寒区集训新兵心理健康状况影响因素分析

Influencing factors of mental health among recruits during training in cold area

目的探讨寒区集训新兵心理健康状况的影响因素。方法以症状自评量表(SCL-90)测评参训第1周1000名新兵的心理健康状况。结果有效问卷981份。县城来源新兵的强迫症状、人际关系、抑郁、敌对、恐怖、偏执、精神病性及SCL-90总分高于省城及农村来源新兵,农村新兵躯体化因子分低于省城和县城来源新兵。高中学历新兵SCL-90在躯体化、人际关系、抑郁、敌对、焦虑、偏执、精神病性及SCL-90总分高于初中及以下组新兵。有烟酒饮用习惯者SCL-90总分及所有因子分高于无烟酒饮用习惯者。回归分析表明,寒区集训新兵躯体化因子分与家庭住址呈负相关(r=-0.11),与吸烟习惯呈正相关(r=0.17);强迫症状(r=0.17)、人际关系(r=0.17)、抑郁(r=0.20)、焦虑(r=0.16)、敌对(r=0.25)、恐怖(r=0.12)、偏执(r=0.21)及精神病性(r=0.11)及SCL-90总分(r=0.21)与饮酒习惯呈正相关。结论寒区新兵心理健康的主要影响因素为吸烟饮酒。

Objective To investigate the influencing factors of mental health among recruits during training in cold area. Methods The symptom checkhist-90（SCL-90） was used to evaluate the mental health among 1 000 recruits during the frrst training week. Results Compared with countryside and city recruits, recruits from towns had higher score in obsession,interpersonal relationship, depression, hostile, photic aneiety, paranoia, psychoticism, the total score of SCL-90, and the score of somatization. Compared with recruits with junior high school education, recruits with high or middle school educa- tion had high score in somatization, interpersonal relationship, depression, hostile, anxiety, paranoia, psychoticism, and the total score of SCL-90. Recruits having alcohol and smoking hobbies had higher SCL-90 score than recruits without those hobbies. Regression analysis showed that the total score of SCL-90 and the score of somatization,interpersonal relationship, depression, hostile, anxiety, paranoia,psychoticism of the recruits were inverse correlated with living environment, while direct correlated with alcohol and smoking hobbies. Conclusion Drinking and smoking are the major mental health influencing factors in recruits during training in cold area.