CAJ | 학술논문

目的：探讨战争应激心理障碍对参战人员睡眠质量及认知功能的影响。方法选择20世纪70年代参加过西南边境作战的军队退休干部47人为研究组,选择没有参战的军队退休干部49人为对照组。采用症状自评量表(SCL-90)评定两组心理健康水平；观察研究组心理症状与认知功能[采用简易精神状态检查量表(MMSE)评定]、脑白质病变(行头颅MR检查观察)及睡眠障碍[采用匹兹堡睡眠质量指数量表( PSQI)评定]的关系。结果研究组有13例(27.7%)SCL-90心理症状筛查阳性,躯体化、强迫症状、抑郁、焦虑、恐怖、精神病性6个因子分及总分显著高于对照组(P<0．05)。研究组心理症状筛查阳性者与心理症状筛查阴性者比较,认知功能下降者比例显著升高(P<0．05)、MMSE总分显著降低(P<0．05),脑白质病变发生率显著升高(P<0．05),睡眠障碍发生率显著升高(P<0．05),PSQI睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍因子分及总分均显著升高(P <0．05)。结论战争应激所致参战人员的心理障碍较重且影响持久,应予关注,及时采取针对性心理干预措施,以最大限度保障其身心健康。
목적：탐토전쟁응격심리장애대삼전인원수면질량급인지공능적영향。방법선택20세기70년대삼가과서남변경작전적군대퇴휴간부47인위연구조,선택몰유삼전적군대퇴휴간부49인위대조조。채용증상자평량표(SCL-90)평정량조심리건강수평；관찰연구조심리증상여인지공능[채용간역정신상태검사량표(MMSE)평정]、뇌백질병변(행두로MR검사관찰)급수면장애[채용필자보수면질량지수량표( PSQI)평정]적관계。결과연구조유13례(27.7%)SCL-90심리증상사사양성,구체화、강박증상、억욱、초필、공포、정신병성6개인자분급총분현저고우대조조(P<0．05)。연구조심리증상사사양성자여심리증상사사음성자비교,인지공능하강자비례현저승고(P<0．05)、MMSE총분현저강저(P<0．05),뇌백질병변발생솔현저승고(P<0．05),수면장애발생솔현저승고(P<0．05),PSQI수면질량、입수시간、수면시간、수면효솔、수면장애、일간공능장애인자분급총분균현저승고(P <0．05)。결론전쟁응격소치삼전인원적심리장애교중차영향지구,응여관주,급시채취침대성심리간예조시,이최대한도보장기신심건강。
Objective To investigate the effect of post-war psychological stress disorder on sleep quality and cognitive function of war participants. Methods A total of 47 PLA retired officers, who had taken part in the war at the southwest border in the 1970s, were selected as the research group, while 49 military retired officers who did not take part in the war were selected as control group. The levels of mental status in the two groups were evaluated with the symptom checklist-90 (SCL-90);the relationships between mental symptoms and cognitive function [measured with mini-mental state examination ( MMSE) ] , encephalic white matter lesions [ evaluated with brain magnetic resonance ( MR) ] as well as sleep disorders [ measured with Pittsburgh sleep quality index ( PSQI) ] in the research group were also analyzed. Re-sults In the research group, the positive mental symptom was found in 13 cadres (27. 7%) measured by SCL-90, and scores of somatization, obsessive-compulsive, depression, anxiety, terror and psychotic factors and the total score were significantly higher than those in the control group (P<0. 05). In the research group, the ratio of positive mental symp-tom officers with cognitive decline was significantly higher ( P<0. 05 ) , while the total score of MMSE was significantly lower than those with negative mental symptom officers (P<0. 05);the incidence rate of encephalic white matter lesions of positive mental symptom officers was significantly higher compared with those of negative mental symptom officers ( P<0. 05);the incidence rate of officers with sleep disorders of positive mental symptom officers was significantly higher than that of negative mental symptom officers ( P<0. 05 ) , and the scores of sleep quality, time of falling sleep, hours of sleep, sleep efficiency, sleep disorder, daytime dysfunction factors and total score of PSQI of positive mental symptom of-ficers were significantly higher than those of negative mental symptom officers ( P<0. 05 ) . Conclusion Psychological disorder induced by war-related stress in those taking part in war action serious with longtime influence, and therefore it deserves more attention and timely psychological intervention should be taken to maximatily maintain their physical and mental health.