驻藏某部军人心身疾病及心理影响因素

目的探讨驻藏某部高原军人罹患心身疾病情况及其心理影响因素,为其心身疾病的防治工作提供参考依据。方法采用随机整群抽样法,选择驻西藏某部军人483名,应用自编心身疾病调查表、艾森克个性问卷（EPQ）、生活事件量表、简易应对方式问卷、领悟社会支持量表（PSSS）进行调查。结果483名军人的心身疾病患病率达58.0%;罹患心身疾病组军人的标准EPQ-N分、生活事件总分、适应因子、突发事件因子及工作环境因子分均高于对照组（P〈0.01）,消极应对方式因子分高于对照组（P〈0.05）;2组军人的社会支持未见明显差异。结论驻藏高原军人的心身疾病患病率较高,情绪不稳定、遭遇较多的生活事件及采用消极应对方式是其发病率高的重要心理社会因素。

PSYCHOSOMATIC DISEASES AND MENTAL INFLUENTIAL FACTORS IN SOME ARMYMEN STATIONED AT TIBET

Objective To study the psychosomatic diseases and mental influential factors in some armymen stationed at Tibet, so as to provide the basis for prevention and treatment of these diseases. Methods A total of 483 soldiers were selected by cluster sampling from an army stationed at Tibet. Self-made psychosomatic disease questionnaire, EPQ, Life events scale, questionnaires of Simple way coping styles, and Perceived social support scale （PSSS）were used to investigate. Results Fifty-eight percent of the soldiers had psychosomatic diseases. The scores of standard EPQ-N, adaptation factors, emergencies factors, working environment factors, and the total scores of life events in soldiers with psychosomatic diseases were higher than those in the controls（ P 〈 0.05）. Conclusion The incidence of psychosomatic diseases in soldiers stationed at Tibet is relatively high. Unstable emotion, undergoing more life events, and adopting negative coping styles may be the important psychosocial factors.