[1]杨国愉,晏玲,王皖曦,等.中国赴利比里亚抗击埃博拉军人心理健康的追踪研究[J].第三军医大学学报,2015,37(22):2229-2236.
 Yang Guoyu,Yan Ling,Wang Wanxi,et al.Longitudinal investigation on mental health of armymen sent to Liberia against Ebola[J].J Third Mil Med Univ,2015,37(22):2229-2236.
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中国赴利比里亚抗击埃博拉军人心理健康的追踪研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
37卷
期数:
2015年第22期
页码:
2229-2236
栏目:
论著
出版日期:
2015-11-30

文章信息/Info

Title:
Longitudinal investigation on mental health of armymen sent to Liberia against Ebola
作者:
杨国愉晏玲王皖曦赵梦雪王立菲刘志峰何楠赵一狄
第三军医大学:心理学院军人发展与教育心理学教研室,西南医院儿科;解放军第230医院肾内科;解放军第201医院综合科
Author(s):
Yang Guoyu Yan Ling Wang Wanxi Zhao Mengxue Wang Lifei Liu Zhifeng He Nan Zhao Yidi

Department of Developmental and Educational Psychology of Armymen, College of Psychology, Department of Pediatrics, Southwest Hospital, Third Military Medical University, Chongqing, 400038; Department of Nephrology, No. 230 Hospital of PLA, Dandong, Liaoning Province, 118000; Department of General Medicine, No. 201 Hospital of PLA, Liaoyang, Liaoning Province, 111000, China

关键词:
埃博拉利比里亚心理健康军人追踪研究
Keywords:
Ebola Liberia mental health armymen longitudinal investigation
分类号:
R197.8;R395.6;R821.2
文献标志码:
A
摘要:

目的      追踪研究中国人民解放军赴利比里亚抗击埃博拉军人心理健康特点和变化规律。      方法      将整个赴利比里亚抗击埃博拉医疗任务划分为5个阶段,分为医生、护士和行政后勤3种人员类别,采用症状自评量表(SCL-90),对医疗队中150名军人进行动态追踪调查,比较不同任务阶段军人心理健康的动态变化及每个阶段的性别、年龄、人员类别、人员层次和文化程度差异。      结果      ①军人SCL-90强迫、人际敏感、抑郁、焦虑因子得分及总均分呈现显著的阶段差异(P<0.05,P<0.01),集结期显著高于其他4个阶段(P<0.05,P<0.01)。②除恐怖和偏执外,男性SCL-90各因子得分和总均分呈显著阶段差异(P<0.05,P<0.01),集结期最高;除医学观察期外,女性躯体化、强迫、抑郁、焦虑因子得分及总均分显著高于男性(P<0.05,P<0.01)。③>30~40岁组和>40岁组的强迫、抑郁、焦虑因子得分和总均分呈显著的阶段差异(P<0.05);>40岁组集结期焦虑因子得分显著高于≤30岁组(P<0.05),国内集训期抑郁因子得分显著高于≤30岁组(P<0.01)。④医生和护士的强迫、抑郁和焦虑因子得分呈显著阶段差异(P<0.05,P<0.01);除医学观察期外,护士得分显著高于医生和行政后勤组(P<0.05,P<0.01)。⑤军官在任务前4个阶段的SCL-90部分因子得分显著高于战士(P<0.05,P<0.01)。⑥本科学历组在任务前4个阶段的部分因子得分显著高于研究生组和专科生组(P<0.05,P<0.01)。      结论      赴利比里亚抗击埃博拉军人心理健康状况呈明显阶段差异和人群差异,开展心理工作时需密切关注集结阶段以及女性、护士和年龄较大人群。

Abstract:

