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作 者:李川云[1] 程灵芝[2] 刘晓红[2] 邓光辉[2] 严进[2] 陈瑶[2]
机构地区:[1]南京政治学院上海分院军事心理系,上海200433 [2]第二军医大学心理学教研室,上海200433
出 处:《中国临床心理学杂志》2005年第4期477-479,共3页Chinese Journal of Clinical Psychology
基 金:全军医药科研"十五"指令性课题(项目号:PLA1001121);第二军医大学军事课题(项目号:2001J-2)
摘 要:目的:研究急性应激对不同特质焦虑新兵的T淋巴细胞亚群及ACTH的影响。方法:状态-特质焦虑问卷(STAI)将新兵分成高、低特质焦虑组各16人。用流式细胞仪及ELISA测定被试基础期(打靶前4d)、应激期(打靶时)、恢复期(打靶后5d)的CD4+、CD8+及ACTH浓度。结果:①高特质组3个时期的CD4+、CD4+/CD8+比值均低于低特质组,CD8+高于低特质组;高特质组应激期CD4+显著下降(P<0.05)、CD4+/CD8+比值与恢复期有显著差异(P<0.01),而低特质组仅应激期CD4+定量与恢复期有显著差异(P<0.01)。②实弹射击前、中、后的ACTH浓度,高特质组变化呈极显著差异(P<0.001),而低特质组应激期与基础期呈显著差异(P<0.05)。结论:①急性应激影响新兵的CD4+、CD8+及其比值,其程度与特质焦虑有关。②应激时高特质组ACTH浓度下降显著大于低特质组,且随应激源消除不易恢复。Objective: To study changes of subtype of T lymphocytes and ACTH in different trait-anxiety levels of new recruits under acute stress. Methods: Subjects were divided into high trait-anxiety and low anxiety group (each 16 ) by state-trait anxiety inventory. CD4^+ and CD8^+ and ACTH were tested in pre-stress (4d before exam.), stress (under exam.) and post-stress (Sd after military exam.) phases by FCM and ELISA. Results: ①CD4^+,CD4^+/CD8^+ of the high trait group in the three phases were lower than those in the low trait-auxiety group, and its CD8^+ was higher than that in the low-trait anxiety group, and CD4^+ of the high trait-anxiety group was higher than that in the low trait-anxiety group; CD4^+ of the high trait-anxiety group under stress were significantly decreased (P〈0.05), and the CD^4/CD8^+ was obviously different as compared with that in the post-stress phase; while only CD4^+ quantity of the low trait-anxiety group of the stress phase was different from that in the post stress phase(P〈0.01).②The ACTH in high trait-anxiety group was significantly different in three phases (P〈0.001), but in low trait-anxiety group it was only significantly different between pre-stress and stress. Conclusion: ①Acute stress can affect the amounts of subtype T lymphocytes in subjects, which is related to individual trait-anxiety score.② Compared with low trait-anxiety group, ACTH is more sensitive under stress and more difficult to restore as stressors withdraw in high trait-anxiety group.
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