三峡库区移民心理健康状况及影响因素分析

目的研究三峡库区外迁移民心理健康状况与影响因素。方法采用整群分层随机抽样,调查对象接受居民基本情况表、与团体用心理社会应激调查表（PSSG）、症状自评量表（SCL-90）、社会支持评定量表（SSRS）的测查。结果（1）移民组的SCL-90除敌对、恐怖和偏执3个因子外均高于当地居民组（P〈0.001）;（2）移民组的PSSG生活事件、消极情绪体验、消极应对方式和应激总分高于地当地居民组（P〈0.001）;而积极情绪体验、积极应对方式得分低于当地居民组（P〈0.001）;（3）移民组的SSRS支持得分均低于当地居民组（P〈0.001）;（4）多因素的Logistic回归分析显示：影响移民心理健康水平的因素有年龄、健康状况、与地政府的关系和社会支持。结论移民组与当地居民组心理健康状态有明显差异,应针对影响因素采取措施,进一步做好移民工作。

Status of mental health and psychosocial factors in three gorges immigrants

Objective To investigate the effect of psychosocial factors on mental health of three gorges immigrants.Methods The group sampling was used for the investing both immigrants group and local residents group were investigated by questionnaires including Questionnaire of General Status,Psychosocial Stress Survey for Groups(PSSG),Symptom Checklist 90(SCL-90),Social Support Rating Scale(SSRS).Results(1)Besides hostility,horror and crankiness,all factor scores of SCL-90 in the immigrants group were higher than that of local residents group;(2)The score of life events,negative emotion and negative coping were also higher than that of local residents group,but the score of positive emotion and positive coping were lower than that of local residents group;(3)The score of objective support,subjective support,support a availability and total support were lower than that of local residents group;(4)By Logistic regression analysis,the psychosocial factors were age,health status,the relationship with local government,social support.Conclusion The mental health status of immigrants group were much worse than the local residents group.Taking relevant measures according to psychosocial factors was beneficial to three gorges immigrants.