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。
Objective To 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.Methods In 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.Results In 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.Conclusion The 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 depres
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
XU Ke;WANG Jia;ZHANG Jingxuan;XUE Yitong;ZHANG Sen;CHENG Xiaotong;XU Huimin;WANG Huizhong;XIAO Hong;FENG Zhengzhi;REN Hui(Department of Nursing Management,School of Nursing,Army Medical University(Third Military Medical University),Chongqing,400038,China;Department of Developmental Psychology of Armyman,School of Medical Psychologym,Army Medical University(Third Military Medical University),Chongqing,400038,China;Department of Logistics of First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China;Graduate School,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2020年第16期1606-1612,共7页
Journal of Third Military Medical University
基金
全军后勤科研重大课题子课题(AWS17J014)
军队应用基础研究项目重点项目(BWS16J012,BWS17J018)
陆军军医大学2019年度军事类博士学位课题研究资助项目。
关键词
高原
军人
抑郁
耐挫
年龄
纵向研究
high altitude
military personnel
depression
mental toughness
age
longitudinal investigation
