急进高原官兵抑郁、焦虑及其影响因素的研究  

Depression and anxiety in officers and soldiers who entered the plateau rapidly and it′s influential factors

作　　者：胡军[1] 李晓云[2] 王东红[3] 安花花[4] 刘延彤[2] 朱鑫华[1] 师燕芬 冯霞[5] 

机构地区：[1]兰州军区兰州总医院护理部,甘肃兰州730050 [2]兰州军区兰州总医院医务部,甘肃兰州730050 [3]兰州军区兰州总医院473临床部,甘肃兰州730050 [4]兰州军区兰州总医院门诊部,甘肃兰州730050 [5]兰州军区兰州总医院干二科,甘肃兰州730050

出　　处：《西北国防医学杂志》2015年第6期377-380,共4页Medical Journal of National Defending Forces in Northwest China

基　　金：全军医药卫生科研基金资助项目(CLZ13JA03;CLZ14JA06)

摘　　要：目的:探讨急进高原官兵心理健康与心理应激、应付方式的相关性。方法:采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、军人心理应激问卷、应付方式问卷对500名急进高原官兵进行调查。结果:急进高原官兵抑郁情绪的发生率为50.4%,焦虑情绪的发生率为31.3%;除解决问题外,应付方式各因子、心理应激与抑郁呈显著正相关;除解决问题、求助外,应付方式其他因子、心理应激与焦虑存在显著正相关;心理应激、幻想对抑郁有显著的正向预测作用,心理应激、自责对焦虑有显著正向预测作用。结论:急进高原7d时官兵抑郁、焦虑情绪发生率较高,降低心理应激的发生、减少使用不成熟应付方式是提升其心理健康水平的有效途径。Objective： To investigate the correlation between mental health and psychological stress or coping style in officers and soldiers who entered the plateau rapidly. Methods： A total of 500 officers and soldiers who entered the plateau rapidly were investigated through self--rating depression scale（SDS）, self --rating anxiety scale（SAS）, questionnaires on their psychological stress and their coping style. Results： Incidence of depression was 50.4% while incidence of anxiety was 31.3 %. Besides solving problems, psy- chological stress and factors including coping style were positively correlated to depression. Besides solving problems and asking for help,psychological stress and other factors including coping style were positively correlated to anxiety. Psychological stress and fantasy showed prediction effect of forward direction on depression, while psychological stress and self--accusation showed prediction effect of forward direction on anxiety. Conclusion：Depression and anxiety occured in officers and soldiers who have entered the plateau for seven days.The effective way to improve psychological health is to reduce the development of psycho- logical stress and immature coping style.

关 键 词：高原 抑郁 焦虑 心理应激 应付方式 

分 类 号：R82[医药卫生—临床医学]