综合心理干预对涉核官兵心理健康的影响

Effects of Synthetically Psychological Intervention on Mental Health Status of Officers and Men Involved in Nuclear Weapon

目的研究综合心理干预对涉核官兵心理健康状况的影响。方法将90名涉核官兵按疗养的时间和批次随机分为对照组和研究组各45名,对照组采用常规疗养,研究组在此基础上给予综合心理干预(包括团体心理辅导及训练、个体认知干预、行为矫治、宣泄疗法、社会支持等干预措施),比较两组涉核官兵疗养干预前后症状自评量表(SCL-90)因子评分、因子总均分及阳性项目情况。结果①两组涉核官兵疗养干预后SCL-90各因子评分、因子总均分、阳性项目数均有所下降;研究组各观察指标降低有显著性统计学意义(t=3.9526,4.0898,3.9342,3.2503,3.4350,3.5029,3.0494,2.8325,2.8466,3.6485,2.9665;P<0.01),对照组各观察指标变化无统计学意义(t=1.6398,1.8593,1.2378,1.0392,1.7934,1.8318,1.8529,0.7142,0.7892,1.7174,0.5535;P>0.05);②两组涉核官兵在疗养干预前SCL-90各观察指标无统计学差别(t=0.8955,0.9577,0.8731,0.9836,1.1797,0.9555,1.1292,1.1585,1.0586,1.0990,0.8837;P>0.05),疗养干预后研究组各观察指标的改善均优于对照组(t=3.0817,3.7191,4.4447,2.3702,2.4597,2.1631,2.7006,2.4540,2.3717,2.2823,1.7517;P<0.05或P<0.01);③两组涉核官兵阳性指标及阳性人数在疗养干预后均有所下降;研究组降低有统计学意义(χ2=4.9390,4.0500,3.8726,4.1860,7.2827,9.6800;P<0.05或P<0.01),对照组降低无统计学意义(χ2=0.4500,0.9321,0.3351,0.1549,0.5488,0.1235,0.000,0.7200,0.6527;P>0.05)。结论综合心理干预可提高涉核官兵整体心理健康水平,并可有效的改善涉核官兵各种心理问题症状。

Objective To study the effects of synthetically psychological intervention on mental health status of officers and men involved in the nuclear weapon.Methods A total of 90 officers and men were randomly divided into control group（n=45）and study group（n=45）according to the recuperate time and batch.All the officers and men were given routine recuperate.On these bases,the officers and men of study group were given synthetically psychological intervention（included group psychology counseling and training,individual cognitive intervention,behavior correction,catharsis therapy,society support,et al）.The SCL-90 factors scores,total mean score,positive symptoms score were compared between before and after recuperate intervention in each group.Results ①All the officers and men＇s SCL-90 factors scores,total mean score,positive symptoms score were decreased after recuperate intervention;There were significant differences in study group（t=3.9526,4.0898,3.9342,3.2503,3.4350,3.5029,3.0494,2.8325,2.8466,3.6485,2.9665;P0.01） and none in control group（t=1.6398,1.8593,1.2378,1.0392,1.7934,1.8318,1.8529,0.7142,0.7892,1.7174,0.5535,P0.05）;② Before the recuperate intervention,the outcome measurements of SCL-90 were no significant differences between 2 groups（t=0.8955,0.9577,0.8731,0.9836,1.1797,0.9555,1.1292,1.1585,1.0586,1.0990,0.8837;P0.05）;After the recuperate intervention,the improvement of measurements in study group were better than control group（t=3.0817,3.7191,4.4447,2.3702,2.4597,2.1631,2.7006,2.4540,2.3717,2.2823,1.7517;P0.05 or P0.01）;③ All the officers and men＇s positive marks and positive numbers decreased after recuperate intervention;there were significant differences in study group（χ2 =4.9390,4.0500,3.8726,4.1860,7.2827,9.6800;P0.05,P0.01）and none in control group（χ2 =0.4500,0.9321,0.3351,0.1549,0.5488,0.1235,0.000,0.7200,0.6527;P0.05）.Conclusion Synthetically psychological intervention can increase the whole psychological health level of the officers and men involved in the nuclear weapons and improve all kinds of psychological problems.