高原军人创伤后应激障碍症状与焦虑、抑郁情绪的关系  

Relationship between post-traumatic stress disorder symptoms and anxiety,depression in high altitude soldiers

作　　者：杨婉君 杨国愉 阳逸 衡惠 骆昕玮 边晨 YANG Wanjun;YANG Guoyu;YANG Yi;HENG Hui;LUO Xinwei;BIAN Chen(Teaching and Research Office of Developmental Psychology of Armyman,Department of Medical Psychology,Army Medical University,Chongqing 400037,China;Medical Psychology Department,Armed Police Hospital of Chongqing,Chongqing 400061,China)

机构地区：[1]陆军军医大学医学心理系军人发展心理学教研室,重庆400037 [2]重庆市武警总医院医学心理科,重庆400061

出　　处：《职业与健康》2024年第24期3357-3361,共5页Occupation and Health

摘　　要：目的了解高原军人创伤后应激障碍症状(post-traumatic stress disorder,PTSD)现状及影响因素,并探讨其与焦虑、抑郁情绪的关系,为降低高原军人PTSD的发生率提供依据。方法2023年3—4月以整群抽样的方式抽取高原某单位军人1908名,使用一般资料调查表、创伤后应激障碍量表(post-traumatic stress disorder checklist-civilian version,PCL-C)、患者健康问卷9项抑郁量表(patient health questionnaire-9,PHQ-9)、广泛性焦虑障碍量表(generalized anxiety disorde-7,GAD-7)进行施测,并对数据进行分析。结果高原军人PTSD症状阳性率为3.46%,总分M(P_(25),P_(75))为17(17,20)分,焦虑情绪阳性率为7.60%,抑郁情绪阳性率为11.01%。高原军人PTSD症状与焦虑、抑郁情绪均呈显著正相关(r=0.798、0.797,均P<0.01),焦虑、抑郁情绪和性别均是高原军人发生PTSD症状的主要影响因素(均P<0.01)。焦虑情绪在高原军人抑郁水平和PTSD间中介效应显著,效应量为0.368,占总效应的46.2%。结论焦虑、抑郁情绪与高原军人PTSD症状的发生率呈显著正相关,且焦虑情绪在抑郁情绪和PTSD之间起到部分中介作用,即抑郁水平对PTSD有直接预测作用,同时也可通过焦虑的中介作用影响PTSD。Objective To study the current situation and influencing factors of post-traumatic stress disorder(PTSD)in soldiers at high altitude,explore its relationship with anxiety and depression,so as to provide a basis for reducing the incidence of PTSD in soldiers at high altitude.Methods From March to April 2023,1908 soldiers at high altitude were selected by the cluster sampling,measured by the general data questionnaire,post traumatic stress disorder checklist-civilian version(PCL-C),patient health questionnaire-9(PHQ-9),and generalized anxiety disorde-7(GAD-7),and the data were analyzed.Results The positive rate of PTSD in soldiers at high altitude was 3.46%,with the total score M(P_(25),P_(75))of 17(17,20)points,and the positive rate of anxiety and depression was 7.60%and 11.01%respectively.The PTSD symptoms in high altitude soldiers were significantly positively correlated with anxiety and depression(r=0.798,0.797,both P<0.01),while anxiety,depression and gender were the main influencing factors of PTSD symptoms in these soldiers(all P<0.01).The anxiety had a significant mediation effect between depression level and PTSD in high altitude soldiers,effect size was 0.368,accounting for 46.2%of the total effect.Conclusion The anxiety and depression are significantly positively correlated with the incidence of PTSD symptoms in high altitude soldiers,and the anxiety plays a partial mediating role between depression and PTSD,that is,the depression level has a direct predictive effect on PTSD,and can also affect PTSD through the mediating role of anxiety.

关 键 词：高原 军人 创伤后应激障碍 焦虑 抑郁 中介效应 

分 类 号：R395.6[哲学宗教—心理学]