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目的:调查了解驻喀喇昆仑山高原某部官兵的心理健康水平。方法:整群抽取喀喇昆仑山高原某部驻防官兵243例,采用症状自评量表(SCL-90)和自制调查问卷对其心理健康水平进行测评,并与中国军人常模、中国成人常模比较。结果:除SCL-90总均分、敌对因子分值差异不显著(P>0.05)外,高原驻防官兵躯体化因子分值非常显著高于中国军人常模(P<0.01),其余因子分值均显著或非常显著低于中国军人常模(P<0.05,P<0.01);总均分、躯体化、敌对和其他因子分值显著或非常显著高于中国成人常模(P<0.05,P<0.01),人际关系敏感和偏执因子分值显著或非常显著低于中国成人常模(P<0.05,P<0.01),其余因子分值差异不显著(P>0.05)。多元逐步回归分析结果显示,移居时间、海拔高度和吸烟量进入以SCL-90总均分为因变量的回归方程(P<0.01)。结论:移居时间、海拔高度和吸烟量为影响驻高原某部官兵心理健康水平的主要因素。
Objective: To investigate and understand the mental health of officers and soldiers of a certain unit in the Karakorum Plateau. Methods: A total of 243 garrison officers stationed in Karakoram Plateau were collected by cluster sampling. Their mental health status were assessed by Self-made Symptom Checklist 90 (SCL-90) and self-made questionnaire. Comparison of modules. Results: The somatization scores of officers and soldiers stationed in the plateau were significantly higher than those of Chinese soldiers (P <0.01) except for the total score of SCL-90 and the scores of hostile factors were not significant (P> 0.05) (P <0.05, P <0.01). The scores of total mean score, somatization, hostility and other factors were significantly or very significantly higher than those of Chinese adults (P <0.05, P (P <0.01). The score of interpersonal sensitivity and paranoid factor was significantly or very significantly lower than that of Chinese adult norm (P <0.05, P <0.01). The scores of other factors were not significantly different (P> 0.05). The results of multivariate stepwise regression analysis showed that the regression equation of SCL-90 total score was taken as the dependent variable (P <0.01). Conclusion: The migration time, altitude and amount of smoking are the main factors that affect the mental health of officers and soldiers in a certain section of the plateau.