首页|援藏干部高原暴露时间与心理健康的相关性研究

援藏干部高原暴露时间与心理健康的相关性研究

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目的 研究高原暴露时间与援藏干部心理健康的相关性.方法 选取2019-2022年间在藏时间不同、学历均在专科及以上的援藏干部126名作为研究对象.126名援藏干部按在藏时间不同分为2组,2018年7月入藏2019年7月离藏和2020年7月入藏2021年8月离藏的68名援藏干部为援藏1年组,2019年7月入藏2022年7月离藏和2016年8月入藏2021年7月离藏的58人为援藏≥3年组,通过自编调查表收集援藏干部的性别、年龄、所处海拔、在藏时间,在其离藏前1周通过问卷对其进行症状自评量表(self-reporting inventory,SCL-90)测试,测量援藏干部心理健康状况.结果 126名援藏干部SCL-90的各因子分与全国常模比较除人际关系、敌对、偏执外,躯体化、强迫、抑郁、焦虑、恐怖及精神病性得分差异均有统计学意义(均P<0.05).高原暴露≥3年的援藏干部SCL-90量表躯体化得分[(2.30±0.83)分]、强迫得分[(2.53±0.75)分]、人际关系得分[(1.78±0.73)分]、焦虑得分[(1.94±0.67)分]、抑郁得分[(2.16±0.72)分]、偏执得分[(1.64±0.7)分]、总分[(1.98± 0.6)分]、阳性症状均分[(2.83±0.54)分]、阳性项目数得分[(46.48±20.14)分]、阳性症状痛苦水平得分[(4.37±1.67)分]与高原暴露1年的援藏干部SCL-90量表躯体化得分[(1.80±0.57)分]、强迫得分[(2.03±0.63)分]、人际关系得分[(1.46±0.40)分]、焦虑得分[(1.67±0.49)分]、抑郁得分[(1.73±0.54)分]、偏执得分[(1.35±0.50)分]、总分[(1.66±0.42)分]、阳性症状均分[(2.63±0.40)分]、阳性项目数得分[(35.96±20.5)分]、阳性症状痛苦水平得分[(6.06±6.00)分]比较,差异均有统计学意义(均P<0.05).高原暴露时间越长SCL-90得分越高(r=0.225,P<0.05).结论 援藏干部心理健康水平受高原暴露的影响较正常人群低,且随着高原暴露时间的延长这种影响的表现越明显,躯体化、强迫、人际关系、抑郁以及偏执因子与高原暴露时间相关性较强.
Study on the correlation between plateau exposure time and mental health of cadres assisting Tibet
Objective To analyze the correlation between exposure time to high altitude and mental health of cadres in Tibet.Methods From 2019 to 2022,126 cadres who had been in Tibet for different periods of time and had college degrees or above were selected as the research objects.The 126 officials were divided into 2 groups according to their time in Tibet.The 68 officials who entered Tibet in July 2018 and left Tibet in July 2019 and entered Tibet in July 2020 and left Tibet in August 2021 were classified as the one-year aid group.The 58 people who entered Tibet in July 2019,left Tibet in July 2022,entered Tibet in August 2016,and left Tibet in July 2021 were in the group of aiding Tibet ≥3 years.Gender,age,altitude,and time spent in Tibet were collected through a self-compiled questionnaire.The self-reporting inventory(SCL-90)was tested by questionnaire one week before their departure from Tibet,and the test scores were collected and analyzed to measure the mental health status of cadres who assisted Tibet.Results Compared with the national norm,there were statistically significant differences in the scores of each factor of SCL-90 among 126 cadres in Tibet except interpersonal relationship,hostility and paranoia,the scores of somatization,compulsion,depression,anxiety,terror and psychosis(all P<0.05).The differences of score of somatization[(2.30± 0.83)points],compulsion[(2.53±0.75)points],interpersonal relationship[(1.78±0.73)points],anxiety[(1.94±0.67)points],depression[(2.16±0.72)points],paranoia[(1.64±0.70)points],and total score[(1.98±0.60)points],average score of positive symptoms[(2.83± 0.54)points],number of positive items[(46.48±20.14)points],pain level of positive symptoms[(4.37±1.67)points]for cadres assisting Tibet exposed high attitude≥ 3 years were statistically significant with the score of somatization[(1.80±0.57)points],compulsion[(2.03±0.63)points],interpersonal relationship[(1.46±0.40)points],anxiety[(1.67±0.49)points],depression[(1.73±0.54)points],paranoia[(1.35±0.50)points],total score[(1.66±0.42)points],average score of positive symptoms[(2.63±0.40)points],number of positive items[(35.96±20.50)points],and positive symptom distress level[(6.06±6.00)points]for cadres assisting Tibet exposed high attitude 1 year(all P<0.05).The longer the altitude exposure time,the higher the SCL-90 score(r=0.225,P<0.05).Conclusion The influence of plateau exposure on the mental health of cadres in aid Tibet is lower than that of the normal population,and the effect becomes more obvious with the extension of plateau exposure time.Factors such as somatization,compulsion,interpersonal relationship,depression and paranoia are strongly correlated with plateau exposure time.

Tibet aid cadresPlateau exposure timeMental health

汪文、江爱国、唐新龙、徐小东、马晓伟

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安徽医科大学附属心理医院,安徽省精神卫生中心,合肥市第四人民医院早期干预科,安徽合肥 230000

皖西卫生职业学院附属医院精神心理科,安徽六安 237300

山南市人民医院预防保健科,西藏山南 856000

援藏干部 高原暴露时间 心理健康

西藏自治区自然科学基金项目

XZ2017ZR-ZY006

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(1)
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