丹江口首批移民心理健康干预的效果评价

摘要:目的　评价南水北调丹江口移民心理干预效果，为建立有针对性的心理健康干预提供科学依据。方法　对丹江口库区第一批移民和安置地居民进行多阶段分层、整群抽样，以村为单位，将移民随机分为干预组和对照组1，安置地居民作为对照组2，运用SCL-90症状自评量表分别在干预前后两次进行问卷调查。结果　（1）干预前:移民SCL-90总分及各因子分均高于安置地居民（P＜0.05）；（2）干预后:干预组SCL-90总分及各因子分均低于对照组1和干预前（P＜0.05），其中强迫症状、附加因子得分低于对照组2（P＜0.05）；对照组1躯体化、强迫症状、抑郁、敌对、附加因子和总分得分高于干预前（P＜0.05）。结论　在自然状态下移民的心理健康状况并未改善，对移民进行专业的、有针对性的心理干预是有效的。

Effect evaluation of the psychological health intervention on the first group immigrants of Danjiangkou

Abstract: Objective To evaluate the effects of psychological intervention on the immigrants of South-to-North Water Diversion Project in Danjiangkou, so as to provide scientific basis for the establishment of targeted psychological interventions. Methods The first group immigrants and local residents were sampled by multi-stage cluster sampling. Taking the village as a unit, immigrants were randomly divided into two groups, which were intervention group and control group 1, and local residents formed control group 2. Then symptom Check-list 90 (SCL-90) was adopted to survey the three groups before and after the intervention, respectively. Results Before the intervention, the immigrants' factor scores and total score of SCL-90 both were higher than those of local residents (P<0.05). After the intervention, SCL-90 total score and factor scores of the intervention group were lower than before and those of the control group1 (P<0.05), in which the scores of obsessive-compulsive symptoms and additional factors were lower than control group 2 (P<0.05). While the scores of somatization, hostility obsessive-compulsive symptom, depression, total score and additional factors in the control group 1 were higher than those of the immigrants before the intervention (P<0.05). Conclusion The psychological health status of immigrants has not been greatly improved in its natural state, thus professional and targeted psychological intervention to the immigrants is effective.