Psychological resilience and monthly household income are the core influencing factors for distress tolerance in patients undergoing maintenance hemodialysis: a cross-sectional study of latent profile analysis

Zhang Yun; Xu Caijie; Sun Zhiyan; Wang Yue; Ao Qi; Xu Peili

doi:10.16016/j.2097-0927.202604092

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Psychological resilience and monthly household income are the core influencing factors for distress tolerance in patients undergoing maintenance hemodialysis: a cross-sectional study of latent profile analysis

Medical Psychology | 更新时间：2026-10-30

- Psychological resilience and monthly household income are the core influencing factors for distress tolerance in patients undergoing maintenance hemodialysis: a cross-sectional study of latent profile analysis
- Journal of Army Medical University Vol. 48, Issue 20, Pages: 2975-2984(2026)
- 作者机构：
  
  1.安徽中医药大学护理学院，安徽合肥
  2.合肥市第一人民医院护理部，安徽合肥
- 作者简介：
  
  Xu Peili， E-mail： 365649738@qq.com
- 基金信息：
  
  the Medical Research Project of Anhui Provincial Association of Chinese Medicine(2024ZYYXH133);the Applied Medical Scientific Research Project of Hefei Municipal Health Commission(Hwk2024yb024)
- DOI：10.16016/j.2097-0927.202604092
  CLC： R195.4;R459.5;R473
- Received：27 April 2026，
  
  Revised：2026-08-28，
  
  Accepted：04 September 2026，
  
  Published：30 October 2026
- 稿件说明：
移动端阅览
张昀，许采颉，孙芷妍，等.心理弹性与家庭月收入是维持性血液透析患者痛苦容忍度的核心影响因素：一项潜在剖面分析的横断面研究［J］.陆军军医大学学报，2026，48（20）：2975-2984.DOI：10.16016/j.2097-0927.202604092.

Zhang Y，Xu C J，Sun Z Y，et al.Psychological resilience and monthly household income are the core influencing factors for distress tolerance in patients undergoing maintenance hemodialysis： a cross-sectional study of latent profile analysis［J］.J Army Med Univ，2026，48（20）：2975-2984.DOI：10.16016/j.2097-0927.202604092.
张昀，许采颉，孙芷妍，等.心理弹性与家庭月收入是维持性血液透析患者痛苦容忍度的核心影响因素：一项潜在剖面分析的横断面研究［J］.陆军军医大学学报，2026，48（20）：2975-2984.DOI：10.16016/j.2097-0927.202604092. DOI：

Zhang Y，Xu C J，Sun Z Y，et al.Psychological resilience and monthly household income are the core influencing factors for distress tolerance in patients undergoing maintenance hemodialysis： a cross-sectional study of latent profile analysis［J］.J Army Med Univ，2026，48（20）：2975-2984.DOI：10.16016/j.2097-0927.202604092. DOI：

摘要

目的

维持性血液透析（maintenance hemodialysis，MHD）患者因长期治疗负担及身心压力，易出现负性情绪体验。痛苦容忍度是患者应对负性情绪的重要心理能力，但该人群痛苦容忍度的异质性特征尚缺乏系统描述。本研究旨在探讨MHD患者痛苦容忍度的潜在类别特征及影响因素，为构建临床干预方案提供参考。

方法

本研究采用横断面研究设计，于2025年9月至2026年3月，运用便利抽样法，选取合肥市第一人民医院肾脏内科的323例MHD患者为调查对象。采用一般资料调查表、痛苦容忍度量表（Chinese Revised Version of Distress Tolerance Scale，DTS-CR）、知觉压力量表（Perceived Stress Scale-10，PSS-10）、心理弹性简表（10-item Connor Davidson Resilience Scale，CD-RISC-10）、生活满意度量表（Satisfaction with Life Scale，SWLS）分别测量患者的社会人口学特征及疾病相关指标、痛苦容忍度、知觉压力、心理弹性及生活满意度水平。借助潜在剖面分析识别痛苦容忍度的不同类别，运用单因素、多元Logistic回归分析不同类别的影响因素。

