中国潜艇部队官兵心理健康状况影响因素及其发展变化趋势。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潜艇部队官兵SCL-90相关调查研究进行整理分析,根据不同影响因素进行系统评价。结果共纳入9篇文献、20个组别,潜艇部队官兵共1395人。潜艇部队官兵航后航前心理状况差异meta分析结果显示,潜艇部队官兵航后相较于航前的9个SCL-90因子平均效应量均为正值,其中躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖及精神病的差异均有统计学意义(均P<0.05),而偏执的差异无统计学意义(P>0.05);核潜艇和常规潜艇心理状况差异meta亚组分析结果显示,核潜艇部队官兵总体的SCL-90因子相较于2016年军人常模的平均效应量均为正值,且躯体化、强迫、人际敏感、抑郁、焦虑、恐怖、偏执及精神病性的差异均有统计学意义(均P<0.01),仅敌对的差异无统计学意义(P>0.05)。常规潜艇官兵各SCL-90因子评分相较于2016年军人常模,仅躯体化、强迫及抑郁的差异均有统计学意义(均P<0.01),且d值为正值,而人际敏感、焦虑、敌对、恐怖、偏执及精神病性的差异均无统计学意义(均P>0.05),且敌对、恐怖及偏执因子的d值为负值。结论基于SCL-90结果,中国潜艇部队官兵航后的整体心理健康状况显著低于航前。核潜艇官兵的整体心理健康状况较2016年军人常模差,而常规潜艇官兵的整体心理健康状况虽不及2016年军人常模,但却优于核潜艇官兵,其敌对、恐怖及偏执情绪水平低于2016年军人常模。Objective Based on the results of the symptom checklist 90(SCL-90),this study aims to explore the influencing factors and development trends of the psychological health status of Chinese submarine troops.Methods The Review Manager 5.3 software was used to organize and analyze the investigation and research on SCL-90 related to Chinese submarine troops in databases such as CNKI,VIP,and Wanfang since their establishment.A systematic evaluation was conducted based on different influencing factors.Results A total of 9 articles and 20 groups were included,with a total of 1395 officers and soldiers in the submarine unit.The meta-analysis results of the psychological status differences between submarine force officers and soldiers before and after the voyage showed that the average effect sizes of 9 SCL-90 factors after the voyage was positive compared to before the voyage.Among them,the differences in somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,terror and psychosis were statistically significant(all P<0.05),while the differences in paranoia were not statistically significant(P>0.05).The results of meta-analysis on the differences in psychological status between nuclear submarines and conventional submarines showed that the overall SCL-90 factor of officers and soldiers in the nuclear submarine force was positive compared to the average effect size of the military norm in 2016,and the differences in somatization,compulsion,interpersonal sensitivity,depression,anxiety,terror,paranoia,and psychosis were statistically significant(all P<0.01),while only the differences in hostility were not statistically significant(P>0.05).Compared with the 2016 military norm,the SCL-90 factor scores of conventional submarine officers and soldiers showed statistically significant differences only in somatization,compulsion,and depression(all P<0.01),with positive d values.However,there were no statistically significant differences in interpersonal sensitivity,anxiety,hostility,terror,paranoia,and psychosi

关 键 词：症状自评量表 潜艇部队 META分析 

分 类 号：R47[医药卫生—护理学]