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| 军队人员厌世观念的危险因素分析 |
| 占毅楠1,张珵2,刘涛生1*,高淇1,许惠静1,江倩1,张懿1,汪作为3 |
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(1. 海军军医大学(第二军医大学)心理系精神医学教研室, 上海 200433;
2. 海军航空大学青岛校区政治理论教研室, 青岛 266041;
3. 上海市虹口区精神卫生中心心境障碍科, 上海 200833
*通信作者) |
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| 摘要: |
| 目的 分析军队人员厌世观念的危险因素。方法 采用整群抽样法，对某部官兵432人进行调查。采用自编一般信息调查问卷收集官兵的年龄、性别、户籍、父母关系、家庭经济状况、婚姻状况等信息，分别采用患者健康问卷（PHQ-9）、广泛性焦虑障碍量表（GAD-7）、失眠严重指数（ISI）量表、生活满意感量表（SWLS）、简版心理连续体（MHC-SF）量表调查部队官兵的抑郁、焦虑、主观睡眠质量、生活满意感和幸福感状况。采用PHQ-9第9个条目测量厌世观念，分析厌世观念与以上各因素的关系。结果 与厌世观念相关的因素包括抑郁（rs=0.285，P<0.01）、焦虑（rs=0.245，P<0.01）、主观睡眠质量（rs=0.117，P=0.016）、生活满意感（rs=-0.181，P<0.01）、幸福感（rs=-0.241，P<0.01）。logistic回归模型中包含抑郁（P=0.017）、幸福感（P=0.029）2个有效因子；幸福感在主观睡眠质量和厌世观念间存在完全中介效应，中介效应占总效应的66.37%。结论 军队人员的抑郁程度越高、幸福感越低，产生厌世观念的可能性越高。主观睡眠质量差可能会降低幸福感，从而增加军队人员的厌世观念。 |
| 关键词: 厌世观念 危险因素 抑郁 入睡和睡眠障碍 幸福感 |
| DOI：10.16781/j.0258-879x.2021.11.1303 |
| 投稿时间：2020-05-06修订日期：2020-09-27 |
| 基金项目:海军2020年军事理论科研计划（202058-80），"十三五"军队重点学科专业建设项目（2020SZ20）. |
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| Risk factor analysis of pessimistic ideation in military officers and soldiers |
| ZHAN Yi-nan1,ZHANG Cheng2,LIU Tao-sheng1*,GAO Qi1,XU Hui-jing1,JIANG Qian1,ZHANG Yi1,WANG Zuo-wei3 |
(1. Department of Psychiatry, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Political Theory, Qingdao Campus of Naval Aviation University, Qingdao 266041, Shandong, China;
3. Department of Mood Disorders, Mental Health Center of Shanghai Hongkou District, Shanghai 200833, China
*Corresponding author) |
| Abstract: |
| Objective To analyze the risk factors of pessimistic ideation of military officers and soldiers. Methods With cluster sampling, 432 military officers and soldiers were selected. Self-designed general information questionnaire was compiled to collect the age, gender, residence, parental relationship, family economic condition and marital status. Patient health questionnaire (PHQ-9), generalized anxiety disorder scale (GAD-7), insomnia severity index (ISI), satisfaction with life scale (SWLS) and mental health continuum-short form (MHC-SF) were used to investigate the depression, anxiety, subjective sleep quality, life satisfaction and well-being. Pessimistic ideation was measured by the 9th item of PHQ-9, and the relationship between pessimistic ideation and the above factors was analyzed. Results Depression (rs=0.285, P<0.01), anxiety (rs=0.245, P<0.01), subjective sleep quality (rs=0.117, P=0.016), life satisfaction (rs=-0.181, P<0.01) and well-being (rs=-0.241, P<0.01) were correlated with pessimistic ideation. The logistic regression model included 2 effective factors:depression (P=0.017) and well-being (P=0.029). Well-being had a complete mediating effect between subjective sleep quality and pessimistic ideation, accounting for 66.37% of the total effect. Conclusion The higher the degree of depression and the lower the sense of well-being, the higher the possibility of pessimistic ideation. Poor subjective sleep quality may reduce well-being and increase the risk of pessimistic ideation among military officers and soldiers. |
| Key words: pessimistic ideation risk factors depression sleep initiation and maintenance disorders well-being |
