1.100042 北京,解放军总医院京西医疗区高井门诊部
2.510000 广州,31626 部队
3.266000 山东 青岛,91951 部队卫生队
4.100141 北京,军事科学院系统工程研究院
5.831200 新疆 呼图壁,陆军军医大学(第三军医大学)边防卫勤训练大队
6.400038 重庆,陆军军医大学(第三军医大学)医学心理系
Received:19 November 2023,
Revised:2024-03-18,
Published:30 July 2024
移动端阅览
Yuanyuan LI, Yan WANG, Xingya LIAO, et al. Effect of military operation types on dual factors of mental health in Chinese veterans: mediating role of psychological quality[J]. Journal of Army Medical University, 2024, 46(14): 1600-1608.
Yuanyuan LI, Yan WANG, Xingya LIAO, et al. Effect of military operation types on dual factors of mental health in Chinese veterans: mediating role of psychological quality[J]. Journal of Army Medical University, 2024, 46(14): 1600-1608. DOI: 10.16016/j.2097-0927.202311093.
目的
2
基于心理健康双因素模型
探讨军事行动类型对我国退役军人心理健康的影响及心理素质的中介作用。
方法
2
本研究采用横断面研究设计方案。应用自编人口学信息问卷、患者健康问卷抑郁量表、广泛性焦虑量表、生活满意度问卷、心理素质问卷
对3 027名我国退役军人进行问卷调查。
结果
2
① 与单因素模型及其他双因素模型比较
以焦虑症状为消极指标
生活满意度为积极指标的心理健康双因素模型拟合效果更好(
χ
2
/df=8.927
GFI=0.974
AGFI=0.962
RMSEA=0.051
NNFI=0.985
IFI=0.988
CFI=0.988);②以未参加战争/非战争军事行动者为参照
心理素质在战争与生活满意度、战争与焦虑症状的相对中介效应均显著(
P
<
0.05)
在非战争军事行动与生活满意度、非战争军事行动与焦虑症状的相对中介效应均不显著; ③战争通过对心理素质的认知维度、适应性维度、个性维度的完全中介作用
降低退役军人生活满意度
通过对心理素质个性维度的部分中介作用增加其焦虑症状。
结论
2
心理健康双因素模型适用于我国退役军人群体
心理素质在战争与心理健康之间起中介作用。
Objective
2
To explore the effects of military operation types on the mental health of Chinese veterans and the mediating role of psychological quality based on a dual-factor model of mental health.
Methods
2
Cross-sectional study design was adopted in this study.Self-designed demographic information questionnaire
patient health questionnaire depression module-9 item (PHQ-9)
general anxiety disorder-7(GAD-7)
satisfaction with life scale and psychological quality questionnaire were used to survey on 3 027 Chinese veterans.
Results
2
① Compared to the one-factor model and the two-factor models with other indicators
the dual-factor model of mental health
with anxiety symptoms as a negative indicator and life satisfaction as a positive indicator
fitted better (
Chi
-square/df=8.927
GFI=0.974
AGFI=0.962
RMSEA=0.051
NNFI=0.985
IFI=0.988
CFI=0.988).②Taking the subjects who did not participate in war/non-war military operations as the reference
psychological quality showed significant relatively mediating effects between war and life satisfaction
and between war and anxiety symptoms (
P
<
0.05)
while no such significances were observed in the corresponding ones for non-war military operations.③ War could decrease veterans'life satisfaction through full mediation of cognitive
adaptive and personality dimensions of psychological quality
and increase anxiety symptoms through partial mediation of the personality dimension of psychological quality.
Conclusion
2
The dual-factor model of mental health is applicable to Chinese veteran population
and psychological quality plays a mediating role between war and mental health.
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