1712例心理亚健康状态人群的相关因素分析

摘要

Objective To explore the general characteristics of the psychological sub-health state and to analyze the factors pos-sibly leading to the psychological sub-health state in order to provide the scientific basis for the treatment and prevention of the psy-chological sub-health state .Methods The individuals with the physical examination in our hospital were performed the psychologi-cal heath survey .Among them ,1 712 cases of psychological sub-health were taken as the research group and contemporaneous 1 902 cases of normal health were taken as the control group .The Symptom Check List-90(SCL-90) was adopted to compare the two groups and the logistic regression analysis was adopted to analyze the risk factors possibly leading to the psychological sub-health occurrence .Results The average scores of 20 factors in SCL-90 in the research group were higher than those in the control group , the difference was statistically significant (P<0 .05) ,in which ,the scores of interpersonal relationship sensitivity (22 .1 ± 5 .7) ,para-noid(14 .1 ± 5 .2) and the others(17 .5 ± 6 .3) in the research group were significantly higher than the critical scores with obvious symptoms .The logistic regression analysis results showed that :the sleep quality(OR=1 .843) ,accidental injury(OR=2 .634) ,eco-nomical status(OR=3 .032 ,and professional type(OR=4 .684) were the independent risk factors of the psychological sub-health occurrence .Conclusion The local patients with psychological sub-health were more prominent in the more sensitivity of the inter-personal relationship ,paranoid and poor sleep ,especially the intellectuals ,individuals with poor sleep and the crowd with accidental injury are prone to develop psychological sub-health .%目的：探讨心理亚健康状态人群的一般特征，并对可能导致心理亚健康状态的因素进行分析，以期为治疗及预防心理亚健康的发生提供科学的依据。方法对辽河油田总医院进行健康体检者进行心理健康调查，其中处于心理亚健康者1712例作为研究组，同期1902例健康患者为对照组，采用症状自评90项对两组患者进行比较，采用多因素Logistic回归分析可能导致心理亚健康发生的危险因素。结果研究的SGL-90评分中10项因子平均得分均高于对照组（ P＜0．05），其中研究组的人际关系敏感（22．1±5．7）分、偏执（14．1±5．2）分和其他（17．5±6．3）分明显高于临界分数，症状明显。多因素Logistic回归分析结果显示：睡眠质量（OR＝1．843）、意外伤害（OR＝2．634）、经济状况（OR＝3．032）、职业类型（OR＝4．684）是心理亚健康发生的独立危险因素。结论本地心理亚健康患者以人际关系敏感、偏执及睡眠差等症状较为突出，尤其是知识分子、睡眠不好者及发生意外伤害的人群都是心理亚健康的易发人群。