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目的:探讨军人职业压力与躯体化的相关性。方法:随机整群抽取男性军人2163例,采用中国军人职业压力量表和中国军人心理健康量表,对其职业压力和心理健康水平进行测评,并分析两者的相关性。结果:农村籍军人个人发展压力分值显著高于城镇籍军人(P<0.05),其他因子分值两组差异不显著(P>0.05)。武警军人躯体化、职业压力总分、军旅特殊生活、个人发展、角色不清因子分值显著或非常显著高于陆军军人(P<0.05,P<0.01)。Pearson相关分析结果显示,躯体化与职业压力总分及人际关系、军旅特殊生活、经济压力、工作压力、婚姻家庭压力、个人发展、角色不清和领导能力呈非常显著正相关(P<0.01)。多元逐步回归分析结果显示,人际关系、军旅特殊生活、个人发展和经济压力进入以躯体化为因变量的回归方程(P<0.01)。结论:职业压力是影响军人躯体化的主要因素。
Objective: To explore the correlation between occupational stress in military personnel and somatization. Methods: A total of 2163 male servicemen were recruited in a randomized cluster. Occupational stress and mental health were measured using the Chinese Occupational Stress Scale and the Chinese Military Mental Health Scale, and their correlations were analyzed. Results: The score of personal development pressure of rural soldiers was significantly higher than that of urban soldiers (P <0.05). The scores of other factors were not significantly different between the two groups (P> 0.05). The scores of somatization, occupation pressure, armed police special life, personal development and unclear role were significantly or very significantly higher than Army soldiers (P <0.05, P <0.01). Pearson correlation analysis showed that there was a significant positive correlation (P <0.01) between somatization and total occupational stress and interpersonal relationship, military special life, economic pressure, work stress, marital and family stress, personal development, unclear roles and leadership ability. The results of multivariate stepwise regression analysis showed that interpersonal relationships, military special life, personal development and economic pressure entered the regression equation with somatization as the dependent variable (P <0.01). Conclusion: Occupational stress is the main factor affecting the somatization of military personnel.