[1]许珂,王佳,张晶轩,等.高原军人抑郁症状发展特点及与耐挫的关系研究[J].第三军医大学学报,2020,42(16):1606-1612.
 XU Ke,WANG Jia,ZHANG Jingxuan,et al.Developmental characteristics of depressive symptoms and their relationship with mental toughness in military personnel serving in high-altitude regions [J].J Third Mil Med Univ,2020,42(16):1606-1612.
点击复制

高原军人抑郁症状发展特点及与耐挫的关系研究(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
42卷
期数:
2020年第16期
页码:
1606-1612
栏目:
专题报道
出版日期:
2020-08-30

文章信息/Info

Title:
Developmental characteristics of depressive symptoms and their relationship with mental toughness in military personnel serving in high-altitude regions
 
作者:
许珂王佳张晶轩薛奕童张森程晓彤徐慧敏王慧中肖红冯正直任辉
陆军军医大学(第三军医大学):护理系护理管理学教研室,医学心理系军人发展心理学教研室,第一附属医院院务处,研究生院
 
Author(s):
XU Ke WANG Jia ZHANG Jingxuan XUE Yitong ZHANG Sen CHENG Xiaotong XU Huimin WANG Huizhong XIAO Hong FENG Zhengzhi REN Hui1

Department of Nursing Management, School of Nursing; 2Department of Developmental Psychology of Armyman, School of Medical Psychology; 3Department of Logistics of First Affiliated Hospital; 4Graduate School; Army Medical University (Third Military Medical University), Chongqing, 400038, China

关键词:
高原军人抑郁耐挫年龄纵向研究
Keywords:
high altitude military personnel depression mental toughness age longitudinal investigation
分类号:
R339.54; R395.6; R821.2
文献标志码:
A
摘要:

目的探讨高原军人的抑郁症状在时间维度上的变化趋势和规律,以及耐挫、人口学等因素与高原军人抑郁症状严重程度的关系。方法于2016年8月、2017年8月、2018年8月,采用自行编制的人口学资料调查表、流调中心抑郁量表中国修订版、军人心理素质量表对整群抽取的常驻我国青藏线某部的212名高原军人进行3次团体测评。运用2016年的耐挫得分、2017年的人口学资料情况对2018年的抑郁症状得分进行因果关系的预测。结果高原军人抑郁症状2016~2018年得分分别为(13.61±7.62)、(13.65±6.36)、(21.87±10.61)分,均显著高于我国青年常模(P<0.05);抑郁症状发生率显著高于中国军人(P<0.01);抑郁症状随驻守时间延长呈明显加重趋势(P<0.01)。不同年龄和军龄对抑郁症状变化的影响有统计学意义(P<0.05)。抑郁症状得分与年龄、军龄和耐挫呈显著负相关(r=-0.245~-0.287,P<0.001)。调节效应分析显示,年龄能调节耐挫与抑郁症状之间的关系(t=-1.768,P<0.05),共解释抑郁症状变异率的17.1%。结论高原军人具有较高的抑郁发生率和较重的抑郁症状。年龄、军龄、耐挫是高原军人抑郁症状的重要影响因素。年龄能调节高原军人抑郁症状与耐挫的关系,耐挫素质的训练可有效预防高原军人抑郁。

