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目的 :探讨军校学员心理健康相关因素 ,为开展心理卫生保健提供科学依据。方法 :采用前瞻性定群研究和Logistic回归分析方法 ,对 2 4 56名军校学员心理健康的相关因素进行为期 3年的研究。结果 :精神疾病家族史比值 (OR)为 1.0 4 (95%CI为 1.0 1～ 1.0 6 ) ,个性的精神病质倾向OR为 1.17(95%CI为 1.0 3～ 1.31) ,神经质倾向OR为 1.2 6 (95%CI为 1.0 8～ 1.4 3) ,内向倾向OR为 1.31(95%CI为 1.0 7～ 1.51) ,负性生活事件的心理紧张总值OR为 3.16 (95%CI为2 .18～ 4 .6 7) ,这些都是影响军校学员心理健康的危险因素 ;社会支持OR为 0 .2 0 (95%CI为 0 .16～ 0 .2 7) ,心理卫生教育OR为 0 .6 1(95%CI为 0 .56～ 0 .74 ) ,这些是军校学员心理健康的保护因素。结论 :军校学员心理健康与生物心理社会因素综合有关 ,这为军校学员心理卫生保健工作提出了理论依据。
Objective: To explore the relevant factors of mental health of cadets and provide scientific basis for mental health care. Methods: A prospective cohort study and Logistic regression analysis were conducted to investigate the related factors of mental health among 2,456 cadets for a three-year study. Results: The family history odds ratio (OR) of mental illness was 1.04 (95% CI 1.01 ~ 1.06). Personality trait orientation OR was 1.17 (95% CI 1.03 ~ 1.31), and neuroticism OR was 1.2 6 (95% CI: 1.08-1.43), OR: 1.31 (95% CI: 1.07-1.51), and negative life events were 3.16 (95% CI: 2.18-4) .6 7) These are all risk factors that influence the psychological health of cadets; the social support OR is 0.2 (95% CI: 0.16 to 0.27), and the mental health education is 0.61 95% CI was 0.56 ~ 0.74), these are the protective factors of mental health of cadets. Conclusion: The mental health of cadets is related to the biopsychosocial factors. This provides a theoretical basis for the cadets’ mental health care.