军人失眠症患者的心理健康状况及影响因素调查

Correlation investigation of psychological situation on the soldiers with snsomnia

目的:探讨军人失眠症患者的心理健康状况与人格特征、社会支持和应对方式的关系。方法:采用一般情况调查表、90项症状清单(SCL-90)、艾森克个性测验(EPQ)、社会支持量表(SSRS)和简易应对方式问卷对48名军人失眠症患者进行问卷调查。结果:①军人失眠症患者SCL-90总分及各因子均显著高于军人常模,其中以躯体化、人际敏感和焦虑尤为突出(P<0.01);②军人失眠症患者的EPQ-N、消极应对与SCL-90各因子呈显著正相关,EPQ-E、主观支持、客观支持、支持利用度和社会支持总分与SCL-90各因子呈显著负相关(P<0.05或0.01)。③回归分析显示,军人失眠症患者SCL-90总分有显著性影响的因素由大到小依次为EPQ-N、自责、主观支持、社会支持利用度和婚恋。结论:军人失眠症患者心理健康状况可能受个性、对应方式、社会支持及婚恋等的综合影响。

Objective： To explore the relationship between psychological states of the soldiers with in- somnia and personality, social support, coping style. Method：48 soldiers with insomnia were investigated with symptom checklist （SCL-90）, simplified coping style questionnaire and social support rating scale （SSRS）. Results：① The soldiers with insomnia showed significantly higher total and factor scores on SCL-90 than the military norm （P 〈 0.01 ） ;②For the soldiers with insomnia, EPQ-N and passive coping were positively correla- ted with SCL-90 ; EPQ-Esubjective support, objective support and utilization of support were negatively correla- ted with SCL-90 （ P 〈 0.05 or 0. 01 ） ;③ Regression analysis indicated that the significant factors influencing the total score of SCL-90 for soldiers with insomnia included EPQ -N, self- blame, subjective support, utilization of social support and marriage. Conclusion： Personality, social support, coping style and marriage of the soldiers with insomnia may have a combined effect on their mental health.