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海军某部官兵睡眠与自杀意念的关系
何静文1,周娜1,2,屠志浩2,苏彤1,肖磊1,唐云翔1*
0
(1. 海军军医大学(第二军医大学)心理系医学心理学教研室, 上海 200433;
2. 海军军医大学(第二军医大学)心理系心理咨询中心, 上海 200433
*通信作者)
摘要:
目的 调查海军某部官兵的睡眠与自杀意念的关系。方法 采用集体测验方法,应用自编人口学问卷、匹兹堡睡眠质量指数(PSQI)量表、抑郁自评量表(SDS)、焦虑自评量表(SAS)和自杀意念自评量表(SIOSS)对海军某部459名官兵的睡眠状况与自杀意念情况进行调查。结果 共发放问卷459份,回收有效问卷434份,有效率为94.6%。海军某部军官的PSQI总分为(5.85±3.37)分,SIOSS总分为(7.05±3.98)分,SDS总分为(35.29±9.52)分,SAS总分为(31.80±7.36)分。海军某部官兵的自杀意念与睡眠质量、入睡困难、夜间易醒或早醒、噩梦呈正相关,与睡眠时长呈负相关(P均<0.01)。控制一般人口学因素(性别、年龄、文化程度)、物质使用情况(吸烟、饮酒、喝茶、喝咖啡)、焦虑症状及抑郁症状后,发现睡眠质量越差(β=0.289,P<0.01)、入睡困难症状越严重(β=0.110,P=0.019)、文化程度越高(β=0.080,P=0.013)者自杀意念越强。结论 睡眠质量、入睡困难症状是海军某部官兵自杀意念的独立预测因子。
关键词:  军事人员  睡眠  自杀意念  问卷调查
DOI:10.16781/j.0258-879x.2019.12.1369
投稿时间:2019-05-26修订日期:2019-06-26
基金项目:国家自然科学基金(81372122),军队“十二五”重大项目(AWS13J003,AWS12J003),全军军事科研“十二五”计划课题(13QJ003-005),全军心理卫生应用型科研课题重点项目(12XLZ109).
Relationship between sleep and suicidal ideation of officers and soldiers in a marine corps
HE Jing-wen1,ZHOU Na1,2,TU Zhi-hao2,SU Tong1,XIAO Lei1,TANG Yun-xiang1*
(1. Department of Medical Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Mental Health Education and Psychological Counseling Center, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To investigate the relationship between sleep and suicidal ideation of officers and soldiers in a marine corps. Methods A total of 459 military personnels were investigated using a self-designed demographic questionnaire, Pittsburgh sleep quality index (PSQI) scale, self-rating depression scale (SDS), self-rating anxiety scale (SAS) and self-rating idea of suicide scale (SIOSS). Results A total of 459 questionnaires were sent out and 434 effective questionnaires were recovered, with an effective rate of 94.6%. The PSQI score of 434 military personnels was 5.85±3.37, and the SIOSS score was 7.05±3.98, the SDS score was 35.29±9.52, and the SAS score was 31.80±7.36. Suicidal ideation of the military personnels was positively correlated with sleep quality, difficulty in falling asleep, nocturnal wakefulness or early wakefulness and nightmare, while negatively correlated with sleep duration (all P<0.01). After controlling for general demographic factors (gender, age and education level), substance use conditions (smoking, drinking alcohol, drinking tea and drinking coffee), anxiety symptoms and depressive symptoms, the military personnels with poor sleep quality (β=0.289, P<0.01), difficulty in falling asleep (β=0.110, P=0.019) and higher education level (β=0.080, P=0.013) had stronger suicidal ideation. Conclusion Sleep quality and symptoms of difficulty in falling asleep are independent predictors of suicidal ideation in military personnels.
Key words:  military personnels  sleep  suicidal ideation  questionnaires