结果

MHD患者痛苦容忍度得分为（39.96±7.76）分，可分为高容忍-接纳适应型（

=61，18.9%）、中容忍-调节困难型（

=180，55.7%）以及低容忍-痛苦敏感型（

=82，25.4%）3个潜在类别。3组患者在年龄、婚姻状况、家庭人均月收入、医保类型、并发症数量、自理能力、自评健康状况、性格类型、知觉压力得分、心理弹性得分及生活满意度得分方面差异均有统计学意义（

0.05）。多元Logistic回归分析结果显示：家庭人均月收入（

3 000元，

=5.817，95%

：1.005~33.665）、自理能力（完全自理，

=0.039，95%

：0.003~0.522）、性格类型（内向型，

=6.758，95%

：1.410~32.386）、知觉压力得分（

=1.442，95%

：1.206~1.724）、心理弹性得分（

=0.766，95%

：0.636~0.923）及生活满意度得分（

=0.783，95%

：0.650~0.943）与低容忍-痛苦敏感型相关（

0.05）；家庭人均月收入（

3 000元，

=10.412，95%

：3.158~34.325；3 000~5 000元，

=5.546，95%

：2.341~13.139）、心理弹性得分（

=0.883，95%

：0.782~0.997）及知觉压力得分（

=1.117，95%

：1.006~1.241）与中容忍-调节困难型相关（

0.05）。

结论

MHD患者痛苦容忍度可分为高容忍-接纳适应型、中容忍-调节困难型、低容忍-痛苦敏感型3个潜在类别。家庭人均月收入、自理能力、性格类型、知觉压力、心理弹性及生活满意度与MHD患者痛苦容忍度密切相关。临床应依据痛苦容忍度的不同类别实施分层干预措施，对于低容忍-痛苦敏感型的患者，重点开展个体化认知行为干预及并发症精细管理，提升患者情绪控制能力；对于中容忍-调节困难型的患者，聚焦情绪技能培训与目标建立，恢复自我管理信心；对于高容忍-接纳适应型的患者，充分挖掘其优势资源，发挥该类别患者的教育辐射作用。

Abstract

Objective

Maintenance hemodialysis (MHD) patients are prone to negative emotional experiences due to long-term treatment burden and physical and mental stress. Distress tolerance is an important psychological ability for patients to cope with negative emotions

but the heterogeneity of distress tolerance in this population has not been systematically described. This study aimed to explore the latent class characteristics of distress tolerance and influencing factors of distress tolerance in MHD patients

so as to provide a reference for the development of clinical intervention programs.

Methods

A cross-sectional study was conducted on 323 MHD patients enrolled using convenience sampling from Department of Nephrology of Hefei First People’s Hospital between September 2025 and March 2026. General information questionnaire

Chinese Revised Version of Distress Tolerance Scale (DTS-CR)

Perceived Stress Scale-10 (PSS-10)

10-item Connor Davidson Resilience Scale (CD-RISC-10)

and Satisfaction with Life Scale (SWLS) were used to measure the sociodemographic characteristics and disease-related indicators

distress tolerance

perceived stress

resilience

and life satisfaction of the patients

respectively. Latent profile analysis was used to identify distinct profiles of distress tolerance. Univariate and multivariate logistic regression analyses were applied to identify their influencing factors of different classes.

Results

The MHD patients had a distress tolerance score of 39.96±7.76; they were classified into 3 profiles: high tolerance-acceptance adaptation type (

=61

18.9%)

moderate tolerance-regulation difficulty type (

=180

55.7%)

and low tolerance-distress sensitivity type (

=82

25.4%). There were statistically significant differences among the 3 groups of patients in age

marital status

monthly per capita household income

medical insurance type

number of complications

self-care ability

self-rated health status

personality type

perceived stress score

psychological resilience score

and life satisfaction score (

0.05). Multinomial logistic regression analysis showed that monthly per capita household income (

3 000 yuan

=5.817

95%

: 1.005 to 33.665)

self-care ability (completely independent

=0.039

95%

: 0.003 to 0.522)

personality type (introverted

=6.758

95%

: 1.410 to 32.386)

perceived st

ress score (

=1.442

95%

: 1.206 to 1.724)

psychological resilience score (

=0.766

95%

: 0.636 to 0.923)

and life satisfaction score (

=0.783

95%

: 0.650 to 0.943) were associated with the low tolerance-distress sensitivity type (

0.05). Monthly per capita household income (

3 000 yuan

=10.412

95%

: 3.158 to 34.325; 3 000 to 5 000 yuan

=5.546

95%

: 2.341 to 13.139)

psychological resilience score (

=0.883

95%

: 0.782 to 0.997)

and perceived stress score (

=1.117

95%

: 1.006 to 1.241) were associated with the moderate tolerance-regulation difficulty type (

0.05).

