散偏远部队官兵心理健康状况元分析

Mental health status of military personnel in scattered and remote troops:a meta-analysis

目的了解近10年来散偏远部队官兵的心理健康水平及变化情况,为散偏远部队官兵的心理健康评估和干预工作提供指导。方法检索中国知网、万方和维普等全文数据库中运用症状自评量表进行评估的符合标准的文献,并用R软件包“Meta”(版本6.2-1)进行元分析。结果经筛选后纳入16篇文献,研究对象5375名,合并效应量结果显示抑郁、人际敏感、躯体化和焦虑因子高于2016版军人常模(WMD=0.29、0.26、0.26、0.24,P均<0.001);亚组分析结果表明,人际敏感和强迫因子在不同地域组间差异有统计学意义(Q=12.8、5.83,P<0.01、=0.05);元回归分析结果表明人际敏感受到研究年份和实验组样本量的影响;抑郁因子受到实验组样本量的影响;敌对因子受到被试者年龄的影响。结论散偏远部队官兵的心理健康水平明显低于2016版军人常模,问题主要集中于抑郁、人际敏感、躯体化和焦虑方面,个别因子受研究年份和实验组样本量等影响。

Objective To find out about the mental health status and related changes among military personnel in scattered and remote troops in the past ten years,and to provide data for mental health assessment and interventions.Methods The literature that met the criteria for assessment was retrieved from CNKI,VIP and Wanfang databases using SCL-90 before meta-analysis was conducted using meta-package in R software.Results Sixteen studies were included after data screening,involving 5375 subjects,whose scores of depression,interpersonal sensitivity,somatization,and anxiety factors were significantly higher than the military norm(2016 version)(WMD=0.29,0.26,0.26,and 0.24,respectively while P values were<0.001).The subgroup test showed that scores of interpersonal sensitivity and obsessive-compulsive factors were different between geographical groups(Q=12.8,5.83,P<0.01,=0.05).Meta-regression analysis showed that score of interpersonal sensitivity was influenced by the year the study was conducted and by the sample size of the experimental group,the score of depression factors was affected by the sample size of the experimental group while the score of hostility factors varied according to the age of the subjects.Conclusion The psychological health status of military personnel in scattered and remote troops is significantly lower than the military norm(the 2016 version).The problems involve depression,interpersonal sensitivity,somatization and anxiety.