Objective      To investigate the mental health characteristics and change regulation of the PLA armymen sent to Liberia against Ebola.       Methods      The armymen were divided into doctors, nurses and logistics staffs. The mental health dynamic change of 150 PLA armymen and the differences of the gender, age, category, military rank and education level in 5 mission stages (aggregation stage, training stage, mission early stage, mission late stage, and medical observation stage) were compared using the symptom checklist 90 (SCL-90) scale.       Results      The single-factor scores and the total average score of the obsession, social sensitivity, depression and anxiety factors varied significantly in the 5 mission stages (P<0.05, P<0.01), and the scores were the highest in the aggregation stage (P<0.05, P<0.01). The single-factor scores (except for phobia and obsession factors) and the total average score of males were the highest in the aggregation stage (P<0.05, P<0.01). Females showed higher scores than males in somatization, obsession, depression, and anxiety factors in the first 4 stages (P<0.05, P<0.01). The single-factor scores and total average score of the obsession, depression and anxiety factors varied significantly between the group (31-40 years old) and the group (>40 years old) (P<0.05, P<0.01). The group (>40 years old) had higher scores in anxiety factor in the aggregation stage (P<0.05,P<0.01) and higher scores in depression factor in the training stage (P<0.05, P<0.01). The single-factor scores and the total score of the obsession, depression and anxiety factors varied significantly between the doctors and nurses (P<0.05, P<0.01), and the nurses showed higher scores than the doctors and logistics staffs in the first 4 stages. Military officers had higher single-factor scores and total average score in some factors than the soldiers in the first 4 stages (P<0.05, P<0.01). The single-factor scores and the total average score of some factors in the armymen with bachelor degree were significantly higher than those in the ones with master degree and college degree in the first 4 stages (P<0.05, P<0.01).       Conclusion      The mental health conditions of the PLA sent to Liberia against Ebola varies according to the mission stages and the populations. When carrying out psychological work, we need to pay more attention to the aggregation stage, nurses, females and older armymen.

参考文献/References:

[1]唐斌, 肖丽佳, 任忠文. 驻黎巴嫩维和官兵心理健康的调查研究[J]. 西南国防医药, 2011, 21(4): 456-457.
[2]李洁, 薛理, 杨瑞金, 等. 维和部队官兵急性应激反应状况调查[J]. 职业与健康, 2014, 30(12): 1601-1603.
[3]胡光涛, 冯正直, 宋航, 等. 赴黎巴嫩维和军人心理应激及相关因素研究[J]. 第三军医大学学报, 2012, 34(21): 2228-2230.
[4]谢华, 戴海崎. SCL-90量表评价[J]. 神经疾病与精神卫生, 2006, 6(2): 156-159.
[5]余浩, 徐灵活, 胡培坤, 等. 长航对舰员心理健康状况的影响分析[J]. 解放军医学杂志, 2012, 37(7): 745-748.
[6]李彩霞, 汪红, 胡爱霞, 等. 综合心理干预对亚丁湾护航官兵心理健康和睡眠质量的影响[J]. 军事医学, 2014, 38(10): 765-767.
[7]晏玲, 杨国愉, 王皖曦, 等. 赴利比里亚抗击埃博拉病毒病军人急性应激反应特点[J]. 第三军医大学学报, 2015, 37(11): 1131-1134.
[8]王艳玲, 张理义, 郭健, 等. 心理干预对非洲维和官兵适应不良的疗效[J]. 中国健康心理学杂志, 2014, 22(6): 906-908.
[9]张理义, 唐开宏, 郭建, 等. 维和官兵人格特征与心理健康水平相关性研究[J]. 人民军医, 2013, 56(8): 859-861.
[10]王旭磬, 周永垒, 韩宜. 护航官兵情绪调控模型的构建及应用[J]. 海军工程大学学报: 综合版, 2014, 11(2): 67-71.
[11]陈春霞, 过伟, 郭健, 等. 巴基斯坦和孟加拉国赴利比里亚维和官兵心理健康调查及相关因素分析[J]. 解放军医学杂志, 2010, 35(9): 1090-1092.
[12]刘晓辉, 崔淑芳, 仇仪华. 军事演习中焦虑、抑郁情绪与人格特征相关分析[J]. 人民军医, 2003, 46(7): 377-378.
[13]王健, 田坚, 景生保. 战斗应激反应[J]. 中国行为医学科学, 2002, 11(4): 479-480.
[14]Rutter M. Psychosocial resilience and protective mechanisms[J]. Am J Orthopsychiatry, 1987, 57 (3): 316-331.
[15]Reivich K J, Seligman M E, McBride S. Master resilience training in the U. S. Army[J]. Am Psychol, 2011, 66(1): 25-34.
[16]姚高峰, 高禹, 施建安, 等. 亚洲国家不同性别维和官兵心理健康及相关因素的研究[J]. 解放军医学杂志, 2010, 35(9): 1099-1101.
[17]Brannlund A, Hammarstrom A. Higher education and psychological distress: a 27-year prospective cohort study in Sweden[J]. Scand J Public Health, 2014, 42(2): 155-162.

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更新日期/Last Update: 2015-11-21