长远航海官兵焦虑／抑郁的患病情况及影响因素分析

Prevalence of anxiety/depression among navy officers and men during long navigation and influencing factors thereof

目的调查长远航海军官兵焦虑抑郁的发病情况，分析相关危险因素。方法采用整群抽样的方法，对“和谐使命-201t”、“和谐使命-2013”、“和谐使命-2014”期间292名海军官兵进行焦虑自评量表、抑郁自评量表问卷调查，并采用多因素的Logistic回归分析法分析焦虑抑郁的危险因素。结果长远航后海军官兵焦虑抑郁的患病率为28．42％，长远航前发病率为2．05％，差异有统计学意义（P〈0．01）。航海部门患病率为31．25％，高于其他部门。是否受虐、是否父母离异、是否失去亲人）是焦虑抑郁发生的危险因素。结论长远航海军官兵焦虑抑郁患病率较高，制定合理的干预措施，对保障长远航海军官兵心理健康具有重要意义。

Objective To investigate the prevalence of anxiety/depression among navy officers and men during long navigation and influencing factors thereof. Methods 305 navy officers and men, all males, aged （25.6± 11.61）（18 - 45）, who took long voyages to execute the tasks of ＂Harmonious Mission-2012＂, ＂Harmonious Mission-2013＂, and ＂Harmonious Mission-2014＂, were studied by cluster sampling. The Self-rating anxiety scale （SAS） and Self-rating depression scale （SDS） were used to a access their psychological health. Logistic regression analysis was used to identify the risk factors. Results The prevalence rate of anxiety/depression after navigation was 28.42%, significantly higher than that before the navigation （2.05%, P 〈0.01）. The prevalence rate of anxiety/depression after navigation of the navigation department was 31.25%, higher than those of the mechanical and electrical department and logistics department （28.42% and 24.71% respectively）, however, there were no significant differences among these 3 departments （all P〉0.05）. Analysis showed that having been abused, parents＂ divorce, and bereavement were all risk factotrs for anxiety/depression. Conclusion The prevalence of anxiety/depression is rather high among the navy officers and men during long navigation. Relevant risk factors include having been abused, parents＂ divorce, and bereavement.