急进不同海拔高原军人抑郁症状发生特征及其与社会支持、生活事件相关研究  

Correlation of social supports and life events with depressive symptoms in Chinese Armymen following rush marching to high altitude areas

作　　者：甘丽英[1] 冯正直[1] 刘可愚[1] 张久彪 刘耘[1] 

机构地区：[1]第三军医大学心理学院军事认知神经科学教研室 [2]解放军77100部队

出　　处：《第三军医大学学报》2013年第17期1836-1839,共4页Journal of Third Military Medical University

基　　金："十一五"国家科技支撑计划(2009BAI177B04)~~

摘　　要：目的调查急进高原军人在不同海拔高度的抑郁症状发生率并探索社会支持、生活事件对其影响。方法采用流调中心抑郁自评量表(CES-D)等工具对急进高原1 214名军人进行测试,用SPSS 18.0对数据进行t检验、Logistic回归等统计分析。结果①急进高原4 800 m军人抑郁发生率显著高于急进高原3 680 m军人组(30.1%vs 18.4%;P<0.01)。②急进高原3 680 m军人抑郁症状水平显著低于急进高原4 800 m军人(P<0.01),其中抑郁情绪、积极情绪、躯体症状与活动迟滞和人际4个因子差异显著(P<0.01)。③急进高原军人抑郁症状水平和生活事件刺激量呈正相关,和社会支持呈负相关(r=0.473,P<0.01;r=-0.374,P<0.01)。结论急进高原军人抑郁症状发生率及抑郁整体水平随海拔高度增高显著上升;生活事件可能促进急进高原军人的抑郁发生;社会支持对急进高原军人的抑郁发生具有缓冲作用。Objective To investigate the incidence of depressive symptom in Chinese armymen following rush marching into high altitude areas, and to explore the influence of social supports and life events. Methods Self-depression scale （CES-D）, life events scale for military personnel, social support scale for Chinese military personnel and self-administered questionnaire on general condition were employed to test 1,214 armymen following rush marching into plateau. Data were entered and analyzed using SPSS 18.0, and Student’s t-test and Logistic regression were used for statistical analysis. Results （1） The incidence of depressive symptom in the armymen following rush marching into the high altitude （4 800 m） areas was significantly higher than that in the armymen in the areas with altitude of 3 680 m （30.1% vs 18.4%, P〈0.01）. （2） The levels of depressive symptoms including depressed mood, positive mood, somatic symptoms and retarded activity and interpersonal relationship in the 3 680 m group were significantly lower than those in the 4 800 m group （P〈0.01）. （3） The level of depressive symptom was positively correlated with the number of life events, but was negatively correlated with social support （r=0.473, P〈0.01; r=-0.374, P〈0.01）. Conclusion The incidence and level of depressive symptom increase significantly in Chinese armymen as the increase of the altitude of the areas they marching into. Life events may enhance the onset of depression, while social support may reduce the depression to some extent.

关 键 词：高海拔 抑郁症状 影响因素 

分 类 号：R339.54[医药卫生—人体生理学] R749.5[医药卫生—基础医学]