摘要
为查明列车旅客突发精神障碍的诱发因素,作者于1990～1994年间,采用1:1配对、问卷式填表方法对旅客乘车前后的心理状况等30个可疑诱发因素进行随车现场调查,共调查突发精神障碍患者115例(发病率4.20/万),并对车厢内空气等进行监测。资料经 Logistic 回归等方法统计。结果显示:个体对列车及社会环境适应能力及忍受能力差、乘车前有负性精神刺激、列车治安差、携带贵重物品无安全感致精神紧张和强迫不眠、过度疲劳、饮食饮水不足、列车超员(占发病97.4%)、空气污浊(超员状态硬座车厢 CO_2含量0.226%)等是诱发本病的主要因素(P 值均<0.05)。在多个因素同时综合作用下,连续长时间对个体负性刺激时易诱发本病。
In order to find out the inducing factors associated with sudden psychiatric disorders oc- curring among train passengers,a spot investigation was carried out to passengers with regard to 30 sus- picious inducing factors such as their psychological conditions before and after travelling by methods of pairing 1:1 and using condensed questionnaire form 1990 to 1994.The studied 115 patients with a prevalence of 4.20/10000 train passengers,were invesitgated and samples of the air in the railway car- riages were monitared.Results of the data in terms of statistical logistic regression suggested that there were poor adaptability and endurance of certain passengers in the trains ad the nearby,related social en- vironment.Besides,other main inducing factors consisted of negative mental incentive before travelling in train,mental tonicity and obsessional insomnia resulted from fear of poor public security,sense of in- security for the passengens over valuables in the trains,excessive fatigue,inadequate food and drinks, and markedly crowded trains.The overload were involved in 97.4% of the desease incidence.The CO_2 contents which were found to be 0.226% on the average in the crowded,hardseats,train carriages ap- peared to be one of the main,important factors in provoking the desease(P<0.05).The authors con- sidered that was relatively easy to induce negative incentive to individuals in such trains,certain cases of sudden psychiatric disorder with a complex,continuous,foralongtime.
出处
《中华精神科杂志》
CAS
CSCD
1996年第1期47-50,共4页
Chinese Journal of Psychiatry
关键词
旅行精神病
精神障碍
因素分析
Travel
Mental disorders
Factoranalysis,statistical
