高温高强度训练条件下睡眠状况调查

Relationship between insomnia and coping styles among armed policemen to participate in military parade under conditions of high temperature, high mental stress, and high intensity training

目的探讨阅兵武警战士在高温、高心理压力、高训练强度的阅兵训练下的心理状态、睡眠情况及其与应对方式的关系。方法参加阅兵的220名战士，均男性，年龄（20＋3）（18～22）岁，军龄2～3年，接受采用阿森斯（Athens）失眠量表、简易应对方式问卷和症状自评量表（SCL-90）进行的问卷调查。结果收有效问卷199份，有效率90．45％。这些战士中失眠组62人（31．15％）、疑似失眠组47人（23．62％）、非失眠组90人（45．23％）。SCL-90测评示，失眠组和疑似失眠组各因子的评分均显著高于非失眠组（均P〈0．01）。疑似失眠组的总分和躯体化评分均显著大于失眠组（P〈0．05），其他各因子的评分在两组间均不存在差异（均P〉0．05）。三组间，积极应对维度得分两两对比均不存在显著差异（均P〉0．05）。失眠组和疑似失眠组的消极应对秩次显著高于非失眠组（均P〈0．05）。结论武警阅兵战士在高温、高心理压力、高训练强度的阅兵训练下，普遍发生失眠情况，且多数失眠战士存在焦虑、抑郁、敌对等心理问题。而这部分战士在应对生活事件时多采取消极、不成熟的应对方式，这可能与失眠存在联系。

Objective To explore the relationship between insomnia and coping styles among the armed policemen to participate in military parade under conditions of high temperature, high mental stress, and high intensity training. Methods 220 armed policemen, all males, aged （20±3）（18-22）, with the length of military service of 2-3 years, undergoing high intensity training under the conditions of high temperature and high mental stress, underwent questionnaire survey with Athens Insomnia Scales, Symptom Checklist 90 （SC-90）, .and Simplified Coping Style Questionnaire. Results 199 valid questionnaires were collected with a validity rate of 90.45%. 62 of the respondents suffered from insomnia （31.15%）, 47 were suspected as with rnsomnia （23.62%）, and 90 did not suffer from insomnia （45.23%）. SCL-90 test showed that the scores of different factors of the insomnia and suspected insomnia groups were all significantly higher than those of the non-insomnia group （all P 〈0.05）. The overall score and score of sonlatization of the suspected insomnia group were both significantly higher than those of the insomnia group （both P 〈0.05）, however, there were. not significant differences in the scores of other factors between these 2 groups （all P 〉0.05）. There were not significant differences in the positive coping score among these 3 groups （all P 〉0.05）, and the scores of negative coping of the insomnia and suspected insomnia groups were both significantly higher than that of the non-insomnia group （both P〈0.05）. Conclusion Insomnia common among the armed policemen to participate military parade who are undergoing high intensity training under high temperature and high mental stress. In response to life events they tend to have anxiety, depression, hostility, and other mental problems and tend to adopt negative coping styles tha; may be correlated with insomnia.