应急机动卫勤分队136名队员心理应对机制分析.doc

应急机动卫勤分队136名队员心理应对机制分析 　 作者：刘军，王东耀，王建伟，赵春华 【摘要】 目的 了解应急机动卫勤分队队员心理应对机制的特点及应对方式与个性因素和心理健康水平的关系。方法 采用临床症状自评量表（SCL90）、卡特尔十六种个性因素问卷（16PF）和简易应对方式问卷（SCSQ）对136名分队队员进行测试。结果 应急机动卫勤分队队员积极应对和消极应对得分与全国常模比较均有非常显著差异，积极应对高于常模，而消极应对低于常模。积极应对与情绪稳定、有恒、敢为、忧虑、自律、紧张、适应焦虑、心理健康、专业成就和成长能力等因素相关，均达到显著水平（P＜0.05）以上。消极应对与情绪稳定、敢为、怀疑、忧虑、紧张、适应焦虑、内向外向、心理健康、专业成就、SCL90总分和总均分等因素相关，达显著水平（P＜0.05）以上。结论 应急机动卫勤分队队员应对方式成熟、积极，应对方式与某些个性因素及心理健康水平相关。 【关键词】 应急；机动卫勤分队；应对方式 Analysis of Psychological Coping Mechanisms in 136 Mobile Medical Logistic Team Members 　　Abstract： Objective To study the features of psychological coping mechanisms and the relation of coping style, personal factors and mental health in mobile medical logistic team members.Methods SCL90, 16PF and SCSQ were used to test 136 mobile medical logistic team members. Results The scores of positive response were higher in mobile medical logistic team members than in norm and their negative responses were lower than norm’s.Positive responses were related to emotional stability,perseverance, dare, worry,selfdiscipline, tension,adaptation of anxiety,mental health,professional achievement and ability to grow (Plt;0.05). Negative responses were related to emotional stability, dare, suspect, worry, tension, adaptation of anxiety, diffidence extroversion, mental health, professional achievement, general score and general average score of SCL90 (Plt;0.05). Conclusion The coping style of mobile medical logistic team members is mature and positive. Coping style is related to some personal factors and mental health level. 　　Key words： response to emergency; mobile medical logistic team; coping style 　　应对是个体对现实环境变化有意识、有目的和灵活的调节行为，应对的主要功能是调节应激事件作用，包括改变对应激事件的评估，调节与事件有关的躯体或情感反应[1]。个体的应对方式作为调节应激事件和心理健康的重要中介因素，其作用越来越受到人们的重视。本研究旨在了解应急机动卫勤分队队员心理应对机制的特点及应对方式与个性因素和心理健康水平的关系。 　　1 对象与方法 　　1.1 对象 2007—2008年，参加应急机动卫勤分队训练的某陆军和某海军抽组分队队员，共136人，其中陆军野战医疗所102人，占75.0%，海军救护艇分队34人，占25.0%；男性71人，占52.2%，女性65人，占47.8%；年龄最小21岁，最大45岁，平均（32.6±5.6）岁；学历分布，博士及以上3人， 占2.2%， 硕士15人，占11.0%，本科90