军人胃肠道症状与心理健康水平的相关性研究

目的 探讨军人胃肠道症状与心理健康水平尤其是焦虑的关系,考察胃肠道症状作为初步筛选心理健康状况不佳人群指标的可靠性,为军队心理训练和防护提供依据.方法 采用症状自评量表(SCL-90)、状态-特质焦虑量表(ST-AI)和自编一般情况调查表对1988名军人实施团体心理测验,比较其差异性.结果 本研究中军人SCL-90多数因子得分低于军队常模但高于地方常模(均P＜0.05).其中胃肠道症状组SCL-90各项因子得分为(1.77±0.64)分、(1.84±0.64)分、(1.78±0.62)分、(1.69±0.64)分、(1.60±0.62)分、(1.74±0.68)分、(1.39±0.52)分、(1.60±0.62)分、(1.56±0.54)分], S-AI和T-AI得分为(45.92±7.33)分和(46.82±6.77)分.对照组SCL-90各项因子得分为(1.34±0.37)分、(1.51±0.48)分、(1.47±0.48)分、(1.37±0.45)分、(1.31±0.39)分、(1.41±0.47)分、(1.20±0.31)分、(1.31±0.39)分、(1.30±0.35)分],S-AI和T-AI得分为(42.98±7.17)分和(42.20±6.41)分.胃肠道症状组所有分量表得分均高于对照组,均差异有显著性(均P＜0.01).以不同症状为自变量,S-AI、T-AI得分为因变量进行多因素方差分析,结果显示恶心、反酸对状态焦虑作用显著(均P＜0.01),恶心、呕吐、反酸对特质焦虑作用显著(分别为P＜0.05,P＜0.01,P＜0.01).结论 军人心理健康水平总体正常,但有胃肠道症状者心理健康状况明显较差,焦虑情绪显著.恶心、反酸等胃肠道症状可作为初筛焦虑人群的指标.

A correlative investigation between gastrointestinal symptoms and mental health status in army

Objective To study the relationship between gastrointestinal symptoms and mental health status especially anxiety in army,and to check the reliability of gastrointestinal symptoms as the riddling criterion of mental problem,providing scientific support to psychological training and prevention.Methods 1988 soldiers were investigated by SCL-90,ST-AI and information scale.Results Most factor scores of SCL-90 were obviously higher than army man norm but lower than civilian's norm in this study (all P＜0.05).The factor scores of SCL-90 in the group with gastrointestinal symptoms were 1.77±0.64,1.84±0.64,1.78±0.62,1.69±0.64,1.60±0.62,1.74±0.68,1.39±0.52,1.60±0.62 and 1.56±0.54,while the scores of S-AI and T-AI were 45.92±7.33 and 46.82±6.77.The factor scores of SCL-90 in the control group were 1.77±0.64,1.84±0.64,1.78±0.62,1.69±0.64,1.60±0.62,1.74±0.68,1.39±0.52,1.60±0.62 and 1.56±0.54,while the scores of S-AI and T-AI were 45.92±7.33 and 46.82±6.77.The test group got significantly higher scores than the control group in every factor sore (all P＜0.001).Three-way ANOVA analysis revealed that naupathia and sour regurgitation contributed obviously to trait-anxiety,while naupathia,vomit and sour regurgitation contributed obviously to trait-anxiety.Conclusion The mental health status of army man is normal in general.But soldiers with gastrointestinal symptoms were obviously in worse status,were prone to anxiety.Naupathia and sour regurgitation could be the riddling criterion of anxiety.