Huang Bing-hua, Wang Yang, Wang Qing-liang, Wang Hong
Department of Maternal Care and Child Health, Chongqing Medical University, Chongqing 400016, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2008 Nov;29(11):1069-73.
To investigate the psychological well-being and the correlation between psychological status and social support among the settled immigrations from Three Gorges Reservoir areas.
A cluster randomized sampling was selected and 646 objects were interviewed with Basic Situation Scale, Symptom Check-list 90 (SCL-90) and Social Support Rating Scale (SSRS).
Our findings from the results of SCL-90 revealed that the positive rate of psychological problem was higher in settled immigration than that of local permanent residents (chi(2) = 4.10, P = 0.04). The differences of scores on 6 factors including compulsion (t = 2.644, P = 0.009), interpersonal-sensitivity (t = 3.220, P = 0.001), depression (t = 2.684, P = 0.008), anxiety (t = 3.003, P = 0.003), paranoid-ideation (t = 3.246, P = 0.001), psychoticism (t = 2.088, P = 0.038) and the total score (t = 2.506, P = 0.013) were significantly different in female between the two groups. There were also significant differences of 10 factors score and total score (t = 4.114, P = 0.000) noticed between the two groups in age < or = 50 (P < 0.05) and the differences of 4 factors score including somatization (t = 2.777, P = 0.006), interpersonal-sensitivity (t = 2.384, P = 0.018), hostility (t = 3.174, P = 0.002), paranoid ideation (t = 2.611, P = 0.010). The total scores (t = 2.125, P = 0.034) were significantly different between the two groups in illiteracy and having received primary school education. Other than compulsion factor (t = 1.884, P = 0.061) and phobic anxiety factor (t = 0.979, P = 0.328), there were significant differences on other factors and the total score between the two groups in non-farmers (P < 0.05). Except compulsion (r = -0.103, P > 0.05), hostility (r = -0.084, P > 0.05) and paranoid ideation factor (r = -0.071, P > 0.05), the negative correlations were obvious between the total score, other factors score and social support (P < 0.05). The negative correlation was obvious between somatization (r = -0.128, P < 0.05), depression (r = -0.140, P < 0.05), anxiety (r = -0.137, P < 0.05), phobic anxiety (r = -0.120, P < 0.05), additional factor (r = -0.143, P < 0.05) total score (r = -0.137, P < 0.05) and subjective support. The correlation coefficient was not significant between SCL-90 total score, 10 factors score and that of objective support (P > 0.05).
The psychological status of settled immigration was not satisfactory and closely correlated to psychological mental level and social support.
探讨三峡库区移民心理状况及其与社会支持的相关性。
采用整群随机抽样法,选取646例对象,采用基本情况量表、症状自评量表(SCL-90)和社会支持评定量表(SSRS)进行问卷调查。
SCL-90结果显示,移民心理问题阳性率高于当地常住人口(χ²=4.10,P=0.04)。两组女性在强迫(t=2.644,P=0.009)、人际关系敏感(t=3.220,P=0.001)、抑郁(t=2.684,P=0.008)、焦虑(t=3.003,P=0.003)、偏执(t=3.246,P=0.001)、精神病性(t=2.088,P=0.038)6个因子及总分(t=2.506,P=0.013)差异有统计学意义。两组年龄≤50岁者在10个因子及总分差异有统计学意义(t=4.114,P=0.000)(P<0.05);两组文盲及小学文化者在躯体化(t=2.777,P=0.006)、人际关系敏感(t=2.384,P=0.018)、敌对(t=3.174,P=0.002)、偏执(t=2.611,P=0.010)4个因子及总分差异有统计学意义(t=2.125,P=0.034)。两组非农业人口除强迫因子(t=1.884,P=0.061)、恐怖因子(t=0.979,P=0.328)外,其他因子及总分差异有统计学意义(P<0.05)。除强迫(r=-0.103,P>0.05)、敌对(r=-0.084,P>0.05)、偏执因子(r=-0.071,P>0.05)外,SCL-90总分及各因子分与社会支持呈显著负相关(P<0.05)。躯体化(r=-0.128,P<0.05)、抑郁(r=-0.140,P<0.05)、焦虑(r=-0.137,P<0.05)恐惧(r=-0.120,P<0.05)、附加因子(r=-0.143,P<0.05)及总分(r=-0.137,P<0.05)与主观支持呈显著负相关。SCL-90总分及各因子分与客观支持相关系数无统计学意义(P>0.05)。
三峡库区移民心理状况不容乐观,与心理健康水平及社会支持密切相关。