高原军人抑郁症状流行病学特征

郑飞宇; 赖薇; 谢守蓉; 李丽; 李晋; 王立菲; 刘云波; 蒋娟; 王佳; 徐媛媛; 徐文佳; 冯正直

doi:10.16016/j.1000-5404.201704044

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高原军人抑郁症状流行病学特征

军事医学 | 更新时间：2026-01-09

- 高原军人抑郁症状流行病学特征
- Epidemiological characteristics of depression in military personnel stationed on plateau
- 第三军医大学学报 2017年39卷第19期页码：1883-1890
- 作者机构：
  
  1.400038 重庆，第三军医大学心理学院：行为医学教研室
  2.332000 南昌，解放军94833部队医院
  3.816000 青海格尔木，解放军第22医院护理部
  4.810008 西宁，解放军62201部队政治部
  5.400038 重庆，第三军医大学心理学院：基础心理学教研室
  6.400038 重庆，第三军医大学心理学院：军人发展与教育心理学教研室
  7.400038 重庆，第三军医大学心理学院：军事心理学教研室
- 作者简介：
  
  [ 冯正直，E-mail:fzz@tmmu.edu.cn FENG Zhengzhi, E-mail:fzz@tmmu.edu.cn
- 基金信息：
  
  国家社会科学基金(14GJ-003123);国家社会科学基金(15XSH017);第三军医大学人文社科基金(2015XRW02)
- DOI：10.16016/j.1000-5404.201704044
  中图分类号： R181.31;R749.41;R821.2
- 收稿：2017-04-10，
  
  修回：2017-07-02，
  
  纸质出版：2017-10-15
- 稿件说明：
移动端阅览
郑飞宇, 赖薇, 谢守蓉, 等. 高原军人抑郁症状流行病学特征[J]. 第三军医大学学报, 2017,39(19):1883-1890.

Feiyu ZHENG, Wei LAI, Shourong XIE, et al. Epidemiological characteristics of depression in military personnel stationed on plateau[J]. Journal of Third Military Medical University, 2017, 39(19): 1883-1890.
郑飞宇, 赖薇, 谢守蓉, 等. 高原军人抑郁症状流行病学特征[J]. 第三军医大学学报, 2017,39(19):1883-1890. DOI： 10.16016/j.1000-5404.201704044.

Feiyu ZHENG, Wei LAI, Shourong XIE, et al. Epidemiological characteristics of depression in military personnel stationed on plateau[J]. Journal of Third Military Medical University, 2017, 39(19): 1883-1890. DOI： 10.16016/j.1000-5404.201704044.

摘要

目的

对高原军人进行抑郁症状的流行病学特征的调查研究。

方法

采用流调中心抑郁自评量表(CES-D)中国修订版，整群抽取某部高原军人进行问卷调查，获得有效样本4 631例。数据采用SPSS 23统计软件进行录入与处理，用

检验和χ

检验进行显著性检验。

结果

① 高原军人抑郁发生率为31.6%(95%

=30.2~33.0)

其中，轻、中、重度抑郁发生率分别为11.3%(95%

=10.4~12.2)、11.4%(95%

=10.5~12.3)、8.8%(95%

=8.0~9.6)。② 高原军人的抑郁总分未发现性别差异(

0.05)。③ 士官的抑郁总分显著高于列兵(

0.05)。④ 驻地海拔越高，高原军人抑郁水平越高(

0.05，

0.01)。⑤ 单亲家庭出身的高原军人的抑郁水平高于双亲家庭出身者(

0.01)。⑥ 年龄30岁及以上的高原军人在抑郁总分和各因子的得分上都显著高于30岁以下者(

0.01)，而30岁以下的各年龄组之间差异无统计学意义(

0.05)。⑦ 军龄13年及以上的高原军人的抑郁水平高于军龄不足13年者(

0.01)。⑧ 抑郁水平与海拔高度、年龄、军龄显著相关(

0.01)，与原生家庭结构相关(

0.05)。

结论

高原军人具有较高的抑郁发生率和抑郁水平，其CES-D评分与年龄、军龄、职别、原生家庭类型、海拔有关。

Abstract

Objective

To explore the epidemiological characteristics of depression in military personnel stationed on plateau.

Methods

Chinese version of Epidemiological Studies Depression Scale (CES-D) was employed to survey the status of depression in a troop stationed on the plateau. Cluster sampling was used to subject 4 631 eligible participants in this study. By using IBM SPSS Statistics 23 for windows

data analysis was conducted with

Chi

-square test and student's

test.

Results

① The prevalence rate of depression was 31.6% (95%

=30.2~33.0) in the participants. And the prevalence rate of mild depression was 11.3% (95%

=10.4~12.2)

of moderate depression was 11.4% (95%

=10.5~12.3)

and of major depression was 8.8% (95%

=8.0~9.6). ② There was no significant difference in the total score of depression between genders (

0.05). ③ The total score of depression was obviously higher in the sergeants than the soldiers (

0.05). ④ The severity of depression was associated with the attitude level they stationed (

0.05

0.01). ⑤ The military personnel brought up in single-parent family had higher score in depression than those in double-parent family (

0.01). ⑥ The participants over 30 years old had notably higher total score of depression and score of factors when compared with those younger than 30 (

0.01). But no such difference was observed in the different age groups younger than 30 years old (

0.05). ⑦ The severity of depression was severer in those having served over 13 years than those with shorter service length (

0.01). ⑧ The severity of depression was associated with altitude level

age and length of military service (

0.01)

as well as correlated with th

eir original family structure (

0.05).

Conclusion

The morbidity and severity of depression is quite high in the military personnel stationed on plateau

and the CED-S scores are related with age

service length

altitude level and original family structure.

关键词

Keywords

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