不同性别军校医学硕士生心理自评结果的比较

Comparison of psychological evaluationon in different gender group of graduate student in military medical university

目的:了解不同性别我军高层次医学人才的心理健康状况,为该特定人群的心理评估和心理保健工作提供依据。方法:应用症状自评量表(SCL-90)对某军校2000级289例医学硕士生进行调查,并将性别分组结果与国内几项研究成果进行比较。结果:34例(11.76%)被评为异常,其中男性22例(64.71%)、女性12例(35.29%);发生频率居前三位的因子依次为强迫、人际关系敏感、抑郁,女性中发生频率(23.91%、15.22%、15.22%)高于男性(22.34%、14.21%、11.67%);男性阳性应答率居前的为感到要很快把事情做完(61.42%)、忘性大(60.91%)、担心自己衣饰整齐及仪态端正(52.79%),女性阳性应答率居前的为感到要很快把事情做完(69.57%)、忘性大(59.78%)、感到难以完成任务(55.43%);各因子分除强迫、抑郁、精神病性低于正常成人值但差异无统计学意义(P>0.05),余均有统计学意义(P<0.05);各项均低于中国军人且差异有统计学意义(P<0.05);与军人常模比,男军医组显著低于军校男子组(P<0.05)。女军医组均低于军校女子组,除躯体化、强迫、抑郁、焦虑外,差异均有统计学意义。与成人常模比,男军医组均低于成年男子组,除强迫、精神病性外差异均有统计学意义(P<0.05)。女军医组除强迫外均低于成年女子组,且躯体化、人际关系、敌对和偏执方面差异均有统计学意义(P<0.05)。男、女军医组比较,除恐怖因子女性显著高于男性外,其他各因子间差异均有统计学意义,其中,敌对和偏执因子男性高于女性,恐怖、抑郁、焦虑女性高于男性。结论:该人群心理健康状况优于中国成人和军人,34例(11.76%)可能存在心理问题,主要的问题为强迫、人际关系敏感和抑郁,男女分组比较有一定的差异,心理卫生工作应针对性别特点开展。

Objective:To explore psychological difference of graduate students in military medical university,to provide the basis for specific groups of psychological assessment.Methods:Investigated 289 M.D students (2000 grade) in military university by Symptom Checklist-90 (SCL-90) and compared the results of several studies with domestic.Results:34 cases (11.76%) were rated as abnormal,22 cases (64.71%) were male and 12 cases (35.29%) were female;the top three fac tors of frequency ranks were compulsion,interpersonal sensitivity and depression,the female group scores higher than the male (23.91%,15.22%,15.22% vs 22.34%,14.21%,11.67%);the probably happened items in male group were feeling to get things done quickly (61.42%),disremembered (60.91%)and worried about their clothing and deportment neatly (52.79%);female-positive response rate for the feel of top must be get things done quickly (69.57%),disremembered (59.78%),difficulty of complete the task (55.43%).In addition to forcing,depression,psychotic normal adults,these factors showed no significant difference(P>0.05),the other factors showed significant difference (P<0.05) and these factors lower than Chinese army man.Compared with norm soldiers,the male group was significantly lower than medical military men (P<0.05);female medical group were lower than women military academy.Compared with adult norm,the male medical unit were lower than adult men,the difference had significance in addition to coercion and psychopathy (P<0.05);Women outside the medical unit were lower than adult female group,and these factors of somatization,interpersonal relations,hos tility,paranoia had significant difference (P<0.05).Conclusion:The students were superior to the mental health of Chinese adults and the military,34 cases (11.76%) may have psychological problems,the main problem include of coercion,in terpersonal sensitivity,depression.Male and female group show differences in comparison,mental health work should focus on characteristic.