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目的探讨灾难性事件对官兵心理健康的影响,并观察对其实施心理和药物干预的效果。方法以57例受洪水袭击后幸存官兵作为灾难组,70例未受灾难性事件袭击官兵作为对照组,均采用中国军人心理健康量表(CMMHS)进行测查,并对发生心理障碍者进行相应的心理干预或药物治疗。结果灾难性事件使官兵发生不同程度的心理障碍(包括情绪不稳定、情绪低落、悲痛、紧张恐惧、睡眠障碍、焦虑不安)和躯体损伤。灾难组CMMHS的强迫、焦虑、抑郁、恐怖、精神病性、躯体化、人际关系敏感因子分和总分均显著高于对照组和中国军人常模,其神经衰弱因子分与对照组和常模比较,差异无统计学意义(P>0.05)。影响官兵心理健康的主要因素依次为目击有人被洪水冲走、参与认尸。结论遭受灾难性事件袭击的官兵心理健康均有不同程度的损害,经心理及药物干预后疗效显著。
Objective To explore the impact of catastrophic events on the mental health of officers and men and to observe the effects of psychological and drug intervention on them. Methods Fifty-seven surviving officers and soldiers survived the floods as a catastrophic group and 70 officers and soldiers who were not attacked by catastrophic events as control group. All of them were surveyed by Chinese Mental Health Scale (CMMHS) and corresponding to those with mental disorders Psychological intervention or medication. Results Disastrous events led to varying degrees of mental disorders (including emotional instability, depression, grief, anxiety, sleep disturbances, anxiety) and body injuries among officers and men. Disaster group CMMHS coercion, anxiety, depression, terror, psychosis, somatization, interpersonal sensitivity factor scores and scores were significantly higher than the control group and the Chinese military norm, its neurasthenic factor points compared with the control group and the norm , The difference was not statistically significant (P> 0.05). The main factors that affect the mental health of officers and men followed by witnessing someone being washed away by the flood and participating in the autopsy. Conclusion The mental health of officers and men who were attacked by catastrophic events all had different degrees of damage. The psychological and drug interventions had significant effects.