某部维和官兵的心理健康及其干预

A study on psychosomatic health of peacekeeping soldiers and psychological behavior intervention effect

目的:探讨维和官兵心理健康变化特点及心理行为干预效果。方法:将84名赴苏丹维和官兵随机分为研究组和对照组各42名,维和前对研究组进行为期2个月的心理行为干预,维和期间进行太极拳训练。采用中国军人心理健康评估系统(CMMHS)分别于维和前、后进行心理健康评估;同时进行事件相关电位P300、总三碘甲状腺原氨酸(TT3)、总甲状腺激素(TT4)和皮质醇(COR)水平测定。结果:研究组维和后CMMHS总分及强迫、焦虑、抑郁、恐怖和神经衰弱因子分均明显低于对照组(P<0.05或P<0.01);而对照组CMMHS总分及强迫、焦虑、抑郁、恐怖和神经衰弱因子分均明显高于维和前(P<0.05或P<0.01)。研究组维和后P2、N2和P3潜伏期均明显短于对照组,P2、N2和P3波幅均明显高于对照组(P均<0.05)。研究组维和后血清TT3水平(1.75±0.30)nmol/L和TT4水平(98.56±18.49)nmol/L明显低于对照组(1.99±0.33)nmol/L和(106.15±20.22)nmol/L(P均<0.05);对照组TT3水平高于维和前(P<0.05),两组COR水平均明显高于维和前(P均<0.01)。结论:维和行动对官兵的心身健康和认知功能影响明显,心理行为干预可以有效提高官兵的心身健康水平。

Objective：To explore the change characteristics of psychosomatic health and psychological intervention effect on peacekeepers. Method：84 peacekeepers for Sudan were randomly divided into study group and control group for 42 cases each.Psychological behavior interventions were given to study group for two months before peacekeeping action and Tai Ji Quan training were given during the action.Mental health was evaluated with Chinese military mental health scales （CMMHS） before and after peacekeeping action meanwhile event-related potential P300,the levels of total triiodothyronine（TT3）,traiodothyronine（TT4） and cortisal hormones（COR） were measured. Results：The total scores,compulsive,anxiety,depression,phobia and neurasthenic scores of CMMHS in study group were lower than those in control group after deployment（P0.05 or P0.01）.While the counterparts in control group were higher than those before action（P0.05 or P0.01）.The latencies of P2,N2,P3 of P300 in study group after deployment were shorter than those in control group and the amplitude of P2,N2,P3 were higher than those in control group（all P0.05）.The levels of total triiodothyronine （TT3）[（1.75±0.30）nmol/L]and traiodothyronine （TT4）[（98.56±18.49）nmol/L]in study group were lower than those [respectively （1.99±0.33）nmol/L and （106.15±20.22）nmol/L]in control group after deployment （all P0.05）.The serum level of COR in both groups after deployment were higher than those before action （all P0.01）.The levels of total TT3 in control group after peacekeeping were significantly higher than before deployment （P0.05）. Conclusion：Peacekeeping action has remarkable impact on psychosomatic health and cognition function of peacekeepers and psychological behavior intervention can effectively improve the level of psychosomatic health of peacekeepers.