Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking

杨倩; 张世昌; 田益沁; 陈秀秀; 于永菊; 李敏

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Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking

更新时间：2026-01-09

- Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking
- Journal of Army Medical University Vol. 38, Issue 1, Pages: 16-20(2016)
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  CLC： R192;R395.6;R821.5
- Published：2016
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杨倩,张世昌,田益沁,陈秀秀,于永菊,李敏.军医大学新生集训及300公里拉练后应激后成长及其影响因素研究[J].陆军军医大学学报(原第三军医大学学报),2016,38(01):16-20.

　Yang Qian,Zhang Shichang,Tian Yiqin,Chen Xiuxiu,Yu Yongju,Li Min.Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(01):16-20.
杨倩,张世昌,田益沁,陈秀秀,于永菊,李敏.军医大学新生集训及300公里拉练后应激后成长及其影响因素研究[J].陆军军医大学学报(原第三军医大学学报),2016,38(01):16-20. DOI：

　Yang Qian,Zhang Shichang,Tian Yiqin,Chen Xiuxiu,Yu Yongju,Li Min.Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(01):16-20. DOI：

摘要

目的探索军医大学新生集训及300公里拉练后应激后成长及其影响因素。方法采用应激后成长量表（PTGI）、Connor-Davidson心理弹性量表（CD-RISC）、正负性情绪量表（PANAS）、状态-特质焦虑量表（STAI）和流调用抑郁自评量表（CESD），对刚刚结束2个月集训及300公里拉练后的565名某军医大学新生进行调查研究。结果 ①军医大学新生应激后成长总分为（69.19±18.65）。②应激后成长与心理弹性、正性情绪呈显著正相关（r值分别为0.728、0.703，P0.01），与负性情绪、状态焦虑、特质焦虑、抑郁呈显著负相关（r值分别为-0.499、-0.644、-0.673、-0.249，P0.01）。③应激后成长高分组在心理弹性、正性情绪的得分显著高于低分组（P0.01）；在负性情绪、状态焦虑、特质焦虑、抑郁得分均显著低于低分组（P0.01）。④正性情绪、心理弹性、特质焦虑可以有效预测应激后成长水平，总解释率为61.5%。结论提升正性情绪与心理弹性水平，降低焦虑和抑郁水平，有助于促进军校大学新生的应激后成长，提升心理健康水平。

Abstract

Objective To investigate the stress-related growth (SRG) and its influencing factors in freshmen from a military medical university after military training for new recruits and 300 km hiking. Methods Posttraumatic growth inventory (PTGI)

Connor-Davidson resilience scale (CD-RISC)

Positive and negative affect scale (PANAS)

state trait anxiety inventory (STAI)

and center for epidemiologic studies depression scale (CESD) were applied to survey 565 fresh medical cadets after 2 months’ military training and 300 km hiking. Results The total score of SRG was 69.19±18.65 for the students. SRG was positively correlated with resilience and positive affect (r=0.728

0.703

P0.01)

and negatively correlated with negative affect

state anxiety

trait anxiety

and depression (r=-0.499

-0.644

-0.673

and -0.249

P0.01). Compared with the lower SRG group

the higher SRG group had higher resilience and positive affect (P0.01)

but lower negative affect

state anxiety

trait anxiety and depression (P0.01). Resilience

positive affect and trait anxiety were important predictors for SRG

and could explain 61.5% of the total variance in SRG. Conclusion Enhancing the levels of positive affect and resilience and reducing anxiety and depression can contribute to the improvement of SRG and mental health in fresh cadets.

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