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目的:调查封闭环境中官兵心理健康状况变化规律,为心理干预具有针对性、时效性提供依据。方法:在全封闭环境中工作30天的官兵357名,采用症状自评量表(SCL-90)对其心理健康状况进行动态跟踪监测。测试时间分别为进驻前、进驻后的每周末,共5次。结果:每次共收集有效问卷357份。与进驻前比较,第7天在躯体化因子上分值较高(P<0.05),在焦虑、恐怖和附加项因子上分值更高(P<0.01);在人际关系敏感因子上分值较低(P<0.05),在强迫症状、敌对因子上分值更低(P<0.01);第14天在总分、强迫症状、焦虑、恐怖和精神病性因子上分值高(P<0.01),在偏执因子上分值较低(P<0.05);在抑郁、敌对和恐怖因子上分值较低(P<0.05),在人际关系、偏执和附加项因子上分值更低(P<0.01);第28天在躯体化和附加项因子上分值高(P<0.01),在恐怖因子上分值较低(P<0.05),在强迫症状和人际关系因子上分值更低(P<0.01)。结论:在全封闭环境中,应根据不同阶段的心理特点,有针对性地采取不同的干预策略。
Objective: To investigate the changes of mental health status of officers and men in a closed environment, and to provide a basis for the targeted and timely psychological intervention. Methods: A total of 357 officers and men working in closed environment for 30 days were used to monitor their mental health status by using SCL-90. Test time was stationed in the presence of each weekend, a total of 5 times. Results: A total of 357 valid questionnaires were collected each time. On day 7, scores on somatization factor were higher (P <0.05), anxiety, terror and additional factors were higher (P <0.01); on the interpersonal sensitivity factor scores (P <0.01). On the 14th day, scores were higher in the total score, obsessive compulsive symptoms, anxiety, horror and psychotic factors (P <0.01) ), Lower scores on paranoid factors (P <0.05), lower scores on depression, hostility and terror factors (P <0.05), lower scores on interpersonal relationships, paranoid and additional factors (P <0.01). On day 28, there was a high score on somatization and additional factors (P <0.01), a lower score on terrorists (P <0.05), a lower score on obsessive-compulsive symptoms and interpersonal factors (P <0.01). Conclusion: In a totally enclosed environment, different intervention strategies should be taken according to the psychological characteristics of different stages.