摘要: 目的 探讨寒区集训新兵心理健康状况的影响因素。 方法 以症状自评量表(SCL-90)测评参训第1周1000名新兵的心理健康状况。 结果 有效问卷981份。县城来源新兵的强迫症状、人际关系、抑郁、敌对、恐怖、偏执、精神病性及SCL-90总分高于省城及农村来源新兵，农村新兵躯体化因子分低于省城和县城来源新兵。高中学历新兵SCL-90在躯体化、人际关系、抑郁、敌对、焦虑、偏执、精神病性及SCL-90总分高于初中及以下组新兵。有烟酒饮用习惯者SCL-90总分及所有因子分高于无烟酒饮用习惯者。回归分析表明，寒区集训新兵躯体化因子分与家庭住址呈负相关(r=-0.11)，与吸烟习惯呈正相关(r=0.17)；强迫症状(r=0.17)、人际关系(r=0.17)、抑郁(r=0.20)、焦虑(r=0.16)、敌对(r=0.25)、恐怖(r=0.12)、偏执(r=0.21)及精神病性(r=0.11)及SCL-90总分(r=0.21)与饮酒习惯呈正相关。 结论 寒区新兵心理健康的主要影响因素为吸烟饮酒。

Abstract: Objective To investigate the influencing factors of mental health among recruits during training in cold area. Methods The symptom checkhist-90(SCL-90) was used to evaluate the mental health among 1 000 recruits during the first training week. Results Compared with country side and city recruits, recru its from towns had higher score in obsession, interpersonal relation ship, depression, hostile, photicaneiety, paranoia, psy choticism, the total score of SCL-90, and the score of som atization. Compared with recruits with junior high school education, recruits with high or middle school education had high score in somatization, interpersonal relation ship, depression, hostile, anxiety, paranoia, psy choticism, and the total score of SCL-90. Recruits having alcohol and smoking hobbies had higher SCL-90 score than recruits without those hobbies. Regression analysis showed that the total score of SCL-90 and the score of somatization, in terpersonal relationship, depression, hostile, anxiety, paranoia, psychoticism of the recruits were inverse correlated with living environmen, twhile direct correlated with a lcoholand smoking hobbies. Conclusion Drinking and smoking are the major mental health influencing factors in recruits during training in cold a rea.