某部新兵应激性失眠与觉察压力、认知情绪调节策略的相关研究

Correlation Research Between Stress Insomnia and Perceived Stress and Cognitive Emotion Regulation Strategies of Recruits

目的探讨集训新兵觉察压力特点、认知情绪调节策略和应激性失眠之间的关系。方法采用便利抽样法,选取某部集训1个月的新兵486名,采用自编一般资料问卷、福特应激失眠反应量表中文版(Ford insomnia response to stress test Chinese version,FIRST-C)、觉察压力量表(perceived stress scale,PSS)和认知情绪调节问卷中文版(cognitive emotion regulation questionnaire-Chinese version,CERQ-C)进行调查,应用FIRST-C把调查新兵划分成应激性失眠高风险组(n=145)和低风险组(n=341)。结果①与低风险组比较,高风险组城镇户口比例(52.41%vs.41.64%)和独生子女比例(68.97%vs.57.18%)偏高,组间比较差异有统计学意义(P<0.05);高风险组PSS总分及各因子分、非适应性调节策略分高于低风险组,适应性调节策略分低于低风险组,组间比较差异有统计学意义(P<0.05或0.01)。②集训新兵FIRST-C总分与新兵来源(城镇)、独生子女(是)、PSS总分、预测感因子分、控制感因子分、超载感因子分、非适应性调节策略因子分呈正相关,而与适应性调节策略呈显著负相关(P<0.05或0.01)。③独生子女、预测感和非适应性调节策略能有效预测集训新兵应激性失眠的易患性(F=7.358,P<0.05)。结论既往的成长环境是集训新兵易患应激性失眠的重要因素,觉察压力水平和不良的压力调节策略加剧了失眠症的发展。

Objective To explore the relationship between stress insomnia and characteristics of perceived stress and cognitive emotion regulation strategies of recruits.Methods A total of 486recruits who had been trained for 1 month were selected by convenient sampling method.The general information questionnaire,Ford insomnia response to stress test Chinese version(FIRST-C),perceived stress scale(PSS)and cognitive emotion regulation questionnaire-Chinese version(CERQ-C)were used to survey.The recruits were divided into high-risk group(n=145)and low-risk group(n=341)by FIRST-C.Results①Compared with the low-risk group,the proportion of urban registration(52.41%vs.41.64%)and only child(68.97%vs.57.18%)of high-risk group were higher(P<0.05).The total score of PSS,score of each factor,score of non-adaptive regulation strategy in high-risk group were higher than those in low-risk group(P<0.05),while score of adaptive regulation strategy was lower(P<0.05).②FIRST-C total score of the recruits was positively correlated with the source of recruits(town),only child(yes),PSS total score,predictive factor score,control factor score,overload factor score and non-adaptive regulation strategy factor score,but negatively correlated with adaptive regulation strategy score(P<0.05or 0.01).③The susceptibility of stress insomnia of recruits was effectively predicted by only child,predictor and non-adaptive regulation strategy(F=7.358,P<0.05).Conclusion The previous growth environment is an important factor for the recruits to suffer from stress insomnia.The perceived of stress level and poor stress regulation strategies intensify development of insomnia.