高寒地区军人抑郁症状流行病学特征及其危险因素研究  

The epidemiologic characteristics and risk factors of depression symptom in military personnel in high and cold regions

作　　者：甘丽英[1] 孟素平[2] 冯正直[1] 刘可愚[1] 王永彬[3] 刘耘[1] 

机构地区：[1]第三军医大学心理学院,重庆400038 [2]海军潜艇学院政治理论教研室,山东青岛266071 [3]新疆军区疾控中心,乌鲁木齐830000

出　　处：《重庆医学》2013年第12期1332-1335,共4页Chongqing medicine

基　　金："十一五"国家科技支撑计划(2009BAI177B04)

摘　　要：目的了解高寒地区官兵抑郁症状的发生率及其危险因素,为高寒地区军人抑郁症的防治提供依据。方法采用流调中心抑郁自评量表,整群抽取某高寒地区1 030名官兵进行测试,采用SPSS18.0对数据进行方差分析、Logistic回归等统计分析。结果高寒地区军人抑郁症状发生率为37.5%(95%CI:34.6～40.5);抑郁症状总体水平显著高于中国青年常模,差异有统计学意义(P<0.01);增加抑郁发生风险的因素从高至低分别为:一年内曾遭遇不幸、父母兄弟患有抑郁症、直系亲属有自杀史、有训练伤、患有慢性疾病、每日服用药物、饮酒、吸烟。结论高寒地区军人具有较高的抑郁症状发生率,训练伤是影响抑郁发生的特殊危险因素。Objective To estimate prevalence rates and risk factors of depression symptom among military personnel in high and cold regions in order to provide evidence for depression prevention and cure. Methods The Center for Epidemiological Studies De-pression Scale（CES-D） was used. 1 030 people participated in the survey,who were cluster sampled from military personnel in high and cold regions. The software SPSS18.0 was used, data were analyzed by variance, Logistic regression and so on. Results The prevalence rate was 37.5%（95%CI..34.6-40.5） for depression symptom among military personnel in high and cold regions;The score for depression symptom was higher than the Chinese youth norm（P〈0.01） ;Factors of depression symptom ranked in a de-scending order according to the importance were misfortune history in one year, depression history for his/her parents and brothers, history of suicide for his/her direct relatives, training injury, chronic disease, drugs use, alcohol use and smoking every day. Conclu-sion Among military personnel in high and cold regions,the prevalence rate of depression symptom was higher. Training injury is a special risk factor which affects the occurence of depression.

关 键 词：抑郁 危险因素 军事人员 高寒地区 

分 类 号：R82[医药卫生—临床医学]