神经质对官兵抑郁症状的影响:负性自动思维与心理应激反应的中介效应  

Role of neuroticism in depressive symptoms among officers and soldiers:mediating effects of negative automatic thoughts and response psychological stress

作　　者：葛奇奇 周晓娜 刘韵资[1] 苏文君[1] 王伟[1] GE Qi-qi;ZHOU Xiao-na;LIU Yun-zi;SU Wen-jun;WANG Wei(Department of Military Stress Psychology,Faculty of Psychology,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)心理系军事应激心理学教研室,上海200433

出　　处：《海军军医大学学报》2022年第7期821-826,共6页Academic Journal of Naval Medical University

基　　金：“十三五”军队重点学科专业建设项目——青年骨干培育(2020SZ21-16)。

摘　　要：目的 探讨神经质、抑郁症状、负性自动思维、心理应激反应之间的关系,揭示神经质影响抑郁症状的作用机制。方法 采用滚雪球抽样法选择642名官兵作为研究对象,采用横断面调查设计,分别使用艾森克个性问卷、自动思维问卷、心理应激自评问卷、抑郁-焦虑-压力自评量表调查官兵的神经质、负性自动思维、心理应激反应和抑郁症状。采用Pearson相关分析和结构方程模型分析神经质、负性自动思维、心理应激反应和抑郁症状之间的关系。结果 回收有效问卷555份,有效回收率为86.45%。相关分析结果显示,神经质、负性自动思维、心理应激反应及3个抑郁症状(抑郁、焦虑、压力)得分均呈两两正相关(P均<0.01)。以负性自动思维与心理应激反应为中介变量,构建以神经质为自变量、以抑郁症状为因变量的中介模型,模型各项拟合指数良好(χ^(2)/df=0.980,规范拟合指数为0.996,塔克-刘易斯指数为1.000,比较拟合指数为1.000,近似误差均方根为0.000,标准化均方根残差为0.011,赤池信息量准则为35.877)。负性自动思维的中介效应为0.077,心理应激反应的中介效应为0.061,2个中介变量的链式中介效应为0.017,总间接效应为0.155,总间接效应占总效应(0.286)的54.20%。结论 在官兵中,神经质能预测抑郁症状,并且负性自动思维与心理应激反应在神经质对抑郁症状的影响中起链式中介作用。Objective To explore the relationships between neuroticism,depressive symptoms,negative automatic thoughts and psychological stress,and to reveal the mechanisms of neuroticism affecting depressive symptoms.Methods A total of 642 soldiers and officers were selected using the snowball sampling method.A cross-sectional survey design was adopted.Eysenck personality questionnaire,automatic thoughts questionnaire,psychological stress self-assessment test and depressionanxiety-stress scales were used to investigate the neuroticism,negative automatic thoughts,psychological stress response and depressive symptoms of officers and soldiers,respectively.Pearson correlation analysis and structural equation model were used to analyze the relationships between neuroticism,negative automatic thoughts,psychological stress response and depressive symptoms.Results A total of 555 valid questionnaires were collected,with an effective rate of 86.45%.The results of correlation analysis showed that neuroticism,negative automatic thoughts,psychological stress response and 3 depressive symptoms(depression,anxiety,and stress)were pairwise positively correlated(all P<0.01).With negative automatic thoughts and psychological stress response as mediators,an intermediary model with neuroticism as independent variable and depressive symptoms as dependent variable was constructed.The fit indexes of the model were good(χ^(2)/df=0.980,the normed fit index was 0.996,the Tucker-Lewis index was 1.000,the comparative fit index was 1.000,the root mean square error of approximation was 0.000,the standardized root mean square residual was 0.011,and the Akaike information criterion was 35.877).The mediating effect of negative automatic thoughts was 0.077,the mediating effect of psychological stress response was 0.061,the chain mediating effect of the 2 mediating variables was 0.017,and the total indirect effect was 0.155,accounting for 54.20%of the total effect(0.286).Conclusion Neuroticism can significantly predict depressive symptoms among officers and

关 键 词：神经质 抑郁症状 负性自动思维 心理应激 结构方程模型 军事人员 

分 类 号：R833[医药卫生—航空、航天与航海医学]