四川精神卫生
四川精神衛生
사천정신위생
SICHUAN MENTAL HEALTH
2014年
5期
436-439
,共4页
抑郁症状%躯体化%安全感%应激%累积压力%当前压力%武警士兵
抑鬱癥狀%軀體化%安全感%應激%纍積壓力%噹前壓力%武警士兵
억욱증상%구체화%안전감%응격%루적압력%당전압력%무경사병
Depressive Symptoms%Somatization%psychological Security%Stress%Past Life Events%present Life events%Armed Police Soldiers
目的：探讨武警士兵抑郁症状躯体化与应激、安全感的关系。方法采用方便取样方法选取某武警部队新入伍士兵353人为调查对象,采用军人心理应激自评问卷(PSET),流调中心用抑郁量表(CES-D),包括：抑郁情绪(DOA)、积极情绪(PA)、躯体症状与活动迟滞(SARA)、人际(I)4个分量表,安全感量表(SQ)在军训前后进行追踪测评。结果 CES-D高分组SARA评分高于低分组[(8.33±2.70)vs.(1.76±1.75)],军训后PSET、SARA、SQ得分高于军训前[(48.00±8.49)vs.(49.98±10.01)、(1.41±2.11)vs.(1.90±2.56)、(64.00±10.09) vs.(59.13±9.57)],差异有统计学意义(P均<0.05)。武警士兵SARA-2得分与PSET-1、SARA-1、PSET-2得分之间呈正相关(r=0.276、0.378、0.679,P<0.01),与SQ-1、SQ-2得分呈负相关(r=-0.265、-0.503, P<0.01)。分层回归分析显示,PSET-1、PSET-2、SQ-2得分对SARA-2预测的变异量为51.5%( F=80.309,P<0.05),PSET-1、PSET-2得分与SARA-2得分之间呈正相关(β=0.049、0.153,P<0.05)；SQ-2得分与SARA-2得分之间呈负相关(β=-0.046,P<0.05)。结论抑郁症状躯体化情绪反应是武警士兵群体容易出现的个人情感反应倾向,并较容易受到环境因素影响。
目的：探討武警士兵抑鬱癥狀軀體化與應激、安全感的關繫。方法採用方便取樣方法選取某武警部隊新入伍士兵353人為調查對象,採用軍人心理應激自評問捲(PSET),流調中心用抑鬱量錶(CES-D),包括：抑鬱情緒(DOA)、積極情緒(PA)、軀體癥狀與活動遲滯(SARA)、人際(I)4箇分量錶,安全感量錶(SQ)在軍訓前後進行追蹤測評。結果 CES-D高分組SARA評分高于低分組[(8.33±2.70)vs.(1.76±1.75)],軍訓後PSET、SARA、SQ得分高于軍訓前[(48.00±8.49)vs.(49.98±10.01)、(1.41±2.11)vs.(1.90±2.56)、(64.00±10.09) vs.(59.13±9.57)],差異有統計學意義(P均<0.05)。武警士兵SARA-2得分與PSET-1、SARA-1、PSET-2得分之間呈正相關(r=0.276、0.378、0.679,P<0.01),與SQ-1、SQ-2得分呈負相關(r=-0.265、-0.503, P<0.01)。分層迴歸分析顯示,PSET-1、PSET-2、SQ-2得分對SARA-2預測的變異量為51.5%( F=80.309,P<0.05),PSET-1、PSET-2得分與SARA-2得分之間呈正相關(β=0.049、0.153,P<0.05)；SQ-2得分與SARA-2得分之間呈負相關(β=-0.046,P<0.05)。結論抑鬱癥狀軀體化情緒反應是武警士兵群體容易齣現的箇人情感反應傾嚮,併較容易受到環境因素影響。
목적：탐토무경사병억욱증상구체화여응격、안전감적관계。방법채용방편취양방법선취모무경부대신입오사병353인위조사대상,채용군인심리응격자평문권(PSET),류조중심용억욱량표(CES-D),포괄：억욱정서(DOA)、적겁정서(PA)、구체증상여활동지체(SARA)、인제(I)4개분량표,안전감량표(SQ)재군훈전후진행추종측평。결과 CES-D고분조SARA평분고우저분조[(8.33±2.70)vs.(1.76±1.75)],군훈후PSET、SARA、SQ득분고우군훈전[(48.00±8.49)vs.(49.98±10.01)、(1.41±2.11)vs.(1.90±2.56)、(64.00±10.09) vs.(59.13±9.57)],차이유통계학의의(P균<0.05)。무경사병SARA-2득분여PSET-1、SARA-1、PSET-2득분지간정정상관(r=0.276、0.378、0.679,P<0.01),여SQ-1、SQ-2득분정부상관(r=-0.265、-0.503, P<0.01)。분층회귀분석현시,PSET-1、PSET-2、SQ-2득분대SARA-2예측적변이량위51.5%( F=80.309,P<0.05),PSET-1、PSET-2득분여SARA-2득분지간정정상관(β=0.049、0.153,P<0.05)；SQ-2득분여SARA-2득분지간정부상관(β=-0.046,P<0.05)。결론억욱증상구체화정서반응시무경사병군체용역출현적개인정감반응경향,병교용역수도배경인소영향。
Objective To explore the relationship of depressive somatic fatigue status to stress and psychological security in armed police soldiers. Methods Totally 353 recruits were selected and followed -up. They were assessed with the Psychological Stress Self Evaluation Test ( PSET) to evaluate stress fatigue, and assessed with the Center for Epidemiologic Studies Depression Scale ( CES-D) consisting of the sub-scales of depressed of affect ( DOA) , positive affect( PA) , somatic and retarded activity( SARA) , and interpersonal( I) subscale to evaluate depressive somatic, and assessed with the Security Questionnaire ( SQ) to evaluate psycho-logical security. Results The scores of SARA were higher in the group which the CES-D scores were higher 16 score than the lower group(8. 33 ± 2. 70)vs. ( 1. 76 ± 1. 75). The scores of SARA, PSET-T, SQ were higher in recruits after military task than before [(48.00±8.49)vs.(49.98±10.01),(1.41±2.11)vs.(1.90±2.56),(64.00±10.09)vs.(59.13±9.57),P<0.005]. The SARA-2 scores were positively correlated with the PSET-1, SARA-1, PSET-2 scores ( r=0. 276 ~0. 679,P<0. 01). Meanwhile, the SARA-2 scores were negatively correlated with the SQ-1, SQ-2 scores (r= -0. 265~ -0. 503,P<0. 01). Re-gression analysis also revealed a dependency between SARA-2 scores and the scores of PSET-1, PSET-2, SQ-2(β=0. 049, 0. 153,-0. 046;F=80. 309,P<0. 005) . Conclusion It suggests that the depressive somatic fatigue prevalence in armed police sol-diers may be positively related with the stress and negatively correlated with psychological security.