Conclusion

Distress tolerance in MHD patients can be classified into 3 latent classes: high tolerance-acceptance adaptation type

moderate tolerance-regulation difficulty type

and low tolerance-distress sensitivity type. Monthly per capita household income

self-care ability

personality type

perceived stress

psychological resilience

and life satisfaction are closely associated with distress tolerance in MHD patients. Clinically

stratified intervention measures should be implemented according to the different classes of distress tolerance. For patients with the low tolerance-distress sensitivity type

individualized cognitive behavioral intervention and meticulous management of complications should be carried out to improve their emotional control ability. For patients with the moderate tolerance-regulation difficulty type

emotional skills training and goal setting should be focused on to restore self-management confidence. For patients with the high tolerance-acceptance adaptation type

their advantageous resources should be fully explored to exert their educational and peer-influence role.

关键词

Keywords

references

Bello A K ， Okpechi I G ， Osman M A ， et al . Epidemiology of haemodialysis outcomes ［J］. Nat Rev Nephrol ， 2022 ， 18 （ 6 ）： 378 - 395 . DOI： 10.1038/s41581-022-00542-7 http://dx.doi.org/10.1038/s41581-022-00542-7 .

陈林，夏京华，符霞，等 . 超声实时引导下疑难动静脉内瘘穿刺的专家共识［J］. 中华护理杂志， 2025 ， 60 （ 19 ）： 2309 - 2313 . DOI： 10.3761/j.issn.0254-1769.2025.19.001 http://dx.doi.org/10.3761/j.issn.0254-1769.2025.19.001 .

Chen L ， Xia J H ， Fu X ， et al . Expert consensus on the difficult cannulation of hemodialysis arteriovenous fistula guided by point-of-care ultrasound ［J］. Chin J Nurs ， 2025 ， 60 （ 19 ）： 2309 - 2313 . DOI： 10.3761/j.issn.0254-1769.2025.19.001 http://dx.doi.org/10.3761/j.issn.0254-1769.2025.19.001 .

Ye Y Y ， Tao L F ， Yang Y L ， et al . Correlation between anxiety， depression， self-perceived burden， and psychological resilience in patients with chronic renal failure on maintenance hemodialysis ［J］. World J Psychiatry ， 2025 ， 15 （ 7 ）： 103850 . DOI： 10.5498/wjp.v15.i7.103850 http://dx.doi.org/10.5498/wjp.v15.i7.103850 .

刘小琳，高隽 . 痛苦容忍度量表中文版修订及其信效度检验［J］. 中国临床心理学杂志， 2023 ， 31 （ 1 ）： 96 - 101 . DOI： 10.16128/j.cnki.1005-3611.2023.01.017 http://dx.doi.org/10.16128/j.cnki.1005-3611.2023.01.017 .

Liu X L ， Gao J . Psychometric properties of the Chinese revised version of distress tolerance scale ［J］. Chin J Clin Psychol ， 2023 ， 31 （ 1 ）： 96 - 101 . DOI： 10.16128/j.cnki.1005-3611.2023.01.017 http://dx.doi.org/10.16128/j.cnki.1005-3611.2023.01.017 .

Garey L ， Smit T ， Clausen B K ， et al . Anxiety sensitivity and distress tolerance in relation to smoking abstinence expectancies among black individuals who smoke ［J］. J Stud Alcohol Drugs ， 2024 ， 85 （ 2 ）： 244 - 253 . DOI： 10.15288/jsad.23-00176 http://dx.doi.org/10.15288/jsad.23-00176 .

Zhong J ， Huang X J ， Wang X M ， et al . The mediating effect of distress tolerance on the relationship between stressful life events and suicide risk in patients with major depressive disorder ［J］. BMC Psychiatry ， 2023 ， 23 （ 1 ）： 118 . DOI： 10.1186/s12888-023-04600-7 http://dx.doi.org/10.1186/s12888-023-04600-7 .

