CAJ | 학술논문

目的：探讨新兵对自己疾病和健康的关注程度，以及这些疾病观念、求医行为与其心理健康状况之间的关系．方法对865名消防新兵分别进行90项症状自评量表（symptom checklist 90，SCL-90）、焦虑自评量表（self-rating anxiety scale，SAS）、抑郁自评量表（self-rating depression scale，SDS）、疾病观念与求医行为问卷（self-rating scale of illness conception and health seeking behavior，SSICHSB）测评．结果（1）消防新兵SCL-90除人际关系、抑郁、敌对因子外，其余因子分均高于全国常模；和军人常模相比，躯体化和焦虑显著高于军人常模；SDS评分和SAS评分均高于全国常模；（2） SCL-90总分和各因子分、SAS总分与SDS总分和疾病观念与求医行为总分和各因子分均呈负相关；（3）以SCL-90各因子、抑郁自评量表各因子、焦虑自评量表各因子为自变量，疾病观念与求医行为总分为因变量进行逐步回归分析，焦虑因子、SAS总分和强迫状态因子进入回归方程，结果有统计学意义（＜0.05）．结论消防新兵存在明显的躯体化、焦虑、抑郁症状，且症状越明显，疾病观念与求医行为越被动．
목적：탐토신병대자기질병화건강적관주정도，이급저사질병관념、구의행위여기심리건강상황지간적관계．방법대865명소방신병분별진행90항증상자평량표（symptom checklist 90，SCL-90）、초필자평량표（self-rating anxiety scale，SAS）、억욱자평량표（self-rating depression scale，SDS）、질병관념여구의행위문권（self-rating scale of illness conception and health seeking behavior，SSICHSB）측평．결과（1）소방신병SCL-90제인제관계、억욱、활대인자외，기여인자분균고우전국상모；화군인상모상비，구체화화초필현저고우군인상모；SDS평분화SAS평분균고우전국상모；（2） SCL-90총분화각인자분、SAS총분여SDS총분화질병관념여구의행위총분화각인자분균정부상관；（3）이SCL-90각인자、억욱자평량표각인자、초필자평량표각인자위자변량，질병관념여구의행위총분위인변량진행축보회귀분석，초필인자、SAS총분화강박상태인자진입회귀방정，결과유통계학의의（＜0.05）．결론소방신병존재명현적구체화、초필、억욱증상，차증상월명현，질병관념여구의행위월피동．
Objective To explore the correlation between illness conception, health seeking behavior and mental health status in recruits. Methods 865 recruits were evaluated by Symptom Checklist 90 (SCL-90), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Self-Rating Scale of Illness Conception and Health Seeking Behavior (SSICHSB) . Results (1) Except interpersonal sensitivity, depression and hostility, there were significantly differences in other factors of SCL-90 between recruit and the national norm. Somatization and anxiety scres were significantly higher ghan the military norm. The scores of SAS and SDS were significantly higher for recruits compared to national norm. (2) There was negative correlation between the total score, each factor score of SCL-90, the total score of SDS, the total score of SAS and SSICHSB; (3) Stepwise lines regression found three factors including anxiety, the total score of SAS and obsessiveness statistically significant, when the dependent variable was the total score of SSICHSB. Conclusion There are obvious somatization,anxiety and depression in recruits. The more obvious the symptoms are, the more passive the illness conception and health seeking behavior are.