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目的评价南水北调丹江口移民心理干预效果,为建立有针对性的心理健康干预提供科学依据。方法对丹江口库区第一批移民和安置地居民进行多阶段分层、整群抽样,以村为单位,将移民随机分为干预组和对照组1,安置地居民作为对照组2,运用SCL-90症状自评量表分别在干预前后两次进行问卷调查。结果 (1)干预前:移民SCL-90总分及各因子分均高于安置地居民(P<0.05);(2)干预后:干预组SCL-90总分及各因子分均低于对照组1和干预前(P<0.05),其中强迫症状、附加因子得分低于对照组2(P<0.05);对照组1躯体化、强迫症状、抑郁、敌对、附加因子和总分得分高于干预前(P<0.05)。结论在自然状态下移民的心理健康状况并未改善,对移民进行专业的、有针对性的心理干预是有效的。
Objective To evaluate the effect of psychological intervention on Danjiangkou immigrants from the South-to-North Water Diversion Project to provide a scientific basis for the establishment of targeted mental health intervention. Methods The first batch of immigrants and resettled residents in Danjiangkou reservoir area were stratified by multistage stratification and cluster sampling was conducted. The resettlers were randomly divided into intervention group and control group 1, resettlements residents as control group 2, -90 Symptom Checklist Questionnaire was conducted twice before and after the intervention. Results (1) Before intervention, the total scores of SCL-90 and all factors were higher than those of resettlement residents (P <0.05); (2) After intervention, the scores of SCL- Group 1 and before intervention (P <0.05), and scores of obsessive-compulsive symptoms and additional factors were lower than those of control group 2 (P <0.05); somatization, obsessive compulsive symptoms, depression, hostility, additional factors and total scores Before intervention (P <0.05). Conclusion The mental health status of immigrants did not improve under natural conditions. It is effective to conduct professional and targeted psychological intervention for immigrants.