Yang L ， Zhou L Y ， Zhao C F ， et al . Analysis of current status and influencing factors of psychological distress tolerance in liver cancer patients after interventional therapy ［J］. Psychiatry Clin Psychopharmacol ， 2024 ， 34 （ 4 ）： 342 - 348 . DOI： 10.5152/pcp.2024.24956 http://dx.doi.org/10.5152/pcp.2024.24956 .

Çelik M ， Batmaz H ， Türk N ， et al . Psychological adjustment and tolerance for psychological pain： a chain mediation model of stress mindset and perceived stress ［J］. Behav Sci （Basel）， 2026 ， 16 （ 1 ）： 151 . DOI： 10.3390/bs16010151 http://dx.doi.org/10.3390/bs16010151 .

Zhang L L ， Zhang Y L ， Liu T ， et al . Correlation between life satisfaction， pleasure level， and negative emotion in patients with chronic renal failure ［J］. World J Psychiatry ， 2026 ， 16 （ 1 ）： 112733 . DOI： 10.5498/wjp.v16.i1.112733 http://dx.doi.org/10.5498/wjp.v16.i1.112733 .

Chowdhury N ， Kevorkian S ， Hawn S E ， et al . Associations between personality and distress tolerance among trauma-exposed young adults ［J］. Pers Individ Dif ， 2018 ， 120 ： 166 - 170 . DOI： 10.1016/j.paid.2017.08.041 http://dx.doi.org/10.1016/j.paid.2017.08.041 .

Liu Y L ， Xue H ， Yan L ， et al . The assessment of spirituality between cancer and chronic inpatients： a cross-sectional study ［J］. Support Care Cancer ， 2022 ， 30 （ 5 ）： 4157 - 4167 . DOI： 10.1007/s00520-022-06847-4 http://dx.doi.org/10.1007/s00520-022-06847-4 .

上海市肾内科临床质量控制中心专家组 . 慢性肾脏病早期筛查、诊断及防治指南（2022年版）［J］. 中华肾脏病杂志， 2022 ， 38 （ 5 ）： 453 - 464 . DOI： 10.3760/cma.j.cn441217-20210819-00067 http://dx.doi.org/10.3760/cma.j.cn441217-20210819-00067 .

Expert Group on Kidney Clinical Quality Control Center in Shanghai . Guidelines for early screening， diagnosis， prevention and treatment of chronic kidney disease （2022 Edition）［J］. Chin J Nephrol ， 2022 ， 38 （ 5 ）： 453 - 464 . DOI： 10.3760/cma.j.cn441217-20210819-00067 http://dx.doi.org/10.3760/cma.j.cn441217-20210819-00067 .

倪平，陈京立，刘娜 . 护理研究中量性研究的样本量估计［J］. 中华护理杂志， 2010 ， 45 （ 4 ）： 378 - 380 . DOI： 10.3761/j.issn.0254-1769.2010.04.037 http://dx.doi.org/10.3761/j.issn.0254-1769.2010.04.037 .

Ni P ， Chen J L ， Liu N . The sample size estimation hi quantitative nursing research ［J］. Chin J Nurs ， 2010 ， 45 （ 4 ）： 378 - 380 . DOI： 10.3761/j.issn.0254-1769.2010.04.037 http://dx.doi.org/10.3761/j.issn.0254-1769.2010.04.037 .

Nylund-Gibson K ， Garber A C ， Carter D B ， et al . Ten frequently asked questions about latent transition analysis ［J］. Psychol Methods ， 2023 ， 28 （ 2 ）： 284 - 300 . DOI： 10.1037/met0000486 http://dx.doi.org/10.1037/met0000486 .

吕慧梅，张玲辉，王玉男，等 . 青年缺血性脑卒中病人经验性回避现状及影响因素［J］. 护理研究， 2024 ， 38 （ 24 ）： 4448 - 4452 . DOI： 10.12102/j.issn.1009-6493.2024.24.020 http://dx.doi.org/10.12102/j.issn.1009-6493.2024.24.020 .

Lyu H M ， Zhang L H ， Wang Y N ， et al . Status quo and influencing factors of experiential avoidance in young patients with ischemic stroke ［J］. Chin Nurs Res ， 2024 ， 38 （ 24 ）： 4448 - 4452 . DOI： 10.12102/j.issn.1009-6493.2024.24.020 http://dx.doi.org/10.12102/j.issn.1009-6493.2024.24.020 .

