209名驻岛人员心理应激状态与个性特征的相关研究  

Related Study on Psychological Stress Situation and Personal Characteristic of 209 Stations on Island

作　　者：曾伟杰[1] 杨翠华[2] 张东清[1] 蒙喜永[1] 夏菱[1] 吴桂荣[1] 吴新文[1] 张玉亮[1] 薛松[1] 

机构地区：[1]中国人民解放军第四二一医院,510318 [2]广州中山大学附属三院

出　　处：《神经疾病与精神卫生》2003年第6期422-426,共5页Journal of Neuroscience and Mental Health

基　　金：全军医药卫生科研指令性课题 (编号0 1L0 1 0 )

摘　　要：目的　研究西沙驻岛人员的心理应激状态与个性特征及相关性。方法　以西沙岛屿 2 0 9人作为调查组 (以下称西沙组 ) ,同一部属的沿海地区人员 2 2 3人为对照组 ,采用症状自评量表 (SCL -90 )、艾森克个性测量问卷 (EPQ)、匹兹堡睡眠质量指数量表 (PSQI)、特质应对方式问卷 (TCSQ)和自行设计一般项目调查表。同时测定血清总甲状腺素 (TT4)及皮质醇 (Cortisal)水平。结果　驻岛人员中较明显的心理健康问题为人际敏感、抑郁、敌对、强迫、偏执和躯体化等 ,西沙组SCL - 90各因子分、阳性项目数、总均分均不同程度高于对照组 (P均 <0 .0 0 1) ;神经质分 (EPQ -N)明显高于对照组 (P <0 .0 0 1) ,而掩饰分 (EPQ -L)低于对照组 (P <0 .0 5 ) ;西沙组 36 .36 %存在睡眠质量问题。结论　心理应激反应影响他们神经、内分泌及免疫系统的变化 ,影响着认知、行为、和情绪 ,应激反应不仅取决于应激源 ,而且取决于个体的个性特征 ,对驻岛人员应予以因人而异的心理调整 ,进行心理应激耐受训练 ,提高他们应激反应的阈值 ,培养健全的个性。Objective Studied the stations’ psychological stress situation, personal characteristic and relativity. Methods 209 stations on Xisha Island were as study group (Xisha group was called by follow), 223 persons in coast area in the same army were as control group. SCL-90, EPQ, PSQI, TCSQ and self-designed survey form on common items were used, at the some time the levels of TT4 and Cortisol were measured. Results The obvious metal problems among stations on island were sensitive personal relationships, depress, hostility, force, stubborn bias, somatization, etc. Xisha group’s every fact’s score, numbers of positive items and total mean score were all higher than the control group (P< 0.001); EPQ-N was higher than control group obviously (P<0.001), but EPQ-L was lower than the control group (mean P<0.05); 36.36% in Xisha group existed the problems of sleeping quality. Conclusions Psychological stress reaction influenced the changing of their neural, endocrine and immune system, influenced the recognition, behavior, and mood, stress reaction was not only decided by the source of stress, but also decided by individual’s personal characteristic. Psychological adjustment should be given to the stations the endurance training of psychological stress and improved their threshold value of stress reaction and cultivated healthy personality.

关 键 词：西沙驻岛人员 心理应激 个性特征 总甲状腺素 皮质醇 

分 类 号：R395[哲学宗教—心理学]