部队救援人员认知情绪调节与抑郁的早期筛查模型

目的调查某部1324名救援人员认知情绪调节策略及抑郁自评结果,探索认知情绪调节策略与抑郁的预测模型。方法采取整群抽样方式,现场调查某部救援人员共1324名,采用患者健康问卷抑郁量表(PHQ-9)、认知情绪调节量表(CERQ)进行调查。运用二元logistic回归分析建立抑郁筛查预测模型。结果某部救援人员抑郁筛查阳性率为11.3%,筛出抑郁状态150名。Logistic回归分析结果显示,灾难化(P=0.000)、积极重新评价(P=0.001)、接受(P=0.000)三种认知情绪调节策略可显著预测抑郁筛查阳性,OR及95%CI分别为:1.509(1.348~1.689)、1.197(1.079~1.329)及0.817(0.739~0.903)。灾难化、接受与抑郁情绪呈正相关。结论灾难化、接受积极重新评价这三种认知情绪调节策略对该部救援人员抑郁自评结果有预测作用。

Early screening model of cognitive emotional regulation for depression in army rescue workers

Objective To investigate the cognitive emotion regulation strategies and self-assessment of depression among rescue worker.Methods 1324 rescue workers,collected by cluster sampling from the PLA General Hospital,al males and unmarried,aged 17~36,41 with the educational attainment of junior high school,653 with the attainment of senior high school or technical secondary school,and 653 with the altainment of university or above.The Patient Health Questionnaire-9(PHQ-9)and Cognitive Emotion Regulation Questionnaire(CERQ)were used to investigate the positive screening rate.The predictive factors of depression screening was explored by binary logistic regressionanalysis.Results The positive rate of depression screening was 11.3%(150/1324).Logistic regression analysis showed that catastrophe(P=0.000),positive reappraisal(P=0.001),acceptance(P=0.000)significantly predict positive depres-sion screening[OR and 95%CI were 1.509(1.348~1.689),1.197(1.079~1.329),and 0.817(0.739~0.903)respectively].Catastrophe and acceptance were positively correlated with depression.Conclusion A litle more than 11% of the army rescue workers suffers from depression.The three cognitive emotion regulation strategies(catastrophe,acceptance,and positive reappraisal)help predict the results of self-assessment of depression in the rescue workers.