CAJ | 학술논문

背景:在传染性非典型肺炎流行期间由于种种原因被实施隔离的人群,出现一系列心理、生理、行为的反应. 目的:了解被隔离人群中不同心理健康水平者的防御方式特点,探讨隔离人群的防御方式与心理健康的关系. 设计:以传染性非典型肺炎流行期间被隔离人群为研究对象的调查研究. 单位:一所军队医院的精神科. 对象:西北某市 2003- 04/05底因非典疫情被隔离的,不同性别、年龄与文化程度的 187人. 方法:采用症状自评量表( SCL 90)和防御方式问卷( DSQ)对因非典疫情被隔离的 187名人员的进行调查. 主要观察指标:①隔离人群 SCL 90各因子评定与国内常模结果比较.②防御方式与 SCL 90各因子的相关分析.③高症状组与低症状组 DSQ因子分比较. 结果:该人群 36.4%存在有明显的心身健康问题,以焦虑、恐怖、抑郁、敌对和强迫较为突出;高、低症状组在使用防御方式上存有差异,其中不成熟型高、低症状组的 DSQ因子分分别为 5.72± 1.56, 4.35± 0.96,中间型防御分别为 4.98± 1.44,3.72± 0.89( P< 0.01);心理健康问题与应用不成熟型心理防御方式呈正相关,与应用成熟型防御方式呈负相关. 结论:不同心理健康水平的隔离人员的防御方式存在差异,隔离人群的防御策略与其心理健康密切相关.
배경:재전염성비전형폐염류행기간유우충충원인피실시격리적인군,출현일계렬심리、생리、행위적반응. 목적:료해피격리인군중불동심리건강수평자적방어방식특점,탐토격리인군적방어방식여심리건강적관계. 설계:이전염성비전형폐염류행기간피격리인군위연구대상적조사연구. 단위:일소군대의원적정신과. 대상:서북모시 2003- 04/05저인비전역정피격리적,불동성별、년령여문화정도적 187인. 방법:채용증상자평량표( SCL 90)화방어방식문권( DSQ)대인비전역정피격리적 187명인원적진행조사. 주요관찰지표:①격리인군 SCL 90각인자평정여국내상모결과비교.②방어방식여 SCL 90각인자적상관분석.③고증상조여저증상조 DSQ인자분비교. 결과:해인군 36.4%존재유명현적심신건강문제,이초필、공포、억욱、활대화강박교위돌출;고、저증상조재사용방어방식상존유차이,기중불성숙형고、저증상조적 DSQ인자분분별위 5.72± 1.56, 4.35± 0.96,중간형방어분별위 4.98± 1.44,3.72± 0.89( P< 0.01);심리건강문제여응용불성숙형심리방어방식정정상관,여응용성숙형방어방식정부상관. 결론:불동심리건강수평적격리인원적방어방식존재차이,격리인군적방어책략여기심리건강밀절상관.
BACKGROUND:During the outbreak of severe acute respiratory syndrome(SARS),certain people had been isolated by various reasons and appeared a series of psychological, physical and behavioral reactions. OBJECTIVE:To understand the different defensive features in people with different level of mental health in the isolated population, and explore the relationship between defensive style and mental health. DESIGN:An in investigative study taking the isolated population during outbreak of SARS as the subjects. SETTING:A psychiatric department of a military hospital. PARTICIPANTS:Totally 187 people of different sex,age and education, who were isolated during April and May 2003 due to SARS outbreak in a city of northwest China,were selected as the subjects. INTERVENTIONS:The 187 subjects,who were isolated due to SARS outbreak,were evaluated by using the symptom checklist(SCL 90) and defense style questionnaire(DSQ). RESULTS:About 36.4% people of this population had distinct mental or physical health problems that were characterized by anxiety,horror,depression,hostility and compulsion.There was difference in defensive styles between the high symptom group and low symptom group,among which the score of DSQ factors in the immature type of high and low symptom groups were 5.72± 1.56 and 4.35± 0.96 respectively while the scores in the intermediate type defense were 4.98± 1.44 and 3.72± 0.89 respectively(P< 0.01).Mental health problem was positively correlated with the application of immature defensive style,but had negative correlation with application of mature defensive means. CONCLUSION:There is difference in the defensive styles among the isolated people with different mental health status,and their defensive strategies are closely related to the mental health.