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退役军人心理健康状况及影响因素分析
Status and influencing factors of mental health among veterans in China

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明志君 1,2   陈祉妍 1 *   刘亚男 1,3   陈国民 4  
文摘 目的了解退役军人抑郁、焦虑和创伤后应激障碍(PTSD)风险状况及影响因素,为该群体的心理健康促进提供参考依据。方法于2019年对中国30个省(自治区、直辖市)的退役军人进行抽样调查,收回有效问卷1 045份,采用流调中心抑郁量表简版(CESD-9)、广泛性焦虑量表简版(GAD-2)、PTSD风险问卷对心理健康状况进行评估。结果抑郁得分为(9.73 ± 6.86)分,不同学历、军衔、经济收入退役军人抑郁得分有显著差异(均P &0.001)。焦虑得分为(2.09 ± 1.91)分,不同年龄、学历、军衔、经济收入退役军人焦虑得分有显著差异(均P &0.01)。PTSD风险比率为42.58 %,不同学历、军衔、经济收入、重大军事行动经历退役军人PTSD风险比率有显著差异(均P &0.01)。经济收入(β =- 0.13,P &0.001)、饮酒行为(β = 0.12,P &0.001)和睡眠质量(β =- 0.59,P &0.001)对抑郁得分存在显著影响;经济收入(β =- 0.11,P &0.01)、饮酒行为(β = 0.08,P &0.01)和睡眠质量(β =- 0.64,P &0.001)对焦虑得分存在显著影响;年龄(OR = 1.04,95 % CI = 1.02~1.06)、重大军事行动(OR = 1.60,95 % CI = 1.11~2.30)、饮酒行为(OR = 1.18,95 % CI = 1.05~1.32)和睡眠质量(OR = 0.74,95 % CI = 0.68~0.80)对PTSD风险存在显著影响。结论中国退役军人心理健康水平较低,饮酒行为是抑郁、焦虑的危险因素,经济收入和睡眠质量是抑郁、焦虑的保护因素;年龄增长、重大军事行动经历、饮酒行为是PTSD风险的危险因素,睡眠质量是PTSD风险的保护因素;抑郁、焦虑和PTSD风险之间密切相关。
其他语种文摘 Objective To investigate the status and influencing factors of depression,anxiety and post-traumatic stress disorder (PTSD) among veterans in China and to provide references for promoting mental health of the population.Methods We conducted a questionnaire survey among 1 100 veterans under 80 years recruited from 30 provincial-level regions across China with cluster sampling during May- July 2019.Mental health status of the participants was assessed using the short version of the Center for Epidemiologic Studies Depression Scale (CESD-9) Chinese version,the Generalized Anxiety Disorder Scale (GAD-2),and PTSD risk scale.Results For all the valid respondents (1 045,95.00% of the veterans recruited),the mean depression score was 9.73 ± 6.86 and the score differed significantly by education,military rank and income (all P &0.001);the mean anxiety score was 2.09 ± 1.91 and the score differed significantly by age,education,military rank,and economic income (all P &0.01).The proportion of the participants assessed as at high risk of PTSD was 42.58% and the proportion was significantly associated with education,military rank,economic income,and major military action experience (all P &0.01).The results of linear regression analysis indicated that significant influencing factors for depression score included income (β =- 0.13,P &0.001),alcohol consumption (β = 0.12,P &0.001),and sleep quality(β =- 0.59,P &0.001) and significant impact factors for anxiety score included income (β =- 0.11,P &0.01),alcohol consumption (β = 0.08,P &0.01) and sleep quality (β =- 0.64,P &0.001).The results of logistic regression analysis revealed that age (odds ratio [OR] = 1.04,95% confidence interval [95% CI]:1.02- 1.06),with major military action experience (OR = 1.60,95% CI:1.11- 2.30),alcohol consumption (OR = 1.18,95% CI:1.05- 1.32) were significant risk factors for PTSD;while,sleep quality (OR = 0.74,95% CI:0.68- 0.80) was a protective factors against PTSD significantly.Conclusion Among Chinese veterans,the mental health was at a low level;alcohol consumption is a risk factor but income and sleep quality are protective factors against depression and anxiety;at older age,with major military action experience,and alcohol consumption are risk factors for PTSD risk,while,sleep quality is a protective factor against PTSD risk.
来源 中国公共卫生 ,2022,38(2):167-171 【核心库】
DOI 10.11847/zgggws1130193
关键词 抑郁 ; 焦虑 ; 创伤后应激障碍 ; 影响因素 ; 退役军人
地址

1. 中国科学院心理研究所, 中国科学院心理健康重点实验室, 北京, 100101  

2. 93534部队  

3. 中国科学院大学心理学系  

4. 瑞阳心语心理学应用技术发展有限公司

语种 中文
文献类型 研究性论文
ISSN 1001-0580
学科 基础医学
文献收藏号 CSCD:7150392

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引证文献 3 篇

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2 李媛媛 基于变量中心和个体中心分析我国退役人员创伤后应激障碍的症状特点及影响因素 海军军医大学学报,2023,44(4):454-465
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