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目的建立我国常驻青藏高原陆军军人症状自评量表(symptom check list 90,SCL-90)2017版常模。方法采用SCL-90量表,采用整群抽样的方法,选取常驻青藏高原地区46个陆军单位10 239名军人为对象进行测评。结果 (1)常驻青藏高原陆军军人SCL-90多数因子得分显著低于1999版、2005版和2016版军人常模(P<0.01),但躯体化因子得分显著高于2005版和2016版常模(P<0.01);(2)高原男性军人躯体化得分显著高于2016版男性常模(P<0.01),独生子女在7个因子得分上显著低于非独生子女(P<0.05,P<0.01),高中和中专组抑郁得分最低,本科大专及以上组偏执得分最高,双亲家庭军人的因子得分均显著低于单亲家庭(P<0.05,P<0.01);(3)士官躯体化、强迫、人际敏感、敌对、恐怖得分最高,士兵的抑郁、偏执得分最低(P<0.05,P<0.01);指挥类军人躯体化因子得分最低,后勤类军人在强迫、抑郁因子得分上显著低于政工类和其他类军人(P<0.01);(4)除恐怖和精神性因子外,常驻青藏高原陆军军人因子得分在不同海拔高度上差异存在统计学意义(P<0.05,P<0.01)。结论建立了常驻青藏高原陆军军人症状自评量表的总体常模、性别常模、独生子女常模、家庭结构常模、文化程度常模、职级常模、工作类型常模和海拔高度常模。
Objective To establish the 2017 version of the symptom check list 90 (SCL-90) permanent resident model in China’s Qinghai-Tibet Plateau. Methods The SCL-90 scale was used to select 10 239 military personnel from 46 army units in the Qinghai-Tibet Plateau for the purpose of cluster sampling. Results (1) The SCL-90 scores of army soldiers in the Qinghai-Tibet Plateau were significantly lower than those of the 1999, 2005 and 2016 soldiers (P <0.01), but the scores of somatization factor were significantly higher than those of the 2005 and 2016 editions (P <0.01). (2) The somatization score of male soldiers in the plateau was significantly higher than that of the 2016 male model (P <0.01), and the only child score was significantly lower than the non-only children on the seven factors (P <0.05, P <0.01), high school and college lowest score group depression, paranoia degree or above the highest score group, military family parent factor scores were significantly lower than parent families (P <0.05, P <0.01); (3) NCO somatization the maximum compulsion, interpersonal sensitivity, hostility, terror scores, soldiers depression, paranoia lowest score (P <0.05, P <0.01); Forces command soldiers somatization lowest score, logistics class soldier was significantly lower in the compulsion, depression scores (P <0.01). (4) Except for terror and spiritual factors, there were significant differences in military service factor scores at different altitudes in the Qinghai-Tibet Plateau (P <0.05, P <0.01) ). Conclusion A person resident Army symptom rating scale Qinghai-Tibet Plateau from the overall norm, gender norm, the one-child norm, the norm in family structure, education level norm, the rank of the norm, the type of work the norm and often Altitude mold.