高原军人抑郁、焦虑与情绪调节方式的关系

目的 探讨高原军人抑郁、焦虑与情绪调节方式的关系.方法 采用流调中心抑郁自评量表(center for epidemiologic studies depression scale,CES-D)、状态-特质焦虑量表(state-trait anxiety inventory,STAI)、军人情绪调节方式量表(armymen emotion regulation types questionnaire,AERTQ)对4691名高原军人进行抽样调查.结果 ①高原军人抑郁发生率为31.60％,均分为(13.27±7.19);状态焦虑均分(39.28 ±8.98),特质焦虑均分(39.28 ±8.43).②4种军人情绪调节方式使用频率差异有统计学意义[F(3,13 890)=1401.99,P＜0.01],从高到低依次是自我安慰(15.60 ±4.29)、情感求助(13.82 ±4.22)、行为抑制(13.45 ±4.32)、认知重视(11.16 ±3.98).③高原军人的抑郁、状态焦虑、特质焦虑都与认知重视(r=0.492、r=0.303、r=0.373,P＜0.01)、行为抑制(r=0.189、r=0.041、r=0.057,P＜0.01)呈正相关,而与情感求助(r=-0.099、r=-0.185、r=-0.161,P＜0.01)、自我安慰(r=-0.150、r=-0.221、r=-0.227,P＜0.01)呈负相关.③认知重视、行为抑制、情感求助、自我安慰能够有效地预测高原军人抑郁情绪,总解释率为29.40％;认知重视、情感求助、自我安慰能够预测高原军人状态焦虑和特质焦虑,总解释率分别为17.00％、22.10％.结论 使用不同军人情绪调节方式对高原军人抑郁、状态焦虑和特质焦虑有重要影响.

Relationship of emotion regulation types with depression and anxiety in military personnel in high altitude

Objective To explore the relationship of emotion regulation types with depression and anxiety in officers and soldiers stationed in high altitude areas.Methods A total of 4 691 officers and soldiers stationed in plateau areas were surveyed with epidemiologic studies depression scale (CES-D),statetrait anxiety inventory (STAI) and armymen emotion regulation types questionnaire (AERTQ).Results ① In high altitude areas,the prevalence rate of depression in military personnel was 31.60％.The mean score for depression symptom was 13.27 ± 7.19,that for state anxiety inventory was 39.28 ± 8.98,and for trait anxiety inventory was 39.28 ± 8.43.② The frequencies of using 4 emotion regulation types were significant different [F(3,13890) =1401.99,P ＜ 0.01],with self-comfort (15.60 ±4.29),affective-appeal (13.82 ±4.22),behavior-restrain (13.45 ±4.32),and cognitive-focus (11.16 ±3.98) in order.③The depression,state anxiety and trait anxiety had positive correlation with cognitive-focus (r =0.492,r =0.303,r =0.373,P ＜ 0.01) and behavior-restrain (r =0.189,r =0.041,r =0.057,P ＜ 0.01),and had negative correlation with affective-appeal (r =-0.099,r =-0.185,r =-0.161,P ＜ 0.01) and self-comfort (r =-0.150,r =-0.221,r =-0.227,P ＜0.01).④Cognitive-focus,behavior-restrain,affective-appeal and self-comfort were predictors of depression,with a total explanation rate of 29.40％ for the total variance.Cognitive-focus,affective-appeal and self-comfort were predictors of state anxiety and trait anxiety,which could explain 17.00％ and 22.10％ respectively of the total variance.Corclusion Different emotion regulation types exert important effect on depression,state anxiety and trait anxiety in officers and soldiers in high altitude.