高原地区军人心理健康及其相关因素

Mental health and its correlative factors of soldiers at high altitude

目的:了解高原地区军人心理健康状况及其相关因素。方法:采用症状自评量表(SCL-90)、自动思维问卷、简易应对方式问卷、青少年生活事件量表、社会支持评定量表和艾森克个性问卷对267名高原地区军人进行测评。结果:SCL-90结果显示:高原地区军人的主要心理问题是强迫症状和敌对性,与中国军人常模比较,差异有显著性意义(t=4.03,3.41,P<0.01)。回归分析表明:生活事件、神经质、自动思维、精神质、掩饰、应对方式和社会支持对高原地区军人心理健康水平均有预测性,其中生活事件(标准化回归系数0.375,P<0.01)、自动思维(标准化回归系数0.294,P<0.01)和神经质(标准化回归系数0.222,P<0.01)直接影响心理健康,精神质、掩饰、应对方式和社会支持间接导致心理问题。结论:高原地区军人存在一些心理问题,对高原地区军人心理问题的发生,生活事件、神经质、自动思维、精神质、掩饰、应对方式和社会支持既存在直接影响又有交互作用。

AIM:To understand mental health in soldiers at high altitude and its correlative factors. METHODS:A total of 267 soldiers at high altitude were investigated with the symptom checklist 90(SCL 90),the automatic thoughts questionnaire, simplified coping style questionnaire,adolescent self rating life events scale, social support evaluation scale and Eysenck personality questionnaire. RESULTS:The results of SCL 90 showed that the main problems of mental heath for soldiers at high altitude were obsessive compulsive and hostility, significantly different from the Chinese normal soldiers(t=4.03,3.41,P< 0.01).Regression analysis showed that life events,neuroticism,automatic thoughts,psychoticism,lie,coping styles and social support had predictive value on the mental health of soldiers at high altitude.Life events (standardized regression coefficient was 0.375,P< 0.01),automatic thoughts(standardized regression coefficient was 0.294,P< 0.01) and neuroticism(standardized regression coefficient was 0.222,P< 0.01) affected the mental health directly,while psychoticism,lie,coping styles and social support resulted in mental problems indirectly. CONCLUSION:The soldiers at high altitude have some problems in mental health,the occurrence of mental health has direct effect and interatction with life events,neuroticism,automatic thoughts,psychoticism,lie,coping styles and social support.