10113名军人心理健康状况与历年常模的对比分析

Comparative study on mental health status of 10 113 military personnel and the norms of China

目的探讨中国军人心理健康状况及变化。方法2011年采用症状自评量表对10113名军人进行测试，并将结果与历年军人常模及地方常模进行比较。结果①除躯体化因子外，2011年军人症状自评量表其余因子得分明显低于历年军人常模和地方常模。1986年地方、1999年军人、2000年军人症状自评量表结果中人际关系敏感均为最高值，而2005年军人、2006年地方、2011年军人症状自评量表结果中强迫因子为最高值；②2011年10113名军人中，23．01％的军人心理测试筛查阳性，主要包括人际关系敏感、躯体化、强迫、抑郁、恐怖、焦虑；③2011年军人躯体化、人际关系敏感、焦虑、恐怖、精神病性筛查阳性率均明显高于2005年军人常模（P〈0．01），强迫性、敌对、偏执筛查阳性率均明显降低（P〈0．01）；2011年军人焦虑、恐怖、精神病性筛查阳性率均明显高于2006年地方常模（P〈0．05，P〈0．01），躯体化阳性率无统计学差异（P〉0．05），余因子阳性率均降低（P〈0．01）。结论10余年来，我国军人整体心理健康状况逐步趋于良好，但躯体化、人际关系敏感、焦虑、恐怖、精神病性筛查阳性率仍偏高。

Objective To analyze the mental health status of 10 113 military personnel of China in 2011 and the changes of the mental health of military personnel. Methods Symptom check list-90 （ SCL-90 ） was used to assess 10 113 military personnel of China. The result was compared with the army norm and civilian norm in the past over ten years. Results ①Except somatization, other items of SCL-90 of 10 113 military personnel was gen-erally lower than that of civilian norm and army norm. Sensitive human interrelationship was the highest item in 1986 civilian norm, 1999 army norm and 2000 army norm. Obsessive-compulsive disorder became the highest item in 2005 army norm, 2006 civilian norm and 2011 armymen. ②16.88% military personnel have various mental health problems, which includes sensitive human interrelationship, somatization disorder, obsessive-compulsive disorder, depression, phobia and anxiety. ③The proportion of positive item including somatization disorder, sensi-tive human interrelationship, anxiety, phobia and lunacy were significantly higher in 2011 compared with 2005 ar-my norm（P 〈 0.01 ）. While obsessive-compulsive disorder, hostility and crankiness were lower（P 〈 0.01 ）. The proportion of positive item including anxiety, phobia and lunacy were significantly higher in 2011 compared with 2006 civilian norm （P 〈 0.01 ）. The proportion of positive item of somatization disorder had no difference （P 〉 0. 05 ）. While other items were lower（P〈 0.01 ）. Conclusion The military personnel＇ s mental health is becoming fine in the past over ten years, but the proportion of positive item including somatization, sensitive human interre-lationship, anxiety, phobia and lunacy were still high.