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目的探讨寒区集训新兵心理健康状况的影响因素。方法以症状自评量表(SCL-90)测评参训第1周1000名新兵的心理健康状况。结果有效问卷981份。县城来源新兵的强迫症状、人际关系、抑郁、敌对、恐怖、偏执、精神病性及SCL-90总分高于省城及农村来源新兵,农村新兵躯体化因子分低于省城和县城来源新兵。高中学历新兵SCL-90在躯体化、人际关系、抑郁、敌对、焦虑、偏执、精神病性及SCL-90总分高于初中及以下组新兵。有烟酒饮用习惯者SCL-90总分及所有因子分高于无烟酒饮用习惯者。回归分析表明,寒区集训新兵躯体化因子分与家庭住址呈负相关(r=-0.11),与吸烟习惯呈正相关(r=0.17);强迫症状(r=0.17)、人际关系(r=0.17)、抑郁(r=0.20)、焦虑(r=0.16)、敌对(r=0.25)、恐怖(r=0.12)、偏执(r=0.21)及精神病性(r=0.11)及SCL-90总分(r=0.21)与饮酒习惯呈正相关。结论寒区新兵心理健康的主要影响因素为吸烟饮酒。
Objective To explore the influencing factors of mental health status of recruits in cold area. Methods The mental health status of 1,000 recruits in the first week of training was evaluated by symptom checklist (SCL-90). Results valid questionnaire 981 copies. Compulsive symptoms, relationships, depression, hostility, terror, paranoia, psychosis and recruits of recruits from county and township levels were higher than those from provincial and rural areas. The somatization factors of rural recruits were lower than recruits from provincial and county sources. The SCL-90 score of somatization, interpersonal relationship, depression, hostility, anxiety, paranoia, psychosis and SCL-90 in recruiting senior high school students was higher than that of junior middle school and younger recruits. Alcohol and alcohol consumption habits SCL-90 total score and all factors higher than non-smoking alcohol consumption habit. Regression analysis showed that there was a negative correlation between somatization factor scores of recruits recruited in cold regions and family addresses (r = -0.11), smoking habits (r = 0.17), obsessive compulsive symptoms (r = 0.17), interpersonal relationship , Anxiety (r = 0.16), hostility (r = 0.25), horror (r = 0.12), paranoid (r = 0.21) and psychotic (r = 0.11) and SCL-90 score (r = 0.21) was positively correlated with drinking habits. Conclusion The main influencing factors of mental health of recruits in cold area are smoking and drinking.