摘要
目的:探讨河北省农村居民的心理健康与应对方式现状,明确二者关系。方法:选取河北省5个地区10个县,按照分层随机抽样的方法,采用简易心理状况评定量表,症状自评量表和简易应对方式问卷对1000名农村居民的心理健康水平进行评价。结果:河北省农村居民的总体心理健康得分为19.67±7.29,其中心理健康水平偏低者占28.2%。显示与其心理健康水平偏低相关的心理症状可能为躯体化、强迫、抑郁、焦虑、恐怖、偏执、精神病性;其积极应对方式较常模有显著提高,消极应对方式无显著变化。相关分析显示,积极应对方式采用越多,心理健康水平越好;反之不然。结论:河北省农村居民的总体心理健康状况处于一般水平。虽然部分农村居民积极应对能力有所提高,但其心理健康并不容乐观。建议相关部门加大农村心理诊疗机构的投入,指导农村居民正确采取积极有效的应对方式,提高其心理健康水平。
To investigate mental health and coping strategies level, and explore their relationship among rural residents in Hebei Province. By random stratified sampling,847 rural residents were surveyed using the 10-item Kessler psychological distress scale, the symptom-Checklist 90 and Simplified Coping Style Questionnaire. And they were interviewed for the possible reasons of their answers. The mean score of mental health was 19.67-7.29 ,and the participants with lower scores accounted for 28.2%. Further analysis found mental symptoms, such as somatization, compulsion, depression, anxiety, horror, paranoia and psychotieism, were the main symptoms that might lead to their lower mental health scores. The active coping strategies in the low mental health score groups was significantly higher than norm group （ P 〈 0.05 ） , while the passive coping strategies did not show obvious change. There was a positive correlation between active coping strategies and mental health（ r = -0. 757, P 〈 0.05 ） , and negative correlation between passive coping strategies and mental health （ r = O. 183, P 〈 0.05 ）. The mental health level among rural resi- dents in Hebei province was in average level. Although the coping strategies in part of the residents improved markedly than the norm group, their mental health was found to be in a lower lever. More methods should be taken to improve their mental health.
出处
《中国卫生事业管理》
北大核心
2013年第8期608-610,共3页
Chinese Health Service Management
基金
河北省社科基金"河北省农村疾病预防控制体系现状与发展研究"(编号:HB12GL047)
关键词
农村居民
心理健康
应对方式
rural resident
mental health
coping strategy
