西藏高原军人应对方式、状态特质焦虑与心理健康的相关性研究

Correlative Study of Coping Style and State-trait Anxiety with Mental Health in Military Personnel in Tibet

目的探讨西藏高原军人应对方式、状态特质焦虑与心理健康的关系。方法整群随机抽取西藏高原军人1560名,进行应对方式量表、状态特质焦虑量表、症状自评量表(SCL-90)测试。结果SCL-90与全国常模比较除人际关系因子无显著差异(P>0.05)外,其余项目因子分显著增高(P<0.01),除应对方式解决问题、求助因子显著降低(0.13±0.15/0.28±0.22、0.21±0.19/0.46±0.26,P<0.01)外,其余4个因子显著高于军人常模;状态-特质焦虑分显著低于国内常模;除人际关系外,SCL-90各因子与应对方式中的解决问题、求助因子呈显著负相关(P<0.01);而与应对方式中的其余4个因子及状态、特质焦虑总分呈显著正相关(P<0.01);对西藏高原军人心理健康的影响大小依次为特质焦虑、自责、解决问题、合理化(B=0.015、0.17、-0.42、0.21)。结论西藏高原军人心理健康受应对方式、状态-特质焦虑的影响。

ABSTRACT Objective To discuss the correlation of coping style and state - trait anxiety with mental health in military personnel in Tibet. Methods 1500 military personnel were selecied by cluster random sampling and were tested with Coping Style Scale,State - trait Anxiety Scale and Symptom Checklist - 90 （ SCL - 90 ）. Results In SCL - 90, the interpersonal relationship factor scores of military personnel in Tibet showed no obvious difference from those of the national norm （ P 〉 0.05） while there existed an obvious increase of factor scores in other items （ P 〉 0.01 ） ; in Coping Style Scale,the problem - solving and recourre factor scores of the national norm were much lower than those of the military personnel in Tibet （0.13± 0.15/0.28± 0.22,0.21±0.19/0.45 ± 0.26, P 〈 0.01 ） while their scores of other 4 factors were much higher than those of the military norm ; the scores in State - trait Anxiety Scale of the military personnel in Tibet were obviously lower than those of the national norm; except interpersonal relationship factor, the factors in SCL- 90 ,sere in negative correlation to problem - solving and recoure factors in Coping Style Scale （ P 〈 0.01） but in positive correlation to the other 4 factors in Coping Style Scale and the total scores in State - trait Anxiety Scale （ P 〈 0.01 ） ; the order of the factor influence on the mental health of military personnel in Tibet was as follows： trait anxiety 〉 self- accusation 〉 problem - solving 〉 rationalization （ B = 0.015,0.17, - 0.42,0.21 ）. Conclusions Coping style and state - trait anxiety hold certain impact on the mental health of military personnel in Tibet.