大学生异常心理状态筛查及构建早期综合干预策略的研究

Screening for abnormal mental state and construction of early comprehensive intervention strategy in collegestudents

目的对在校大学生的各种异常心理状态进行系统全面筛查并对早期综合干预机制的构建及效果进行研究。方法整群抽取我市三所普通高校在校大学生共1500人，使用90项症状自评量表（SCI．一90）对抽取对象进行心理健康状态首次评估，对筛查出的存在异常心理问题的大学生进行分类汇总及严重级别评定；建立早期综合干预机制并于干预结束后再次使用SCL90进行评估对比。结果经SCL90评定共筛查出存在各种异常心理问题大学生共258例（17．2％），存在单一症状者186例（72％），同时存在两种及以上者72例（28％），症状表现以轻、中度为主；经早期综合干预后各项症状得到显著改善，干预前后比较差异有统计学意义（t分别为2．79，2．46，2．94，13．30，11．59，2．88，4．34，2．65，11．30；P〈0．05）。结论早期筛查和综合干预机制对大学生各种异常心理状态的改善具有显著效果。

Objective To carry on a systematic and comprehensive screening on a variety of abnor- mal mental states in college students, and evaluate the effect of early comprehensive intervention mecha- nism. Methods Totals of 1 500 participants were cluster sampled from students of three colleges in Tan gshan city. The mental states of all participants were assessed by 90 Symptom Checklist （SCL=90） at baseline. For participants with various abnormal psychological problems, there were subtotals and sever- ity assessment. Comprehensive early intervention mechanism was set up. At the end of follow up, the mental state were assessed again with the same way. Results A total of 258 cases （17.2%） with various abnormal psychological problems were screened out by the SCL 90. There were 186 cases of single symptom （72%）, and 72 cases （28%） of two or more symptoms. The main symptoms were focused on mild and moderate. Various symptoms improved significantly after comprehensive early intervention （t = 2.79, 2.46,2.94,13.30,11.59,2.88,4.34,2.65,11.30; P〈 0.05）. Conclusions Various abnormal mental states of college students can be improved significantly by early screening and comprehensive intervention mechanism.