军校学员心理健康相关因素的定群研究

PROSPECTIVE RESEARCH OF RELATIVE FACTORS OF MENTAL HEALTH IN A GROUP OF MILITARY STUDENTS

目的 :探讨军校学员心理健康相关因素 ,为开展心理卫生保健提供科学依据。方法 :采用前瞻性定群研究和Logistic回归分析方法 ,对 2 4 56名军校学员心理健康的相关因素进行为期 3年的研究。结果 :精神疾病家族史比值 (OR)为 1.0 4 (95%CI为 1.0 1～ 1.0 6 ) ,个性的精神病质倾向OR为 1.17(95%CI为 1.0 3～ 1.31) ,神经质倾向OR为 1.2 6 (95%CI为 1.0 8～ 1.4 3) ,内向倾向OR为 1.31(95%CI为 1.0 7～ 1.51) ,负性生活事件的心理紧张总值OR为 3.16 (95%CI为2 .18～ 4 .6 7) ,这些都是影响军校学员心理健康的危险因素 ;社会支持OR为 0 .2 0 (95%CI为 0 .16～ 0 .2 7) ,心理卫生教育OR为 0 .6 1(95%CI为 0 .56～ 0 .74 ) ,这些是军校学员心理健康的保护因素。结论 :军校学员心理健康与生物心理社会因素综合有关 ,这为军校学员心理卫生保健工作提出了理论依据。

Objective:To investigate the factors relative to mental health in a group of military students, and to provide a scientic basis of promoting mental health.Methods:A 3-years follow-up investigation on the factors relative to mental health in 2 456 military students was conducted by a prospective study and logistic regression.Results:The risk factors of mental health in military students were found as follows: family history of mental disorders (OR 1.04,95% CI 1.01～1.06), psychotic personality (OR 1.17,95% CI 1.03～1.31),neurotic personality(OR 1.26,95% CI 1.08～1.43),introversive personality(OR 1.31,95% CI 1.07～1.51),and negative life change units within one year prior to survey (OR 3.16,95% CI 2.18～4.67). The society support (OR 0.20,95% CI 0.16～0.27) and education of mental health (OR 0.61,95% CI 0.56～0.74) seemed to be the protective factors of mental health in military students.Conclusion:It was suggested that the state of mental health of military students might be related to the biological, psychological and social factors. Overall,the data above provided a theoretical basis for keeping good mental health in military students.