军事行动类型对我国退役军人心理健康双因素的影响:心理素质的中介作用  

Effect of military operation types on dual factors of mental health in Chinese veterans:mediating role of psychological quality

作　　者：李媛媛 王妍 廖兴亚 张小玲 熊珂 孙淑娟 冯正直[6] LI Yuanyuan;WANG Yan;LIAO Xingya;ZHANG Xiaoling;XIONG Ke;SUN Shujuan;FENG Zhengzhi(Gaojing Outpatient Department,Western Medical Branch of Chinese PLA General Hospital,Beijing 100042;Troop 31626,Guangzhou,Guangdong Province 510000;Medical Team of Troop 91951,Qingdao,Shandong Province 266000;Institute of Systems Engineering,Academy of Military Sciences,Beijing 100141;Frontier Medical Service Brigade,Army Medical University(Third Military Medical University),Hutubi,Xinjiang Uygur Autonomous Region 831200;School of Medical Psychology,Army Medical University(Third Military Medical University),Chongqing,400038 China)

机构地区：[1]解放军总医院京西医疗区高井门诊部,北京100042 [2]31626部队,广州510000 [3]91951部队卫生队,山东青岛266000 [4]军事科学院系统工程研究院,北京100141 [5]陆军军医大学(第三军医大学)边防卫勤训练大队,新疆呼图壁831200 [6]陆军军医大学(第三军医大学)医学心理系,重庆400038

出　　处：《陆军军医大学学报》2024年第14期1600-1608,共9页Journal of Army Medical University

基　　金：重庆英才计划“包干制”项目(CSTC2022YCJH-BGZXM0022)。

摘　　要：目的基于心理健康双因素模型,探讨军事行动类型对我国退役军人心理健康的影响及心理素质的中介作用。方法本研究采用横断面研究设计方案。应用自编人口学信息问卷、患者健康问卷抑郁量表、广泛性焦虑量表、生活满意度问卷、心理素质问卷,对3027名我国退役军人进行问卷调查。结果①与单因素模型及其他双因素模型比较,以焦虑症状为消极指标,生活满意度为积极指标的心理健康双因素模型拟合效果更好(χ^(2)/df=8.927,GFI=0.974,AGFI=0.962,RMSEA=0.051,NNFI=0.985,IFI=0.988,CFI=0.988);②以未参加战争/非战争军事行动者为参照,心理素质在战争与生活满意度、战争与焦虑症状的相对中介效应均显著(P<0.05),在非战争军事行动与生活满意度、非战争军事行动与焦虑症状的相对中介效应均不显著;③战争通过对心理素质的认知维度、适应性维度、个性维度的完全中介作用,降低退役军人生活满意度,通过对心理素质个性维度的部分中介作用增加其焦虑症状。结论心理健康双因素模型适用于我国退役军人群体,心理素质在战争与心理健康之间起中介作用。Objective To explore the effects of military operation types on the mental health of Chinese veterans and the mediating role of psychological quality based on a dual-factor model of mental health.Methods Cross-sectional study design was adopted in this study.Self-designed demographic information questionnaire,patient health questionnaire depression module-9 item(PHQ-9),general anxiety disorder-7(GAD-7),satisfaction with life scale and psychological quality questionnaire were used to survey on 3027 Chinese veterans.Results①Compared to the one-factor model and the two-factor models with other indicators,the dual-factor model of mental health,with anxiety symptoms as a negative indicator and life satisfaction as a positive indicator,fitted better(Chi-square/df=8.927,GFI=0.974,AGFI=0.962,RMSEA=0.051,NNFI=0.985,IFI=0.988,CFI=0.988).②Taking the subjects who did not participate in war/non-war military operations as the reference,psychological quality showed significant relatively mediating effects between war and life satisfaction,and between war and anxiety symptoms(P<0.05),while no such significances were observed in the corresponding ones for non-war military operations.③War could decrease veterans’life satisfaction through full mediation of cognitive,adaptive and personality dimensions of psychological quality,and increase anxiety symptoms through partial mediation of the personality dimension of psychological quality.Conclusion The dual-factor model of mental health is applicable to Chinese veteran population,and psychological quality plays a mediating role between war and mental health.

关 键 词：心理健康 双因素模型 退役军人 心理素质 中介作用 

分 类 号：R395.1[哲学宗教—心理学] R395.6[医药卫生—医学心理学] R821.2[医药卫生—基础医学]