基于SCL-90的中国人群心理症状现况调查

A survey of mental symptoms of Chinese population based on SCL-90

目的:调查当前我国人群心理健康现状,并对比30年前后心理症状分数差异,为促进我国人群心理健康提供科学依据。方法:在我国12个省市采用整群抽样的方法,抽取18岁以上人群12160名为研究对象,利用症状自评量表(SCL-90)测量其心理症状。结果:我国人群SCL-90各因子得分均值在1.23~1.66之间,未发现有明显峰值;强迫症状、人际关系、抑郁、焦虑、敌对、偏执和精神病性等因子得分在2015显著高于1986年;除偏执和精神病性因子以外(P>0.05),其余各因子女性得分均高于男性得分(均P<0.05);18~44岁组(青年组)因子得分最高。结论:我国人群SCL-90常模更新后总体心理健康状态相对稳定,而女性心理健康问题日益突出,青年组心理健康问题最为严重。

Objective： To survey and analyze the current situation of national mental health in China and to explore the characteristics of national mental health in China by comparing the mental symptoms status before and after 30 years thus provide scientific basis for promoting the national health situation in China. Methods： A total of12160 residents from 12 provinces and municipalities were selected randomly by using cluster sampling,and their mental health status was measured with the SCL-90 symptom checklist. Results： The average scores of each factor of SCL-90 in China were between 1. 23 and 1. 66, and no significant peaks were found. The scores of obsessive symptoms,interpersonal relationships, depression, anxiety, hostility, paranoia and psychotic factors were higher in2015 than in 1986. Except for the paranoid and psychotic factors（ P〈0. 05）,the scores of other factors were higher in women than in men（ Ps 〈0. 05）. The scores of factors in the age 18-44-year group were the highest. Conclusion： The overall mental health state of Chinese population SCL-90 is relatively stable after the update of norm,while the female mental health problems are increasingly prominent,and the mental health problems are the most serious among the youth group.