新兵入伍军训前后抑郁症状躯体化与应激、安全感的关系

摘要

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.%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。