中国维和军人述情障碍与心理健康状况调查

Survey on alexithymia and mental health status of Chinese peacekeeping army

目的了解中国维和军人述情障碍与心理健康状况,为维和心理卫生工作提供参考。方法采用多伦多述情障碍量表(TAS)和症状自评量表(SCL-90),对216名苏丹达尔富尔地区中国维和军人进行群体心理测评。结果维和军人中军官和士兵TAS总分分别为(70.51±9.61)分、(72.03±9.11)分,差异无统计学意义(P>0.05)。军官和士兵TAS因子Ⅱ得分分别为(2.69±0.86)分、(3.16±0.95)分,差异有统计学意义(P<0.05)。有无维和经历者TAS总分和因子Ⅳ得分之间差异均有统计学意义(P<0.05)。SCL-90各因子得分中,士兵的人际关系敏感因子和焦虑因子的得分分别为(1.88±0.87)分和(1.98±0.58)分,均高于军官,其差异有统计学意义(P<0.05或P<0.01)。维和军人TAS总分与SCL-90总分的偏相关系数为0.218(P<0.01)。TAS因子Ⅰ、Ⅱ、Ⅳ与SCL-90各因子呈正相关,因子Ⅲ与SCL-90总分及各因子呈负相关。结论维和军人存在述情障碍,并且述情障碍与心理健康状况密切相关,应充分关注并有针对性地进行心理教育、心理咨询和心理训练等心理干预,提高其心理健康水平,以保障维和任务顺利完成。

Objective To explore alexithymia and mental health status of Chinese peacekeeping army, so as to pro- vide reference for peacekeeping health work.Methods Toronto Alexithymia Scale（TAS） and SCL-90 were adopted to conduct group psychological tests on 216 Chinese peacekeeping soldiers from Darfur, Sudan.Results The total TAS scores of the peacekeeping officers and soldiers were respectively（70.51± 9.61 ） and（72.03 ± 9.11）, with difference of no statistical significance（P〉0.05）.The scores of TAS factor II of the peacekeeping officers and soldiers were respectively（2.69 ± 0.86）and（3.16 ± 0.95）,with difference of statistical significance（P〈0.05）.The total scores of TAS and factor II scores between those with and without peacekeeping experience all showed difference of statistical significance （P〈 0.05）.Among the scores of SCL-90 factors, the scores of interpersonal sensitivity factor and anxiety factor of the soldiers were respectively（1.88 ± 0.87） and（1.98 ± 0.58）,which were higher than those of the officers, with difference of statistical significance（P〈0.05 or P〈0.01）.The partial correlation coefficient of the total TAS scores and SCL-90 scores among the peacekeeping army was 0.218（P〈0.01）.TAS factors I , II ,and IV were positively related to SCL-90 factors,while TAS factor Ill was negatively related to SCL-90 total score and the factors.Conclusion The Chinese peacekeeping army has alexithmia, and alexithmia has a close relationship with mental health status. Mental intervention such as mental education, mental consultation and mental training should be carried out to improve their mental health.