装甲车辆乘员心理健康状况调查

A survey of mental health status in armored vehicle crew

目的调查装甲车辆乘员（车长、炮长、驾驶员）心理健康状况，掌握其心理健康水平并进行教育干预。方法于2009年4月，选取120名车龄大于2年的男性装甲车辆乘员作为作战组，70名相同年龄段的男性非装甲车辆操作人员作为对照组。采用症状自评（SCL-90）量表对190名测试对象进行心理测评。结果作战组装甲士兵强迫症状（t=2．323）、人际关系敏感（t=3．250）、忧郁（t=3．158）、焦虑（t=2．712）、恐怖（t=2．391）、偏执（t=2．137）5个因子以及总分（t=4．128）、阳性项目数（t=4．357）、阳性症状均分（t=4．632）得分均高于对照组，差异均有统计学意义（P〈0．05）。作战组装甲士兵各因子得分均低于军人参考值，差异均有统计学意义（躯体化：t=4．364；强迫症状：t=5．127；人际关系敏感：t=5．280；忧郁：t=3．783；焦虑：t=7．127；敌对：t=5．361；恐怖：t=4．369；偏执：t=6．167；精神病性：t=6．476；其他：t=3．558；总分：t=6．357；阳性项目数：t=4．379；阳性症状均分：t=6．763；均P〈0．05）。结论应开展装甲车辆乘员强迫症状、人际关系敏感、忧郁和焦虑等心理健康状况调查，加强乘员心理卫生服务工作，提高乘员的心理素质。

Objective To investigate the mental health status in armored vehicle crew （commanders,gunners, and drivers）, to know the level of mental health in them, and to provide educational intervention. Methods In April 2009, 120 male armored vehicle crew with 〉2 driving years were enrolled as battle group, and 70 male persons within the same age group who were not engaged in armored vehicle operation were enrolled as control group. The Symptom Checklist-90 （SCL-90） was used to evaluate the mental status of the 180 subjects. Results Compared with the control group, the battle group showed significantly higher scores on the snbscales of obsessive-compulsive symptom, interpersonal sensitivity, depression, anxiety, phobic anxiety, and paranoid ideation （t=2.323, 3.250, 3.158, 2.712, 2.391, and 2.137, all P〈0.05）, as well as significantly higher total score, number of positive items, and average score of positive symptoms （t=4.128, 4.357, and 4.632, all P〈0.05）. In the battle group, the scores on the subscales of somatization, obsessivecompulsive symptom, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, and additional items, total score, number of positive items, and average score of positive symptoms were significantly lower than the military reference values （t=4.364, 5.127, 5.280, 3.783, 7.012, 5.361, 4.369, 6.167, 6.476, 3.558, 6.357, 4.379, and 6.763, all P〈0.05）. Conclusion A survey should be performed on the mental health status of armored vehicle crew, including obsessive-compulsive symptom, interpersonal sensitivity, depression, and anxiety. Mental health service for the crew should be enhanced to improve their psychological quality.