| 摘要: |
| 目的 探讨新型冠状病毒肺炎（COVID-19）疫情暴发1年后全封闭管理期间军队人员的心理健康状态。方法 采用自编人员一般资料调查表、7项广泛性焦虑量表（GAD-7）、事件影响量表修订版（IES-R）、患者健康调查问卷9（PHQ-9）和失眠严重程度指数（ISI）量表对某部294名官兵进行问卷调查，探究疫情暴发1年后长期全封闭隔离管理期间军人的心理健康状态，并采用多元线性回归模型分析其影响因素。结果 回收有效问卷257份，有效回收率为87.4%。有47.5%（122/257）的官兵表现出抑郁症状，29.6%（76/257）表现出焦虑症状，39.7%（102/257）出现创伤后应激障碍症状，30.4%（78/257）存在失眠症状。多元线性回归分析结果显示，性别和自尊是抑郁（β=0.145、-0.544，P均<0.01）和焦虑（β=0.192、-0.515，P均<0.01）的影响因素，年龄、受教育程度和自尊是创伤后应激障碍的影响因素（β=0.233、0.126、-0.484，P均<0.05），性别、受教育程度和自尊是失眠的影响因素（β=0.118、0.135、-0.456，P均<0.05）。结论 在COVID-19疫情暴发1年后的全封闭隔离管理下，部分官兵出现了焦虑、抑郁、创伤后应激障碍和失眠症状，提示在疫情暴发1年后封闭管理期间仍应重点关注军队官兵的心理健康，有针对性地开展心理疏导和心理干预工作，提高疫情期间的军人心理健康水平。 |
| 关键词: 新型冠状病毒肺炎 军事人员 封闭管理 抑郁 焦虑 创伤后应激障碍 失眠 |
| DOI：10.16781/j.0258-879x.2021.11.1267 |
| 投稿时间：2021-03-15修订日期：2021-10-19 |
| 基金项目:全军"十三五"规划重点项目（BWS16J012）. |
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| Influence of closed-off management on mental health status of officers and soldiers 1 year after the outbreak of coronavirus disease 2019 |
| XIE Ya-wei1△,HOU Tian-ya1△,CAI Wen-peng1,LUO Zhe-chao2,WEN Jing1,DENG Guang-hui1* |
(1. Department of Naval Aviation & Operational Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. College of Basic Medical Sciences, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Co-first authors.
* Corresponding author) |
| Abstract: |
| Objective To explore the mental health status of military personnel with closed-off management 1 year after the outbreak of coronavirus disease 2019 (COVID-19). Methods A total of 294 officers and soldiers with closed-off management were investigated with self-made questionnaire of demographic data, generalized anxiety disorder (GAD-7), impact of event scale-revised (IES-R), patient health questionnaire 9 (PHQ-9) and insomnia severity index (ISI) scale to explore the mental health status 1 year after the outbreak of COVID-19. The influencing factors were analyzed by multiple linear regression model. Results A total of 257 valid questionnaires were collected, with an effective rate of 87.4%. Overall, the prevalence of depressive, anxious, post-traumatic stress disorder (PTSD) and insomnia was 47.5% (122/257), 29.6% (76/257), 39.7% (102/257) and 30.4% (78/257), respectively. Multiple linear regression analysis showed that gender and self-esteem were the influencing factors of depression (β=0.145 and -0.544, both P<0.01) and anxiety (β=0.192 and -0.515, both P<0.01). Age, education level and self-esteem were the influencing factors of PTSD (β=0.233, 0.126 and -0.484, all P<0.05). Gender, education level and self-esteem were the influencing factors of insomnia (β=0.118, 0.135, and -0.456, all P<0.05). Conclusion Depression, anxiety, PTSD and insomnia appear in some officers and soldiers with closed-off management 1 year after the outbreak of COVID-19, suggesting attention is needed to the mental health of military personnel 1 year after the outbreak of COVID-19. Tailored psychological counseling and interventions should be given to improve the mental health level of soldiers during the epidemic. |
| Key words: coronavirus disease 2019 military personnel closed-off management depression anxiety post-traumatic stress disorder insomnia |