Simons J S ， Gaher R M . The distress tolerance scale： development and validation of a self-report measure ［J］. Motiv Emotion ， 2005 ， 29 （ 2 ）： 83 - 102 . DOI： 10.1007/s11031-005-7955-3 http://dx.doi.org/10.1007/s11031-005-7955-3 .

Cohen S ， Kamarck T ， Mermelstein R . A global measure of perceived stress ［J］. J Heal Soc Behav ， 1983 ， 24 （ 4 ）： 385 . DOI： 10.2307/2136404 http://dx.doi.org/10.2307/2136404 .

王振，王渊，吴志国，等 . 应激感受量表中文版的信度与效度［J］. 上海交通大学学报（医学版）， 2015 ， 35 （ 10 ）： 1448 - 1451 . DOI： 10.3969/j.issn.1674-8115.2015.10.004 http://dx.doi.org/10.3969/j.issn.1674-8115.2015.10.004 .

Wang Z ， Wang Y ， Wu Z G ， et al . Reliability and validity of the Chinese version of perceived stress scale ［J］. J Shanghai Jiaotong Univ Med Sci ， 2015 ， 35 （ 10 ）： 1448 - 1451 . DOI： 10.3969/j.issn.1674-8115.2015.10.004 http://dx.doi.org/10.3969/j.issn.1674-8115.2015.10.004 .

Campbell-Sills L ， Stein M B . Psychometric analysis and refinement of the Connor-Davidson Resilience Scale （CD-RISC）： Validation of a 10-item measure of resilience ［J］. J Trauma Stress ， 2007 ， 20 （ 6 ）： 1019 - 1028 . DOI： 10.1002/jts.20271 http://dx.doi.org/10.1002/jts.20271 .

Wang L ， Shi Z B ， Zhang Y Q ， et al . Psychometric properties of the 10-item Connor—Davidson Resilience Scale in Chinese earthquake victims ［J］. Psychiatry Clin Neurosci ， 2010 ， 64 （ 5 ）： 499 - 504 . DOI： 10.1111/j.1440-1819.2010.02130.x http://dx.doi.org/10.1111/j.1440-1819.2010.02130.x .

Diener E ， Emmons R A ， Larsen R J ， et al . The satisfaction with life scale ［J］. J Personality Assess ， 1985 ， 49 （ 1 ）： 71 - 75 . DOI： 10.1207/s15327752jpa4901_13 http://dx.doi.org/10.1207/s15327752jpa4901_13 .

熊承清，许远理 . 生活满意度量表中文版在民众中使用的信度和效度［J］. 中国健康心理学杂志， 2009 ， 17 （ 8 ）： 948 - 949 . DOI： 10.13342/j.cnki.cjhp.2009.08.026 http://dx.doi.org/10.13342/j.cnki.cjhp.2009.08.026 .

Xiong C Q ， Xu Y L . Reliability and validity of the stisfaction with life scale for Chinese demos ［J］. China J Heal Psychol ， 2009 ， 17 （ 8 ）： 948 - 949 . DOI： 10.13342/j.cnki.cjhp.2009.08.026 http://dx.doi.org/10.13342/j.cnki.cjhp.2009.08.026 .

李晓荟，王秋爽，马京华，等 . 癌症疼痛患者疼痛灾难化水平及影响因素分析［J］. 护理实践与研究， 2025 ， 22 （ 1 ）： 61 - 68 . DOI： 10.3969/j.issn.1672-9676.2025.01.010 http://dx.doi.org/10.3969/j.issn.1672-9676.2025.01.010 .

Li X H ， Wang Q S ， Ma J H ， et al . Analysis of pain catastrophizing levels and influencing factors in cancer pain patients ［J］. Nurs Pract Res ， 2025 ， 22 （ 1 ）： 61 - 68 . DOI： 10.3969/j.issn.1672-9676.2025.01.010 http://dx.doi.org/10.3969/j.issn.1672-9676.2025.01.010 .

王国庆，石明，程惠玲，等 . 病友支持模式对血液透析患者焦虑抑郁状态的影响［J］. 中国血液净化， 2018 ， 17 （ 9 ）： 626 - 628 . DOI： 10.3969/j.issn.1671-4091.2018.09.011 http://dx.doi.org/10.3969/j.issn.1671-4091.2018.09.011 .

