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目的研究三峡农村外迁移民心理健康状况与相关影响因素。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除去敌对、恐怖和偏执三个因子以外,其他都高于当地居民组(P<0.05);②男性移民与女性移民的恐怖因子得分差异有统计学意义(P<0.05);③不同年龄段的移民SCL-90各因子分比较:症状总分和躯体化、人际关系、抑郁、敌对因子得分差异有统计学意义(P<0.001);④强迫和焦虑因子得分随着家庭收入的增加而减少(P<0.05);⑤在安置地不同实际居住时间SCL-90各因子分比较:躯体化、强迫、恐怖因子得分差异有统计学意义(P<0.05);⑥移民SCL-90与PSSG的相关分析:症状总分和躯体化、强迫、人际关系因子与消极情绪体验呈正相关(P<0.05),偏执因子与生活事件呈正相关(P<0.05),移民SCL-90与SSRS的相关分析:症状总分和躯体化、焦虑、敌对因子与客观支持呈负相关(P<0.05),躯体化、强迫、抑郁、焦虑、恐怖、精神病性因子与支持利用度呈负相关(P<0.05),焦虑和偏执因子与支持总分呈负相关(P<0.05)。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。
Objective To study the mental health status and related influencing factors of rural immigrants in the Three Gorges area. Methods A cluster stratified random sampling method was adopted. The survey subjects accepted the residents’ basic situation table and the group psychosocial stress questionnaire (PSSG), the symptom self-assessment scale (SCL-90), and the social support rating scale (SSRS). check. Results 1 The SCL-90 of the immigrants group had the exception of the three factors of hostility, terror and paranoia, all of which were higher than the local residents group (P<0.05).2 The difference in the scores of terrorist factors between male immigrants and female immigrants was statistically significant (P< 0.05);3Comparison of various factors of SCL-90 among immigrants of different ages: The scores of symptoms and somatization, interpersonal relationship, depression, and hostile factors scores were statistically significant (P<0.001); 4 The scores of obsessive and anxiety factors followed The increase of family income decreased (P<0.05); 5 The difference in the actual living time of SCL-90 at the place of settlement: Somatization, compulsion, and terror factor scores were statistically significant (P<0.05); Correlation analysis between SCL-90 and PSSG: There was a positive correlation between symptom scores and somatization, compulsion, interpersonal relationship factors and negative emotional experience (P<0.05), and positive correlation between paranoia factors and life events (P<0.05). Immigrants to SCL-90 Correlation analysis with SSRS: There was a negative correlation between total symptom scores and somatization, anxiety, and hostility factors and objective support (P<0.05), and negative correlations between somatization, compulsion, depression, anxiety, terror, psychotic factors, and support availability. (P<0.05), Anxiety and Paranoid Factors and Branches Total negative correlation (P <0.05). Conclusion There is a significant difference in mental health status between the immigration group and the local resident group. Measures should be taken to address the influencing factors, and immigration should be further improved.