高原地区军人焦虑及其相关因素研究

Anxiety status and related factors in soldiers at high altitude

目的了解高原地区军人焦虑状况及其相关因素。方法采用焦虑自评量表、自动思维问卷、简易应对方式问卷、青少年生活事件量表、社会支持评定量表和艾森克个性问卷对 2 67名高原地区军人进行测评。结果高原地区军人的焦虑水平 ( 3 7.2 2± 6.64 )显著高于全国常模 (t =17.92 ,P <0 .0 1) ;焦虑与自动思维、消极应对、生活事件、精神质和神经质呈显著正相关 ( r=0 .45 9,0 .2 42 ,0 .5 2 4,0 .2 75 ,0 .5 18,P<0 .0 1) ,与社会支持呈显著负相关 (r = 0 .2 73 ,P <0 .0 1) ;多因素回归分析表明 (R2 =0 .3 67) :自动思维、消极应对、生活事件、社会支持、精神质和神经质对高原地区军人心理健康水平均有预测性 ,其中生活事件和神经质直接影响焦虑 ,自动思维、消极应、精神质对和社会支持间接导致焦虑。结论高原地区军人有较高的焦虑水平 ,对高原地区军人焦虑的发生 ,自动思维、消极应对、生活事件、社会支持、精神质和神经质既存在直接影响又有交互作用。

ObjectiveTo explore anxiety and its related factors in soldiers at high altitude. Methods A total of 267 soldiers at high altitude were investigated with the self-rating anxiety scale, the automatic thoughts questionnaire, simplified coping style questionnaire, adolescent self-rating life events, social support evaluation scale and Eysenck personality questionnaire. ResultsCompared with norm, the soldiers at high altitude had higher sore of anxiety(37.22±6.64,t=17.92,P<0.01) There was positive correlation between anxiety and automatic thoughts, between anxiety and negative coping, between anxiety and life events, between anxiety and psychoticism, between anxiety and neuroticism(r=0.459,0.242,0.524,0.275,0.518,P<0.01),while there was negative correlation between anxiety and social support(r=-0.273,P<0.01). Multiple regression showed (R 2=0.367)that automatic thoughts, negative coping, life events, social support, psychoticism and neuroticism had predictive value for anxiety,life events and neuroticism affected the level of anxiety directly while automatic thoughts, negative coping, psychoticism and social support aggravated anxiety indirectly. ConclusionThe soldiers at high altitude have a higher level of anxiety, which in turn has some relation to automatic thoughts, negative coping, life events, social support, psychoticism and neuroticism.