隔离人群个体防御方式及对风险认知程度与心理健康的相关性

背景在传染性非典型肺炎流行期间由于种种原因被实施隔离的人群,出现一系列心理、生理、行为的反应.目的了解被隔离人群中不同心理健康水平者的防御方式特点,探讨隔离人群的防御方式与心理健康的关系.设计以传染性非典型肺炎流行期间被隔离人群为研究对象的调查研究.单位一所军队医院的精神科. 对象西北某市 2003- 04/05底因非典疫情被隔离的,不同性别、年龄与文化程度的187人. 方法采用症状自评量表( SCL 90)和防御方式问卷( DSQ)对因非典疫情被隔离的187名人员的进行调查. 主要观察指标①隔离人群 SCL 90各因子评定与国内常模结果比较.②防御方式与SCL 90各因子的相关分析.③高症状组与低症状组 DSQ因子分比较. 结果该人群36.4%存在有明显的心身健康问题,以焦虑、恐怖、抑郁、敌对和强迫较为突出;高、低症状组在使用防御方式上存有差异,其中不成熟型高、低症状组的DSQ因子分分别为 5.72± 1.56, 4.35± 0.96,中间型防御分别为 4.98± 1.44,3.72±0.89( P< 0.01);心理健康问题与应用不成熟型心理防御方式呈正相关,与应用成熟型防御方式呈负相关.结论不同心理健康水平的隔离人员的防御方式存在差异,隔离人群的防御策略与其心理健康密切相关.

Correlation of self defensive styles of isolated population and their cognition to risk with mental health

BACKGROUND:During the outbreak of severe acute respiratory syndrome(SARS),certain people had been isolated by various reasons and appeared a series of psychological, physical and behavioral reactions. OBJECTIVE:To understand the different defensive features in people with different level of mental health in the isolated population, and explore the relationship between defensive style and mental health. DESIGN:An in investigative study taking the isolated population during outbreak of SARS as the subjects. SETTING:A psychiatric department of a military hospital. PARTICIPANTS:Totally 187 people of different sex,age and education, who were isolated during April and May 2003 due to SARS outbreak in a city of northwest China,were selected as the subjects. INTERVENTIONS:The 187 subjects,who were isolated due to SARS outbreak,were evaluated by using the symptom checklist(SCL 90) and defense style questionnaire(DSQ). RESULTS:About 36.4% people of this population had distinct mental or physical health problems that were characterized by anxiety,horror,depression,hostility and compulsion.There was difference in defensive styles between the high symptom group and low symptom group,among which the score of DSQ factors in the immature type of high and low symptom groups were 5.72± 1.56 and 4.35± 0.96 respectively while the scores in the intermediate type defense were 4.98± 1.44 and 3.72± 0.89 respectively(P< 0.01).Mental health problem was positively correlated with the application of immature defensive style,but had negative correlation with application of mature defensive means. CONCLUSION:There is difference in the defensive styles among the isolated people with different mental health status,and their defensive strategies are closely related to the mental health.