摘要
目的 了解参加集训部队人群心理健康状况,为有针对性开展心理健康教育提供参考依据.方法 采用含个人基本信息以及症状自评量表90(SCL-90)条目的调查问卷对2020 年6 月至7 月在北方某基地参加集训的部队人群进行现况调查,依据SCL-90 评分结果评估其心理健康状况.结果 调查回收有效问卷 1 007 份,其中年龄为 25 岁及以下493 人(48.96%),25 岁以上514 人(51.04%);学历为高中及以下 459 人(45.58%),大专288 人(28.60%),本科及以上260 人(25.82%);自我评定性格类型为内向型 201 人(19.96%),中间型561 人(55.71%),外向型245 人(24.33%).SCL-90 各项因子得分情况:躯体化(1.19±0.29)分,强迫症状(1.27±0.38)分,人际关系敏感(1.16±0.30)分,抑郁(1.13±0.29)分,焦虑(1.12±0.26)分,敌对(1.15±0.30)分,恐怖(1.07±0.20)分,偏执(1.12±0.26)分,精神病性(1.10±0.27)分,其他(1.18±0.29)分.除其他外各因子得分均低于我国 2016 年版军人常模.25 岁及以下参训人员SCL-90 总分、躯体化、人际关系敏感、焦虑、恐怖、精神病性、其他因子及总症状指数得分均低于25 岁以上参训人员,而抑郁、敌对、偏执及阳性症状痛苦水平得分均高于25 岁以上参训人员.除恐怖因子及阳性症状痛苦水平得分外,文化程度越高的参训人员SCL-90 得分更高.除其他因子外,本地参训人员SCL-90 各项指标得分均低于外来参训人员.除阳性症状痛苦水平外,不同性格类型参训人员SCL-90 得分均表现为内向型最高,其次为中间型,外向型则得分最低.参训人员SCL-90 总分小于 160 分的人数为 963 名(95.63%).结论 本次参训人群整体心理健康状况优于2006 年军人常模水平,本地参训人员的心理健康状况比外来参训人员好,25 岁以上参训人员心理状况普遍较 25 岁及以下差,文化程度越高的参训人员心理健康状况越差,自我性格评价为外向型、中间型的人员心理状况较内向型好.
Abstract
Objective To understand the mental health status of the troops participating in the intensive training,and to provide reference for the targeted mental health education.Methods A questionnaire containing basic personal information and items of the Symptom Checklist-90(SCL-90)was used to investigate the current situation of the military population participating in the intensive training at a base in northern China from June to July 2020,and their mental health status was assessed according to the SCL-90 score.Results A total of 1 007 valid questionnaires were collected,of which 493(48.96%)were aged≤25 years old and 514(51.04%)were aged>25 years old.Among them,459(45.58%)had a high school education or less,288(28.60%)had an associate degree,and 260(25.82%)had a bachelor's degree or higher.The self-rated personality types were 201(19.96%)introverts,561(55.71%)intermediates and 245(24.33%)extroverts.Scores of SCL-90 factors were:somatization(1.19±0.29)score,obsessive-compulsive symptoms(1.27±0.38)score,interpersonal sensitivity(1.16±0.30)score,depression(1.13±0.29)score,anxiety(1.12±0.26)score,hostility(1.15±0.30)score,terror(1.07±0.20)score,bigotry(1.12±0.26)score,psychosis(1.10±0.27)score,and other(1.18±0.29)score.In addition to other factors,the scores were lower than the 2016 version of the military norm.Total score of SCL-90,and scores of somatization,interpersonal sensitivity,anxiety,terror,psychosis,other factors and total symptom index of the participants aged≤25 years old were lower than those of the participants aged>25 years old,while the scores of depression,hostility,bigotry and positive symptom distress were higher than those of the participants aged>25 years old.In addition to the score of terror factor and positive symptom distress,the higher the education level of the participants,the higher the score of SCL-90.In addition to other factors,the scores of SCL-90 indexes of local participants were lower than those of foreign participants.In addition to positive symptom distress,the SCL-90 scores of participants with different personality types were highest for introverts,followed by intermediates,and lowest for extroverts.The total score of SCL-90 was less than 160 in 963 participants(95.63%).Conclusion The overall mental health status of the participants is better than that of the soldiers in 2006,and the mental health status of the local participants is better than that of the foreign participants.The psychological status of the participants aged>25 years old is generally worse than that of the participants≤25 years old,and the mental health status of the participants with higher education level is worse.The psychological condition of the participants who are extroverted and intermediate in self-evaluation is better than that of introverts.