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目的 研究西沙驻岛人员的心理应激状态与个性特征及相关性。方法 以西沙岛屿 2 0 9人作为调查组 (以下称西沙组 ) ,同一部属的沿海地区人员 2 2 3人为对照组 ,采用症状自评量表 (SCL -90 )、艾森克个性测量问卷 (EPQ)、匹兹堡睡眠质量指数量表 (PSQI)、特质应对方式问卷 (TCSQ)和自行设计一般项目调查表。同时测定血清总甲状腺素 (TT4)及皮质醇 (Cortisal)水平。结果 驻岛人员中较明显的心理健康问题为人际敏感、抑郁、敌对、强迫、偏执和躯体化等 ,西沙组SCL - 90各因子分、阳性项目数、总均分均不同程度高于对照组 (P均 <0 .0 0 1) ;神经质分 (EPQ -N)明显高于对照组 (P <0 .0 0 1) ,而掩饰分 (EPQ -L)低于对照组 (P <0 .0 5 ) ;西沙组 36 .36 %存在睡眠质量问题。结论 心理应激反应影响他们神经、内分泌及免疫系统的变化 ,影响着认知、行为、和情绪 ,应激反应不仅取决于应激源 ,而且取决于个体的个性特征 ,对驻岛人员应予以因人而异的心理调整 ,进行心理应激耐受训练 ,提高他们应激反应的阈值 ,培养健全的个性。
Objective To study the psychological stress state and personality characteristics of Xishuanshu Island residents and their correlation. Methods Twenty-nine people in Xisha Island were investigated as SCL-90, 23 individuals in the Xisha Group and 2200 people in the coastal area of the same subgroup as the control group. EPQ), Pittsburgh Sleep Quality Index (PSQI), TraitQuest Questionnaire (TCSQ) and self-designed general project questionnaire. Simultaneous determination of serum total thyroxine (TT4) and Cortisal levels. Results The more obvious mental health problems among island residents were interpersonal sensitivity, depression, hostility, coercion, paranoid and somatization. The scores of SCL - 90, the number of positive items and the total mean scores in Xisha group were all higher than those in control group (P <0 01). EPQ-N was significantly higher than that of the control group (P <0.01), while EPQ-L was lower than that of the control group (P <0. 0 5); Xisha group 36.36% had sleep quality problems. Conclusion Psychological stress response affects their neurological, endocrine and immune system changes, affecting cognition, behavior, and emotional stress response not only depends on the source of stress, but also depends on the individual characteristics of the individual should be island resident Individual psychological adjustment, psychological stress tolerance training, increase their threshold of stress response, develop a healthy personality.