汶川地震两周年后救灾医务人员心理健康和述情障碍的相关性研究

Association of mental health and alexithymia of medical staffs participated in relief work two years after Wenchuan earthquake

目的调查汶川地震两周年后灾区医务人员心理健康和述情障碍的相关性。方法采用症状自评量表(SCL-90)和多伦多述情障碍量表(TAS),对绵阳市游仙区22个乡镇和3个社区,共计175名医务工作者进行调查,并与安徽省合肥市社区的144名医务工作者作比较。结果与对照组相比,研究组SCL-90中总分及各因子分均较对照组高,差异有统计学意义(P=0.00)。研究组述情障碍总分,因子1,因子2,因子3得分高于对照组,差异有统计学意义(P=0.00)。研究组述情障碍总分,因子1,因子2与SCL-90中各个因子成正相关,因子3与SCL-90中恐怖成正相关,与其他因子无明显相关性。结论地震重灾区绵阳市游仙区医务人员相对于一般医务人员的心理健康水平较差,述情障碍作为一种人格特质可能进一步影响心理健康。

Objective To survey the correlation between alexithymia and mental health of medical staff in disaster areas two years after the Wenchuan earthquake. Methods Participants in research group were 175 medical workers from 22 towns and 3 communities in Mian-yang city, and control group were 144 medical staff from community of Hefei. All participants were administered the Symptom Checklist 90 （SCL -90） and Toronto Alexithymia Scale （TAS）. Results Compared to the control group, the total score and all factor scores of SCL- 90 in research group were significantly higher （ P = 0.000） , and the scores of total, factor 1, factor 2 and factor 3 of TAS in research group were significantly （ P = 0. 000） higher than those of control group. In research group, the scores of total, factor 1 and factor 2 of TAS were significantly linked to all of factors of SCL - 90, and factor 3 was significantly linked to the phobic factor of SCL - 90 ; however, it had no obvious correlation with other factors of SCL - 90. Conclusion Compared to the general medical staff, the level of mental health of the medical staff in earthquake disaster areas in Mianyang city is poorer. As a personality characteristic, alexithymia may further affect the mental health.