陆军某部官兵心理健康状况影响因素分析

Mental health conditions and its influential factors among officers and soldiers in army troop

目的调查官兵心理健康状况及其影响因素。方法 2013年8月随机抽取陆军某部官兵221名,用自编压力因素调查表、症状自评(SCL-90)、艾森克个性问卷(EPQ)、自我和谐量表(SCCS)、社会支持量表(SSRS)和特质应对方式问卷(SCSQ)调查其心理健康状况。结果 SCL-90量表恐怖和偏执分低于军人常模;除人际敏感、恐怖、精神病性和偏执外,其他均高于中国常模。相关分析显示:SCL-90总分家庭模式(r=-0.15,P<0.05)、睡眠(r=-0.53,P<0.01)、主观支持(r=-0.25,P<0.01)、支持度(r=-0.23,P<0.01)和社会支持总分(r=-0.26,P<0.01)、积极应对(r=-0.15,P<0.05)、内外项(r=-0.14,P<0.05)、掩饰性(r=-0.38,P<0.01)、自我的灵活性(r=-0.17,P<0.05)呈显著负相关;与恋爱婚姻(r=0.14,P<0.05)、工作训练环境不适应(r=0.23,P<0.01)、身体健康状况(r=0.27,P<0.01)、人际关系因素(r=0.28,P<0.01)、消极应对(r=0.48,P<0.01)、精神质(r=0.31,P<0.01)、神经质(r=0.72,P<0.01)、自我与经验的不和谐(r=0.65,P<0.01)、自我的刻板性(r=0.40,P<0.01)和自我和谐总分(r=0.57,P<0.01)呈显著正相关。logistic回归分析结果显示,影响心理健康的因素依次为神经质(P<0.01)、自我与经验的不和谐(P<0.05)、睡眠(P<0.05)和内外项(P<0.05)。结论培养稳定健全的个性,促进自我和谐,改善睡眠状况,是维护官兵心理健康状况的重要途径。

Objective To evaluate the mental health conditions of officers and soldiers in army troop and to discuss the influential factors. Methods A total of 221 officers and soldiers were randomly selected from an army troop in August,2013,and their mental health was evaluated by Symptom Check List 90（SCL-90）,Eysenck′s Personality Questionnaire（EPQ）,Self-consistency and Congruence Scale（SCCS）,Social Support Rating Scale（SRSS）and Simplified Coping Style Questionnaire（SCSQ）. Results The scores of phobia,paranoid and interpersonal sensitivity of officers and soldiers were significantly lower than the national norms,while all other scores were higher.There were significantly negative correlation of the total score of SCL-90 with family model（r=-0.15,P〈0.05）,sleeping quality（r=-0.53,P〈0.01）,subjective support（r=-0.25,P〈0.01）,support intensity（r=-0.23,P〈0.01）,total score of SSRS（r=-0.26,P〈0.01）,positive response（r=-0.15,P〈0.05）,extroverted personality（r=-0.14,P〈0.05）,lie（r=-0.38,P〈0.01）and self-flexibility（r=-0.17,P〈0.05）,while it was positively related to love and marriage（r=0.14,P〈0.05）,working and training conditions（r=0.23,P〈0.01）,health conditions（r=0.27,P〈0.01）,interpersonal relationship（r=0.28;P〈0.01）,and negative response（r=0.48,P〈0.01）,psychoticism（r=0.31,P〈0.01）,nervosity（r=0.72,P〈0.01）,lack of self-experiences（r=0.65,P〈0.01）,self-stereotype（r=0.40,P〈0.01）and self-consistency and congruence（r=0.57,P〈0.01）.Logistic regression analysis showed that factors as nervosity（P〈0.01）,lack of self-experience（P〈0.05）,sleeping quality（P〈0.05）and extroverted personality（P〈0.05）influenced the mental health. Conclusions The mental health of officers and soldiers should be greatly improved by cultivating stable and perfect personality,promoting self-consistency and congruence and improving sleeping quality.