海上演习医疗队员心理应激状态与个性特征的相关研究

目的研究海上演习医疗队人员的心理应激状态与个性特征及相关性。方法于2002年选择52名海上医疗队员于演习前1个星期穴以下称演习前雪和演习第58天(以下称演习后)采用症状自评量表(SCL-90)、艾森克个性测量问卷(EPQ)进行调查。结果SCL-90量表测试显示,演习前与全国常模比较,两组差异无统计学意义(P均>0.05);而演习后阳性项目数(即单项分≥2的项目数)、躯体化、恐怖、精神病性、焦虑均明显高于全国常模(P<0.001,P<0.01,P<0.05);且演习后阳性项目数、躯体化、恐怖、抑郁、附加项目(即饮食与睡眠项目)明显高于演习前(P<0.001,P<0.01,P<0.05)。演习后EPQ精神质(P)分、神经质(N)分明显高于演习前(P<0.05),而内外向(E)分、掩饰(L)分两组之间差异无统计学意义(P>0.05)。将演习后神经质、精神质维度进行条目分析,则以EPQ的第3、9、12、30、34、59、73、76、82、88条出现频率较高,以EPQ各维度为自变量,以SCL-90总均分和各因子分为因变量,进行多元逐步回归分析,P进入SCL-90总均分及除敌对因子外的各因子方程;N进入SCL-90总均分及除躯体化、恐怖因子外的各因子方程;E进入人际敏感、抑郁因子方程。结论演习后人员心理卫生水平呈下降趋势,神经质、精神质个性特征易促发负性情绪,个性越内向则人际敏感、抑郁程度越高,

Relationship Between Psychological Stress and Personality of the Medical Personnel Carrying Out Manoeuvres Over the Sea

Objective To investigate psychological stress and personality of the medical personnel carrying out manoeuvres over the sea and their correlation. Methods The 52 medical personnel carrying out manoeuvres over the sea were investigated. The survey was conducted a week before the manoeuvres over sea started (pre-manoeuvre group) and on 58th day of manoeuvres (post manoeuvre ). They were determined by Symptom Checklist 90(SCL-90) and Eysenck Personality Questionnaire(EPQ). Results Compared with the national norm no significant difference was seen before manoeuvres started. The positive item, somatization,phobia, psychopathy, suspense of the post manoeuvre were obviously higher than the national norm (P<0.001, P<0.01, P<0.05 respectively). Moreover, the positive item, somatization, phobia, depression, additive item of the post manoeuvres were significantly higher than that of the pre-manoeuvres group (P<0.001, P<0.01, P<0.05). The post manoeuvres had higher score in the psychoticism and the neuroticism of EPQ(P<0.05). The differences were not significant in the scores in the introvert and extrovert, conceal. The dimensionality of the post manoeuvres the neuroticism and the psychoticism was analyzed in detail and the No.3, No.9, No.12, No.30, No.34, No.59, No.73, No.76, No.82, No.88 item of the EPQ showed higher frequency. Taking each dimensionality of EPQ as independent variable, taking the whole average score and the factor score of SCL-90 as attributive variable,we carried through stepwise multiple regression. In the equations, P entered the whole average score of SCL-90 and every factor equation without hostility;N entered the whole average score of SCL-90 and every factor equation without somatization and phobia;E entered the equation of interpersonal sensitivity and depression. Conclusion The level of mental health of medical personnel carrying out manoeuvres demonstrates downtrend,the psychoticism and the neuroticism are easy to bring negative emotion. The more diffidence in personality the more interpersonal sensitivity and depression. These characters are easy to produce certain mental health problems on individual cognizance, sensibility, behave and adaptability.