Abstract:
ObjectiveTo explore the trend and the pattern of temporal changes of depressive symptoms and the association of mental toughness and demographic characteristics with the severity of depression in military personnel serving in high-altitude regions. MethodsIn August of 2016, 2017 and 2018, we conducted 3 group assessments of 212 military personnel serving in high-altitude regions along the Qinghai-Tibet Supply Line by cluster sampling using a self-designed demographic data questionnaire, Center for Epidemiologic Studies Depression Scale and Mental Quality Questionnaire for Armymen. The scores for mental toughness of the subjects in the 2016 assessment and the demographic data collected in 2017 were used to predict the scores of depressive symptoms of the subjects in 2018. ResultsIn the years of 2016, 2017, and 2018, the military personnel had mean depression symptom scores of 13.61±7.62, 13.65±6.36 and 21.87±10.61, respectively, significantly higher than the national norms for Chinese youth (P<0.05). The incidence of depressive symptoms was significantly higher in these military personnel than the norm in Chinese soldiers (P<0.01), and their depressive symptoms showed a significant trend of aggravation with the extension of military service time (P<0.01). Age and the length of military service time significantly affected the depressive symptoms (P<0.05); age, time of military service and mental toughness showed significant negative correlations with depressive symptom scores among these individuals (r=-0.245 to -0.287, P<0.001). Regulatory effect analysis showed that age could modulate the relationship between mental toughness and depressive symptoms (t=-1.768, P<0.05), and explained 17.1% of the variance rate of depressive symptoms. ConclusionThe military personnel serving in high-altitude regions have a high incidence of depression and severe depressive symptoms. Age, time of military service and mental toughness are important factors affecting the depressive symptoms. Age can modulate the relationship between mental toughness and depressive symptoms, and an older age is associated with a better use of mental toughness to prevent depression, suggesting that improving mental toughness can alleviate depressive symptoms in these personnel.
 

相似文献/References:

[1]廖雅琴,胡彦,冯正直.我国军人心理健康研究的现状与展望[J].第三军医大学学报,2005,27(20):2090.
[2]张俐,刘波.高原军人抑郁及其相关因素调查[J].第三军医大学学报,2005,27(03):263.
[3]赵梦雪,杨国愉,晏玲,等.138名赴利比里亚抗击埃博拉病毒病军人不同任务阶段正负性情绪变化特点[J].第三军医大学学报,2015,37(21):2160.
 Zhao Mengxue,Yang Guoyu,Yan Ling,et al.Characteristics of positive and negative emotions of 138 PLA medical contingent members against Ebola virus in Liberia in different stages[J].J Third Mil Med Univ,2015,37(16):2160.
[4]杨国愉,晏玲,王皖曦,等.中国赴利比里亚抗击埃博拉军人心理健康的追踪研究[J].第三军医大学学报,2015,37(22):2229.
 Yang Guoyu,Yan Ling,Wang Wanxi,et al.Longitudinal investigation on mental health of armymen sent to Liberia against Ebola[J].J Third Mil Med Univ,2015,37(16):2229.
[5]彭李,李军,李敏,等.成人心理弹性量表在陆军中的应用[J].第三军医大学学报,2011,33(19):2081.
 Peng Li,Li Jun,Li Min,et al.Application of resilience scale for adults in Chinese army[J].J Third Mil Med Univ,2011,33(16):2081.
[6]张钰,李敏,张佳佳,等.应激回弹力问卷在军人中的信效度研究[J].第三军医大学学报,2010,32(02):115.
 Zhang Yu,Li Min,Zhang Jiajia,et al.Reliability and validity of Connor-Davidson resilience scale in Chinese soldiers[J].J Third Mil Med Univ,2010,32(16):115.
[7]刘可愚,宋新涛,李红政,等.不同心理素质水平军人对恐惧情绪的原因调节和反应调节特点[J].第三军医大学学报,2012,34(03):244.
 Liu Keyu,Song Xintao,Li Hongzheng,et al.Characteristics of antecedent focused regulation and response focused regulation in military persons with different levels of mental quality during fear emotion processes[J].J Third Mil Med Univ,2012,34(16):244.
[8]张俐,张霞,冯正直,等.军人心理素质训练纳入军事训练的探讨[J].第三军医大学学报,2013,35(24 ):2680.
[9]杨国愉,冯正直,刘云波,等.高海拔环境下驻训军人情绪特点的动态研究[J].第三军医大学学报,2005,27(15):1531.
[10]胡光涛,李学成,王国威,等.赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查[J].第三军医大学学报,2009,31(15):1491.
 HU Guang-tao,LI Xue-cheng,WANG Guo-wei,et al.Acute stress disorder and related factors in a troop after participating in disaster relief in Beichuan county after Wenchuan earthquake[J].J Third Mil Med Univ,2009,31(16):1491.

更新日期/Last Update: 2020-08-17