2016年某部高原汽车兵抑郁状况及其影响因素

Depression status and related factors of automotive soldiers on plateau in a corps in 2016

目的了解某部高原汽车兵抑郁状况,并分析其影响因素。方法采用自动思维问卷、军人职业倦怠量表、疲劳自觉症状调查表、Zung'S抑郁自评量表(SDS)和一般情况调查表,对2016年高原某部汽车兵396人进行统计分析。结果一般情况分析表明,396名高原汽车兵中,抑郁发生率为31.1%,其中轻度抑郁为21.5%,中度抑郁为9.3%,重度抑郁为0.3%;不同受教育程度汽车兵的抑郁总分存在显著统计学差异。相关分析表明,抑郁与教育程度、工作压力、睡眠状况、烦恼程度及家庭负担存在显著负相关(r=-0.392^-0.115,P<0.05),与自动思维、职业倦怠、人际关系、身体症状、疲劳程度、情绪稳定性、高原适应状况及性格类型存在显著正相关(r=0.203~0.588,P<0.01);多元回归分析结果显示,自动思维总分、职业倦怠总分及疲劳状况、受教育程度对抑郁总分的标准化回归系数分别是(β=0.129,P<0.01;β=0.911,P<0.01;β=0.575,P<0.01;β=-0.945,P<0.05),对抑郁总分有较高的预测作用(47.5%)。结论高原汽车兵抑郁检出率较高,头脑中自动思维想法、职业倦怠情况、身体心理疲劳状况和受教育程度是抑郁发生的主要影响因素。

[Objective] To investigate the depression status of automotive soldiers on plateau in a corps,analyze the related factors.[Methods]396 automotive soldiers on plateau in a corps were measured by Automatic Thoughts Questionnaire（ATQ）,Chinese Military Job Burnout Scale,Subjective Fatigue Symptoms,Zung＇s Self-Rating Depression Scale（SDS） in 2016.[Results]The general situation analysis showed that the incidence of depression was 31.4% among 396 automotive soldiers on plateau,and the incidence of mild depression,moderate depression and severe depression was respectively 21.5%,9.3% and0.3%. The difference in the total score of depression was statistically significant among different groups in education level.Correlation analysis showed that depression was significantly negatively correlated with degree of education,work stress,sleep status,annoyance level,and family burden（r =-0.392--0.115,P 0.05）,and significantly positively correlated with automatic thinking,job burnout,interpersonal relationship,physical symptoms,fatigue degree,emotional stability,plateau adaptation,and personality type（r =0.203-0.588,P 0.01）. Multivariate regression analysis results showed that the standardized regression coefficients of the automatic thinking score,job burnout score,the condition of fatigue life and education degree to total score of depression scores were as follows：β =0.129,P 0.01;β =0.911,P 0.01;β =0.575,P 0.01;β =-0.945,P 0.05,which had prediction effect on depression score.[Conclusion]The detection rate of depression in automotive soldiers on plateau is high. The automatic thinking job burnout,physical fatigue and education level are the main influencing factors of depression.