军事演习中海军某部军人心理健康状况评定

目的了解军事演习中海军不同类别军人的心理健康状况，为做好参演军人的心理服务工作提供参考依据。方法采用症状自评量表（symptom checklist，SCL-90）对军事演习中112名海军官兵进行测试。结果①被试SCL-90得分，除人际敏感因子外，其他各因子分和阳性项目数显著高于国内青年常模（P〈0．05或P〈0．01），躯体化和抑郁因子显著高于军人常模（P〈0．05）；②农村籍组2个因子（焦虑、精神病性）高于城市组（P〈0．05）；有军演经历组4个因子（强迫、抑郁、焦虑、精神病性）得分和阳性项目数显著高于无军演经历组（P〈0．05或P〈0．01）；士兵组3个因子（躯体化、偏执、精神病性）得分显著高于军官组（P〈0．05或P〈0．01）；③演习中不同兵种军人的3个因子（抑郁、恐怖、精神病性）得分存在显著差异。进一步两两比较结果显示，潜艇部队的5个因子（人际敏感、抑郁、恐怖、精神病性、附加因子）分及阳性项目数、总均分显著高于水面舰艇部队（P〈0．05或P〈0．01），且恐怖因子分显著高于陆战旅（P〈0．05）。结论军事演习条件下海军军人的心理健康水平低于平时，并低于一般人群；兵源户籍、参演经历、人员类别、兵种不同的参演军人心理健康水平有差异。

Evaluation of mental health of naval personnel in military exercise

Objective To explore the psychological health status of naval personnel in a military exercise so as to provide the reference of psychological service for the participants in the exercise.Methods 112 naval personnel were tested by SCL-90 in the exercise.Results ①In the group of naval personnel in the exercise,the scores of each factor and the positive items in SCL-90 were higher than those of the young Chinese norms (P<0.05 or P<0.01) except for interpersonal sensitivity,and the scores of somatization and depression were higher than those of the norms of Chinese servicemen.② The two factorial (anxiety and psychosis) scores of those from rural areas were higher than those from cities (P<0.05).The four factorial (somatization,interpersonal sensitivity,anxiety,psychosis) scores and positive items of those who took part in military exercises were higher than those who didn’t (P<0.05 or P<0.01).The three factorial (somatization,paranoid ideation and psychosis) scores of soldiers were higher than those of officers (P<0.05 or P<0.01).③There were significant differences at three factorial score (depression,fear and psychosis) in different battle groups.The scores of submarine personnel were higher than those of marines and surface combatants.The further comparison indicated that five factorial(interpersonal sensitivity,depression,fear,psychosis and additional items) scores and total average scores of submarine personnel were higher than those of marines(P<0.05 or P<0.01)and that phobia scores of submarine personnel were higher than those of surface combatants(P<0.05).Conclusions The level of mental health of the naval personnel in a military exercise is lower than that at ordinary times and that of populace norm and there are significant differences in the level of mental health of the naval personnel in a military exercise depending on the birth place,experience in military exercises,criteria and service branch of the participant.