军事演习状态下应激性失眠与精神障碍易患性的相关研究  

Stress insomnia and mental disorder susceptibility under military exercises state:Relativity study

作　　者：梁学军[1] 甘景梨[1] 段惠峰[1] 徐东杰[1] 范亮亮[1] 

机构地区：[1]解放军91医院精神三科,全军精神疾病防治研究所,河南焦作454000

出　　处：《实用医药杂志》2017年第9期769-771,共3页Practical Journal of Medicine & Pharmacy

基　　金：军队心理卫生应用性科研课题(12XLZ304);原济南军区后勤科研计划课题(JN11L034)

摘　　要：目的探讨应激状态下军人精神障碍及失眠的发生率,以及应激性失眠与精神障碍易患性的内在联系。方法采用自制的一般情况调查表、匹兹堡睡眠质量指数(PSQI)和简明国际神经精神访谈问卷(MINI)对2015年度参加军事演习的6个单位8128名官兵进行调查,应用PSQI将研究对象分为研究组(失眠者)和对照组(非失眠者),并评估应激性失眠与精神障碍易患性的相关性。结果调查对象中有786人PSQI总分较常模7分显著增高,平均为(8.87±4.26)分,除睡眠障碍和催眠药物两因子外,其余各因子平均分同无失眠的官兵之间存在显著性差异(P<0.01);MINI调查和访谈发现,出现精神心理异常的个体75人,研究组28人,对照组47人(χ~2=66.32,P=0.000);多元回归分析提示,PSQI总分、军龄、学历、家庭结构和睡眠的认知与精神障碍易患性具有显著的相关性(P<0.05或P<0.01)。结论个体的心理压力能够加重应激性失眠,提高了精神障碍的易患性,可视为精神疾病发生前的危险因子。因此,部队心理工作者在关注官兵睡眠健康的同时,应综合考虑其潜在精神障碍的危险性。Objective To investigate incidence of mental disorders and insomnia under stress,and susceptibility internal relations of both. Methods Self general questionnaire,Pittsburgh Sleep Quality Index （PSQI） and Mini-International Neuropsychiatric Interview （MINI） for fiscal 2015 6 units of 8128 soldiers participated in exercise were used＇ to investigate their relevant items,and these subjects were divided into study group （insomnia） and control group （non-insomnia） with PSQI,and to assess susceptibility correlation of insomnia and mental disorder. Results PSQI average score of 786 people were 8.87±4.26,which were significantly higher than 7 points of the norm. In addition to sleep disorders and sleep medication,the average score of other factors were significant in differences with no insomnia soldiers（P〈0.01）. There were 75 mental disorder individuals（study group , 28 , control group,47;P=0.001）. Multivariate regression analysis showed that PSQI scores,military service duration,educatied level,family structure and cognitive and sleep disorders which showed significant susceptibility correlation （P〈0.05 or 0.01）. Conclusion Psychological pressure can increase stress insomnia,and enhance susceptibility of mental disorders,which can be seen as a risk factor for mental illness. Therefore military psychological workers should concern sleep of officers and soldiers, and comprehensively consider the potential risk of mental disorders at the same time.

关 键 词：军事应激 应激性失眠 精神障碍 易患性 

分 类 号：R828.4[医药卫生—临床医学]