丹江口首批移民心理健康干预的效果评价
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摘要
目的评价南水北调丹江口移民心理干预效果,为建立有针对性的心理健康干预提供科学依据。方法对丹江口库区第一批移民和安置地居民进行多阶段分层、整群抽样,以村为单位,将移民随机分为干预组和对照组1,安置地居民作为对照组2,运用SCL-90症状自评量表分别在干预前后两次进行问卷调查。结果 (1)干预前:移民SCL-90总分及各因子分均高于安置地居民(P<0.05);(2)干预后:干预组SCL-90总分及各因子分均低于对照组1和干预前(P<0.05),其中强迫症状、附加因子得分低于对照组2(P<0.05);对照组1躯体化、强迫症状、抑郁、敌对、附加因子和总分得分高于干预前(P<0.05)。结论在自然状态下移民的心理健康状况并未改善,对移民进行专业的、有针对性的心理干预是有效的。
Objective To evaluate the effects of psychological intervention on the immigrants of South-to-North Water Diversion Project in Danjiangkou, so as to provide scientific basis for the establishment of targeted psychological interventions. Methods The first group immigrants and local residents were sampled by multi-stage cluster sampling. Taking the village as a unit, immigrants were randomly divided into two groups, which were intervention group and control group 1, and local residents formed control group2. Then symptom Check-list 90(SCL-90) was adopted to survey the three groups before and after the intervention, respectively.Results Before the intervention, the immigrants' factor scores and total score of SCL-90 both were higher than those of local residents(P<0.05). After the intervention, SCL-90 total score and factor scores of the intervention group were lower than before and those of the control group1(P<0.05), in which the scores of obsessive-compulsive symptoms and additional factors were lower than control group 2(P<0.05). While the scores of somatization, hostility obsessive-compulsive symptom, depression, total score and additional factors in the control group 1 were higher than those of the immigrants before the intervention(P<0.05). Conclusion The psychological health status of immigrants has not been greatly improved in its natural state, thus professional and targeted psychological intervention to the immigrants is effective.
Objective To evaluate the effects of psychological intervention on the immigrants of South-to-North Water Diversion Project in Danjiangkou, so as to provide scientific basis for the establishment of targeted psychological interventions. Methods The first group immigrants and local residents were sampled by multi-stage cluster sampling. Taking the village as a unit, immigrants were randomly divided into two groups, which were intervention group and control group 1, and local residents formed control group2. Then symptom Check-list 90(SCL-90) was adopted to survey the three groups before and after the intervention, respectively.Results Before the intervention, the immigrants' factor scores and total score of SCL-90 both were higher than those of local residents(P<0.05). After the intervention, SCL-90 total score and factor scores of the intervention group were lower than before and those of the control group1(P<0.05), in which the scores of obsessive-compulsive symptoms and additional factors were lower than control group 2(P<0.05). While the scores of somatization, hostility obsessive-compulsive symptom, depression, total score and additional factors in the control group 1 were higher than those of the immigrants before the intervention(P<0.05). Conclusion The psychological health status of immigrants has not been greatly improved in its natural state, thus professional and targeted psychological intervention to the immigrants is effective.
引文
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[5]陈端颖,王枫,王娟.丹江口库区移民心理健康及其影响因素研究[J].现代预防医学,2011,38(20):4205-4206,4209.
[6]蔡青,时松和,张书敏,等.丹江口库区待迁移民心理健康与心理应激的相关性研究[J].现代预防医学,2014,41(8):1436-1438,1441.
[7]陈景红,冯春琴,郭朝阳,等.南水北调过渡期移民心理健康现状及返迁意愿的影响因素分析[J].现代预防医学,2015,42(8):1456-1459,1464.
[2]胡跃华,李向云,郭继志,等.三峡移民心理健康状况调查与分析[J].中国卫生事业管理,2007,23(8):554-555.
[3]庄立辉,郭继志,汪洋,等.三峡库区农村外迁移民心理健康状况及相关因素分析[J].中国自然医学杂志,2008,10(3):183-186.
[4]庄立辉,郭继志,汪洋,等.三峡库区移民心理健康状况及影响因素分析[J].中国公共卫生,2007,23(5):535-536.
[5]陈端颖,王枫,王娟.丹江口库区移民心理健康及其影响因素研究[J].现代预防医学,2011,38(20):4205-4206,4209.
[6]蔡青,时松和,张书敏,等.丹江口库区待迁移民心理健康与心理应激的相关性研究[J].现代预防医学,2014,41(8):1436-1438,1441.
[7]陈景红,冯春琴,郭朝阳,等.南水北调过渡期移民心理健康现状及返迁意愿的影响因素分析[J].现代预防医学,2015,42(8):1456-1459,1464.