武警新兵集训期精神心理状态评估

Analysis of Mental Status of Armed Police Recruits During Training

目的:探讨武警新兵在集训期的精神心理状态及其与血清维生素D水平和生化指标的关系。方法:纳入武警湖北某部新兵198例,在3月集训期结束时,使用症状自评量表(SCL-90)对其精神心理状态进行评分,同时检测血清25(OH)D水平和肝肾功能等临床生化指标。分析SCL-90总得分和各因子得分与全国常模的差异;探讨新兵的基本人口学特征、生活习惯、维生素和钙剂补充等因素对25(OH)D水平和SCL-90各因子得分的影响;探讨新兵的临床生化指标与SCL-90各因子之间的关系。结果:不同体质指数(BMI)的新兵血清25(OH)D水平差异有统计学意义(P=0.039),每日饮牛奶量不同的新兵血清25(OH)D水平有显著性差异(P=0.003)。武警新兵的SCL-90总得分和各因子评分均低于中国常模的评分(均P<0.01)。不同年龄的新兵的敌对因子评分差异有统计学意义(P=0.027),平时吸烟的新兵敌对因子评分与非吸烟者差异有统计学意义(P=0.020),有饮酒习惯的新兵的躯体化因子、强迫因子、焦虑因子的得分均高于无饮酒习惯的新兵(均P<0.05);每周户外活动时间<2 h的新兵的躯体化因子、强迫因子、抑郁因子、焦虑因子、恐怖因子、偏执因子、精神病性因子得分均高于户外活动时间>2 h的新兵(P<0.05或P<0.01)。丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)与躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性因子均存在线性回归关系(均P<0.01)。尿素(Urea)、肌酸激酶(CK)水平与恐怖因子得分有线性回归关系(均P<0.05)。结论:高强度集训对武警新兵的精神心理状态产生一定影响,吸烟、饮酒等嗜好对新兵的心理状态有不良影响,增加户外运动对新兵适应集训和提升战斗力有积极的作用。

Objective:To explore the psychological status of the Armed Police Forces recruits during the training period,and to explore its relationship with serum vitamin D level and biochemical indicators.Methods:The 198 recruits from a certain armed police department in Hubei were enrolled in this study.The mental state of the recruits were evaluated by the symptom checklist-90(SCL-90)at the end of the 3-month training period.At the same time,venous blood samples from the recruits were collected to detect serum 25(OH)D level,liver and kidney function,and other clinical biochemical indicators.Firstly,the difference between the SCL-90 total score and item scores of the recruits and those of the national norm were analyzed.Secondly,the influence of basic demographic characteristics,lifestyle habits,and vitamin and calcium supplements on the recruits’25(OH)D level and SCL-90 scores were explored.Thirdly,the relationship between the recruits'clinical biochemical indicators and SCL-90 subscores were explored.Results:There was a significant difference in serum 25(OH)D levels between recruits with different BMI(P=0.039)and different daily milk intake(P=0.003).The SCL-90 scores of the recruits were lower than those of the Chinese norm(all P<0.01).The hostility scores of recruits of different ages were significantly different(P=0.027),and hostility scores of frequent smokers were significantly different from those of non-smokers(P=0.020).The somatization,obsessive-compulsive,and anxiety scores of recruits with drinking habits were significantly higher than those of non-drinkers(all P<0.05).Recruits with fewer than 2 hours per week of outdoor exercise showed significantly higher somatization,obsessive-compulsive,depression,anxiety,phobic anxiety,paranoid ideation,and psychoticism scores compared to those with more than 2 hours of weekly outdoor exercise(P<0.05 or P<0.01).Alanine transaminase(ALT)and aspartate transaminase(AST)displayed a linear regression relationship with somatization,obsessive-compulsive,interpersonal sensitivity,depression,anxiety,hostility,phobic anxiety,paranoid ideation,and psychoticism scores(all P<0.01).Urea and creatine kinase(CK)levels showed a linear regression relationship with phobic anxiety score(both P<0.05).Conclusion:High-intensity training has a certain effect on the mental status of armed police recruits.Smoking and drinking have an adverse effect on the mental state of recruits.Increased outdoor activity has a positive effect on adapting to training and enhancing combat effectiveness.