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  • 戈英男,马楷轩,蔡文鹏,张水淼,董薇.军人焦虑敏感性和心理健康关系:心理弹性的中介效应[J].第二军医大学学报,2018,39(1):92-96    [点击复制]
  • GE Ying-nan,MA Kai-xuan,CAI Wen-peng,ZHANG Shui-miao,DONG Wei.Relationship between anxiety sensitivity and psychological health of soldiers: mediating effect of resilience[J].Acad J Sec Mil Med Univ,2018,39(1):92-96   [点击复制]
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军人焦虑敏感性和心理健康关系:心理弹性的中介效应
戈英男1,马楷轩1,蔡文鹏1,张水淼1,2,董薇1*
0
(1. 第二军医大学心理与精神卫生学系心理1队, 上海 200433;
2. 济南军区总医院神经内科, 济南 250000
*通信作者)
摘要:
目的 探讨军人焦虑敏感性(anxiety sensitivity,AS)、心理弹性(resilience,RS)和心理健康之间的关系。方法 抽取某部260名现役军人,采用AS指数量表Ⅲ(ASI-3)、Conner-Davidson心理弹性量表(CD-RISC)、症状自评量表进行调查,运用结构方程模型分析变量间关系。结果 收回有效问卷240份,有效率为92.3%。军人AS和心理健康水平在服役年限、是否独生子女、职别、文化程度、入伍前户籍等人口学变量方面的差异均无统计学意义(P>0.05);高AS军人症状自评量表总分和各因子得分均高于低AS军人(P<0.01)。相关分析结果显示,军人症状自评量表总分与ASI-3总分(r=0.487,P<0.001)和各因子得分呈正相关(r躯体关注=0.435,r社会关注=0.455,r认知关注=0.445;P<0.001),与CD-RISC各因子得分呈负相关(r坚韧=-0.315,r力量=-0.321,r乐观=-0.227;P<0.001)。结构方程模型和Sobel检验结果显示,AS能通过RS间接影响军人心理健康:χ2/df=20.222/12=1.685 2,P=0.063,拟合优度指数(GFI)=0.977,调整拟合优度指数(AGFI)=0.946,规范拟合指数(NFI)=0.977,相对拟合指数(RFI)=0.960,增值拟合指数(IFI)=0.991,Tucker-Lewis系数(TLI)=0.983,比较拟合指数(CFI)=0.990,近似误差均方根(RMSEA)=0.054。结论 RS在军人AS与心理健康之间起部分中介效应,应重点关注高AS军人心理健康问题,提高RS,以改善其心理健康状况。
关键词:  焦虑  军人  心理健康  复原力  中介效应
DOI:10.16781/j.0258-879x.2018.01.0092
投稿时间:2017-10-30修订日期:2017-12-03
基金项目:上海市卫生和计划生育委员会青年科研项目(2013Y168),第二军医大学军事医学项目(2014JS26),第二军医大学博士研究生创新研究基金(20152049).
Relationship between anxiety sensitivity and psychological health of soldiers: mediating effect of resilience
GE Ying-nan1,MA Kai-xuan1,CAI Wen-peng1,ZHANG Shui-miao1,2,DONG Wei1*
(1. The First Student Team, Faculty of Psychology and Mentel Health, Second Military Medical University, Shanghai 200433, China;
2. Department of Neurology, General Hospital of PLA Jinan Military Area Command, Jinan 250000, Shandong, China
*Corresponding author)
Abstract:
Objective To investigate the relationship between anxiety sensitivity (AS), resilience and mental health of soldiers. Methods A total of 260 soldiers were selected from an army troop, and were surveyed by anxiety sensitivity index Ⅲ (ASI-3), Conner-Davidson resilience scale (CD-RISC) and self-reporting inventory (SCL-90). The relationships of these variables were analyzed by structure equation modeling analysis. Results Totally 240 (92.3%) valid questionnaires were collected. There were no significant differences in AS or mental health between soldiers with different demographic factors including service length, single-child or not, job division, educational level, or residence before entering army (P>0.05). The total score of SCL-90 and each factor scores of soldiers with high-AS were significantly higher than those with low-AS (P<0.01). The correlation analysis results showed that the total score of SCL-90 was positively correlated with the total score and each factor score of ASI-3 (rASI=0.487, rsomatic=0.435, rsocial=0.455, rcognitive=0.445; P<0.001), and was negatively correlated with each factor score of CD-RISC (rtenacity=0.315, rstrength=0.321, roptimism=0.227; P<0.001). Structural equation modeling analysis and Sobel test showed that AS indirectly affected the mental health of soldiers through the mediating effect of resilience (χ2/df=20.222/12=1.685 2, P=0.063, goodness of fit index[GFI]=0.977, adjusted goodness of fit index[AGFI]=0.946, normed fit index[NFI]=0.977, relative fit index[RFI]=0.960, incremental fit index[IFI]=0.991, Tucker-Lewis index[TLI]=0.983, comparative fit index[CFI]=0.990, and root mean square error approximation[RMSEA]=0.054). Conclusion RS has partial mediating effect on the relationship between AS and mental health of soldiers. More attention should be paid on the mental health of soldiers with high AS, so as to improve their RS and mental health.
Key words:  anxiety  soldier  mental health  resilience  mediation effect