心理干预对某部新兵心理健康水平影响的观察

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目的:观察心理干预对某部新兵心理健康水平的影响。方法:整群抽取某部新兵400例,随机分为心理干预组(观察组)和非心理干预组(对照组)各200例。采用症状自评量表(SCL-90)对两组新兵心理干预前后的心理健康水平进行测评。结果:某部新兵SCL-90总分、阳性项目数、躯体化、抑郁、焦虑、恐怖因子分值,均显著或非常显著高于中国新兵常模和中国军人常模(P<0.05,P<0.01);敌对、偏执因子分值,显著或非常显著高于中国新兵常模(P<0.05,P<0.01),而与中国军人常模差异不显著(P>0.05);强迫症状、人际关系敏感、精神病性因子分值,与中国新兵常模及中国军人常模差异均不显著(P>0.05)。心理干预前两组SCL-90总分、阳性项目数及各因子分值差异均不显著(P>0.05);观察组心理干预后SCL-90总分、阳性项目数、躯体化、人际关系敏感、抑郁、焦虑、敌对和偏执因子分值均非常显著低于心理干预前(P<0.01),SCL-90总分、阳性项目数、躯体化、人际关系敏感、抑郁、焦虑和偏执因子分值均非常显著低于对照组军训后(P<0.01);对照组军训后焦虑、敌对因子分值显著或非常显著低于军训前(P<0.05,P<0.01),其他因子分值差异不显著(P>0.05)。结论:某部新兵心理健康水平低于一般中国军人,心理干预可有效改善其心理健康水平。 Objective: To observe the impact of psychological intervention on the mental health of a certain recruits. Methods: One hundred recruits were recruited in the cluster and randomly divided into psychological intervention group (observation group) and non-psychological intervention group (control group), 200 cases each. The psychological self-rating scale (SCL-90) was used to measure the mental health of two groups of recruits before and after psychological intervention. Results: The scores of SCL-90 score, positive items, somatization, depression, anxiety and terror factor of a recruits were significantly or very significantly higher than those of Chinese soldiers and Chinese soldiers (P <0.05, P < 0.01). The scores of hostile and paranoid factors were significantly or very significantly higher than those of Chinese recruits (P <0.05, P <0.01), but not significantly different from those of Chinese soldiers (P> 0.05). Obsessive-compulsive symptoms Sensitive and psychotic factors scores were not significantly different from those of norm of Chinese service recruits and Chinese servicemen (P> 0.05). The scores of SCL-90, the number of positive items and the scores of each factor in the two groups before psychological intervention were not significantly different (P> 0.05). The score of SCL-90, the number of positive items, somatization and interpersonal sensitivity in the observation group after psychological intervention , Depression, anxiety, hostility and paranoid factor scores were significantly lower than before psychological intervention (P <0.01), SCL-90 total score, number of positive items, somatization, interpersonal sensitivity, depression, anxiety and paranoid factor scores (P <0.01). The anxiety and hostility scores of the control group were significantly lower than those before the military training (P <0.05, P <0.01), while the scores of other factors were not significantly different (P> 0.05). Conclusion: The mental health of a certain recruits is lower than that of the average Chinese soldier. Psychological intervention can effectively improve their mental health.
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