某基地学兵焦虑、抑郁状况及影响因素分析

The anxiety and depression status of cadets and analysis of influencing factors

目的调查分析集训期间某基地学兵的焦虑、抑郁状况,并探究其影响因素。方法采取整群抽样法选取海军某基地940名学兵,采用广泛性焦虑量表(generalized anxiety disorder-7,GAD-7)和患者健康问卷抑郁症状群量表(patient health questionnaire-9,PHQ-9),分别对军人的抑郁与焦虑水平进行测量。采用Logistic回归分析对学兵抑郁及焦虑相关因素进行分析。结果学兵GAD-7评分为(1.36±2.43)分,PHQ-9评分为(2.66±3.23)分;焦虑检出率9.36%(88/940),抑郁检出率20%(188/940),抑郁伴焦虑检出率7.34%(69/940)。Logistic回归分析表明,躯体不适症状是焦虑、抑郁、抑郁伴焦虑等问题的危险因素(P<0.001)。户籍是焦虑、抑郁伴焦虑等问题的危险因素(P<0.05)。此外,非独生子女、原生家庭不完整是抑郁问题的风险因素,具有统计学意义(P<0.05)。结论集训期间学兵的焦虑抑郁水平较高。躯体不适问题与家庭相关因素应引起带训教员和带兵骨干的重视。及时发现焦虑、抑郁等情绪问题,并采取有效的干预应对措施。

Objective To investigate and analyze the anxiety and depression status during intensive training and explore related influencing factors.Methods 940 cadets from a certain Naval base were recruited as study subjects.The depression and anxiety levels of the military personnel were detected by respectively using the generalized anxiety disorder 7-item scale(GAD-7)and the patient health questionnaire depression scale-9 item(PHQ-9).The depression and anxiety influencing factors of cadets were analyzed by Logistic regression analysis.Results The GAD-7 scores of the cadets were(1.36±2.43)and the PHQ-9 scores were(2.66±3.23).The detection rates of anxiety,depression and comorbid depression and anxiety were respectively 9.36%(88/940),20%(188/940)and 7.34%(69/940).Logistic regression analysis revealed that physical discomfort was a risk factor of anxiety,depression and comorbid depression and anxiety(P<0.001).Registered residence was a risk factor of anxiety and comorbid depression and anxiety,with statistical significance(P<0.05).In addition,non-only child and incomplete family of origin were risk factors for depression,also with statistical significance(P<0.05).Conclusion During training,the anxiety and depression level of Naval cadets were relatively high.Instructors and leading members of cadets should pay close attention to physical discomforts and family-related factors affecting cadets,and effective intervention measures should be taken to cope with the problems.