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[1]张理义,唐开宏,魏红辉,等.国防生有自杀意念者心身健康状况及其危险因素的研究[J].医学研究与战创伤救治(原医学研究生学报),2012,14(06):487-490.
　ZHANG Li-yi,TANG Kai-hong,WEI Hong-hui,et al.A study on the status and influential factors of psychosomatic health of national defense students with suicidal ideation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(06):487-490.
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国防生有自杀意念者心身健康状况及其危险因素的研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年06期
页码:
487-490
栏目:
出版日期:
2012-11-20

文章信息/Info

Title:
A study on the status and influential factors of psychosomatic health of national defense students with suicidal ideation
文章编号:
1672-271X(2012)06-0487-04
作者:
张理义1; 唐开宏2; 魏红辉3; 陈春霞1; 姚高峰1; 孔令明1
1.213003 江苏常州，解放军102医院全军心理疾病防治中心;2.212000 江苏镇江 江苏大学临床医学院;3.310013 浙江杭州，浙江省立同德医院精神科
Author(s):
ZHANG Li-yi1; TANG Kai-hong2; WEI Hong-hui3; CHEN Chun-xia1; YAO Gao-feng1; KONG Ling-ming1.
1.Mental Diseases Research Center of PLA,102 Hospital of PLA,Changzhou,Jiangsu 213003,China；2.College of Clinical Medicine,Zhenjiang,Jiangsu 212000,China；3.Department of Psychiatry,Tongde Hospital Affiliated to Zhejiang province,Hangzhou,Zhejiang 310013,China
关键词:
自杀意念;  心身健康;  国防生
Keywords:
suicidal ideation;  psychosomatic health;  national defense students
分类号:
R749.92
DOI:
-
文献标志码:
A
摘要:
目的 探讨国防生有自杀意念者心身健康状况及其影响因素，以便有针对性的采取心理干预，提高其心身健康水平。方法 随机整群抽取某高校国防生519名，采用《中国军人心身健康量表》测试心身健康水平，将第63条目“有想死的念头”得分等于1分定义为有自杀意念。同时采用《军人心理疾病预测量表》探讨其危险因素。结果 国防生自杀意念的发生率为10.3%，除呼吸系、消化系和皮肤因子外，有自杀意念组心身健康量表总分、心理健康因子、躯体健康因子以及其余各因子分均显著高于无自杀意念组(P＜0.05或0.01)；相关分析的结果显示，有自杀意念者的焦虑、抑郁与其成长经历、个性内向、心理防御不良、社会支持缺乏呈显著正相关(r=0.277～0.666，P＜0.05或0.01)，个性内向、心理防御不良、社会支持缺乏、应激源与心身健康总分、心理健康因子分及躯体健康因子分亦呈显著正相关(r=0.292～0.691，P＜0.05或0.01)；经多元逐步回归分析发现，心理防御不良分别进入以有自杀意念者的心身健康总分、心理健康因子、躯体健康因子、焦虑及抑郁因子分为因变量的多元回归方程(P＜0.01)。结论 国防生有自杀意念者心身健康状况较差，心理防御不良是自杀意念者心身健康状况的重要影响因素。
Abstract:
Objective To investigate the characters and influencing factors of psychosomatic health of national defense students with suicidal ideation,develop psychological intervention and improve the level of psychosomatic health.Methods By cluster random sampling,519 national defense students were tested by The Chinese Military Psychosomatic Health Scale (CMPHS) and The Military Mental Disorders Prediction Scale.The 63th item of CMPHS which individual has the ideal of thoughts of death and rates it 1 point defined as suicidal ideation.Results The occurrence of suicidal ideation in national defense students was 10.3%.The total psychosomatic score,total mental score,total somatic score and each factor score of CMPHS(except for respiratory,digest and integument) of national defense students with suicidal ideate-on were significant higher than those without suicidal ideation(P< 0.05 or 0.01).Single factor correlation analysis showed that anxiety,depression of national defense students with suicidal ideation were significant positive correlated with their upbringing,introverted,immature defense mechanisms,absence of social support (r=0.277~0.666,P<0.05 or 0.01).The total psychosomatic score,total mental score,total somatic score were significant positive correlated with introverted personality,immature defense mechanisms,absence of social support and stressor (r=0.292 ~ 0.691,P< 0.05 or 0.01).While multiple regression analysis found that immature defense mechanisms was elected to the regression equation by the total psychosomatic score,total mental score,total somatic score,anxiety and depression (P<0.01).Conclusion The status of psychosomatic health of national defense students with suicidal ideation was worst than those without suicidal ideation.Immature defense mechanisms were influential factor in psychosomatic health.

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备注/Memo:
国家科技部支撑计划项目(2009BAI77B01)
更新日期/Last Update: 2012-11-20