列车乘务员SCL-90与神经行为功能的相关性分析

Correlation analysis of Symptom-Check-List-90(SCL-90) and neurobehavioral functions for the train conductors

目的:探讨列车乘务员应用精神症状自评量表(SCL-90)所反映的精神症状与神经行为核心测试组合(NCTB)所反映的神经行为功能间的相关性。方法:以整群抽样的方法,抽取济南铁路局客运某车队列车乘务员87人进行SCL-90症状自评量表问卷调查和NCTB神经行为功能测试,并进行相关性分析。结果:SCL-90的9个因子与NCTB情感状态(POMS)因子中的5项消极情绪因子呈正相关(P<0.05),与积极情绪因子间无相关性(P>0.05);SCL-90的躯体化和焦虑因子与Benton视觉保留记忆及数字译码测试呈负相关(P<0.05),强迫因子与Benton视觉保留记忆测试呈负相关(P<0.05);POMS中紧张-焦虑、抑郁-沮丧和愤怒-敌意3个因子与平均反应时、最慢反应时呈正相关(P<0.05),紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲劳-惰性、慌乱-困惑与数字译码、目标追踪二次测试打点总和之间呈负相关(P<0.05)。结论:SCL-90与行为功能有着十分密切的关联性,采取两者相结合的方法,可以更加全面地评价职业紧张因素对劳动者健康的影响。

Objective： To analyze the correlation of mental symptoms in SCL-90 and neurobehavioral functions in neurobehavioural core test battery（NCTB）.Methods： SCL-90 and the neurobehavioral core test battery（NCTB） were detected and analyzed on 87 train conductors selected according to the random cluster sampling method in passenger depot of Jinan Railway Administration.Results： There was positive correlation between nine factors（somatization,obsessive-compulsive,interpersonal-sensitivity,depression,anxiety,hostility,phobicanxiety,paranoidideation and psychotism） of SCL-90 and five negative mood factors（tension-anxiety,depression-dejection,anger-hostility,fatigue-inertia and confusion-bewiderment） of POMS（P〈0.05）.There was negative correlation between three factors（somatization,obsessive-compulsive and anxiety） of SCL-90 and two test scores（Benton visual retention test and digit symbol test） of NCTB（P〈0.05）.There was negative correlation between three factors（tension-anxiety,depression-dejection and anger-hostility） of POMS and two test scores（average reaction time and the slowest simple reaction time） of NCTB（P〈0.05）.There was negative correlation between five factors（tension-anxiety,depression-dejection,anger-hostility,fatigue-inertia and confusion-bewiderment） of POMS and two test scores（digit symbol test and total tapping） of NCTB（P〈0.05）.Conclusion： The results suggeste that there is preferable correlation between nine factors of SCL-90 and neurobehavioral functions.The laboureres’ health affected by occupational stress can be completely evaluated by means of SCL-90 combining NCTB.