Wang G Q ， Shi M ， Cheng H L ， et al . Effect of patient support mode on anxiety and depression in hemodialysis patients ［J］. Chin J Blood Purif ， 2018 ， 17 （ 9 ）： 626 - 628 . DOI： 10.3969/j.issn.1671-4091.2018.09.011 http://dx.doi.org/10.3969/j.issn.1671-4091.2018.09.011 .

Wu Y Y ， Zhang H J ， Jiang L ， et al . Effects of mindfulness meditation combined with progressive muscle relaxation on sleep disorders， anxiety， and depression in patients with sarcopenia undergoing hemodialysis ［J］. Front Psychiatry ， 2025 ， 16 ： 1542028 . DOI： 10.3389/fpsyt.2025.1542028 http://dx.doi.org/10.3389/fpsyt.2025.1542028 .

Bello M S ， Pang R D ， Colby S M ， et al . Interactive effects of financial strain and distress tolerance on prequit tobacco withdrawal symptoms in smokers preparing to initiate a quit attempt ［J］. Exp Clin Psychopharmacol ， 2023 ， 31 （ 4 ）： 805 - 816 . DOI： 10.1037/pha0000639 http://dx.doi.org/10.1037/pha0000639 .

Rahman A ， Sánchez M ， Bursac Z ， et al . Ethnic discrimination and psychological stress among Hispanic emerging adults： Examining the moderating effects of distress tolerance and optimism ［J］. Int J Intercult Relat ， 2022 ， 86 ： 217 - 226 . DOI： 10.1016/j.ijintrel.2021.12.005 http://dx.doi.org/10.1016/j.ijintrel.2021.12.005 .

Lyu Z W ， Ouyang S P ， Zhang S X . How drawing practice enhances distress tolerance in university students： the mediating roles of psychological resilience and self-disclosure ［J］. Front Psychol ， 2025 ， 16 ： 1540900 . DOI： 10.3389/fpsyg.2025.1540900 http://dx.doi.org/10.3389/fpsyg.2025.1540900 .

王影，朱振华，张蕊馨，等 . 乳腺癌病人社交焦虑和病耻感在家庭关怀度与孤独感间的中介作用［J］. 护理研究， 2024 ， 38 （ 4 ）： 571 - 576 . DOI： 10.12102/j.issn.1009-6493.2024.04.002 http://dx.doi.org/10.12102/j.issn.1009-6493.2024.04.002 .

Wang Y ， Zhu Z H ， Zhang R X ， et al . Mediating effect of social anxiety and stigma on family caring and loneliness in breast cancer patients ［J］. Chin Nurs Res ， 2024 ， 38 （ 4 ）： 571 - 576 . DOI： 10.12102/j.issn.1009-6493.2024.04.002 http://dx.doi.org/10.12102/j.issn.1009-6493.2024.04.002 .

Li H ， Gan L ， Sun Y ， et al . A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures ［J］. J Orthop Surg Res ， 2023 ， 18 （ 1 ）： 821 . DOI： 10.1186/s13018-023-04317-z http://dx.doi.org/10.1186/s13018-023-04317-z .

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Parallel mediating mechanisms of mindfulness in alleviating perceived stress among special service personnel: dual pathways of psychological resilience and nature connectedness

Effects of problem-solving therapy-based psychological training on problem-solving ability and psychological resilience among naval personnel from a certain unit

Intervention of narrative group psychological training on psychological adaptation of recruits during the training period

Mediating effect of psychological stress and resilience on quality of sleep and working stress of officers and soldiers in major tasks

Characteristics of posttraumatic growth in patients after mild to moderate burns and its correlation with resilience and copying styles

Related Author

LI Min

CHENG Jingjing

HU Guangzhen

CHEN Juan

LIU Peiyu

Yunxia WANG

Jieying WANG

Jingzhou XU

Related Institution

Department of Military Psychology， College of Medical Psychology， Army Medical University （Third Military Medical University）

Lushan Rehabilitation and Recuperation Center of the Joint Logistics Support Force

Department of Nautical Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University)

Department of Medical Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University)

Naval Medical Center of PLA

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