军事应激研究进展与类战争心身应激模型建立的思考

夏锋; 冯正直

doi:10.16016/j.1000-5404.201710096

您当前的位置：

首页 >

文章列表页 >

军事应激研究进展与类战争心身应激模型建立的思考

军事医学 | 更新时间：2026-01-09

- 军事应激研究进展与类战争心身应激模型建立的思考
- Progress of military stress and thinking on establishment of a model of combat-like psychosomatic stress
- 第三军医大学学报 2017年39卷第24期页码：2335-2340
- 作者机构：
  
  1.400038 重庆, 陆军军医大学(第三军医大学):第一附属医院全军肝胆外科研究所
  2.400038 重庆, 陆军军医大学(第三军医大学):心理学院行为医学教研室
- 作者简介：
  
  [夏锋，男，博士，主任医师，教授，博士研究生导师。担任中国抗癌协会肝癌专委会委员，中国研究型医院学会肝胆胰外科专业委员会常委兼肝癌学组组长，全军普通外科专委会门脉高压学组委员等学术职务。获国家、军队课题资助20余项，发明专利3项；主编和参编专著5部；发表论文9篇；获军队医疗成果二等奖1项，中国抗癌协会科技奖1项，重庆市科技进步二等奖1项。主要从事肝癌的发生、发展、侵袭、转移和自主神经调控相关性方面的研究。E-mail：frankfxia@163.comXIA Feng, E-mail:frankfxia@163.com
- 基金信息：
  
  第三军医大学军事医学预研基金(2016XYY09);怎样最大限度地模拟战时环境, 建立军事应激模型, 是军事心理学需要解决的课题。下文作者提出通过心理应激指数和HRV指标进行应激的量化分级, 并利用特殊人群(如癌症患者)来建立“类战争心身应激模型"。目前, 对于“类战争心身应激模型"的建立尚处于探索阶段, 但作者试图利用客观指标解决临床问题, 以期为军事应激医学研究提供全新的思路和方法。欢迎广大基础和临床研究者关注下文, 也欢迎就此问题给我们来信、来稿, 开展讨论、争鸣!我刊将继续关注此项研究的进展。
- DOI：10.16016/j.1000-5404.201710096
  中图分类号： R395.1; R821.2
- 收稿：2017-10-16，
  
  修回：2017-10-10，
  
  纸质出版：2017-12-30
- 稿件说明：
移动端阅览
夏锋, 冯正直. 军事应激研究进展与类战争心身应激模型建立的思考[J]. 第三军医大学学报, 2017,39(24):2335-2340.

Feng XIA, Zhengzhi FENG. Progress of military stress and thinking on establishment of a model of combat-like psychosomatic stress[J]. Journal of Third Military Medical University, 2017, 39(24): 2335-2340.
夏锋, 冯正直. 军事应激研究进展与类战争心身应激模型建立的思考[J]. 第三军医大学学报, 2017,39(24):2335-2340. DOI： 10.16016/j.1000-5404.201710096.

Feng XIA, Zhengzhi FENG. Progress of military stress and thinking on establishment of a model of combat-like psychosomatic stress[J]. Journal of Third Military Medical University, 2017, 39(24): 2335-2340. DOI： 10.16016/j.1000-5404.201710096.

摘要

Abstract

Military stress is an important factor affecting the combat effectiveness of the army

so it is of great significance to carry out medical researches on this field. This paper reviewed the progress of military stress reported by our and foreign armies. Through our analysis

it is found that extreme psychology in combat-like stress is a key part of military stress medicine. Therefore

establishing a scientific and effective model of combat-like psychosomatic stress is essential to promote the development of medical researches in military stress.

关键词

Keywords

references

[1]蒋春雷, 王云霞.应激与疾病[M].上海:第二军医大学出版社, 2015: 1-141.

[1]JIANG C L, WANG Y X. Stress and disease[M]. Shanghai: Second Military Medical University press, 2015: 1-141.

[2]JACKSON M. The stress of life: a modern complaint[J]. Lancet, 2014, 383(9914): 300-301. DOI: 10.1016/s0140-6736(14)60093-3.

[3]MCGREGOR B A, MURPHY K M, ALBANO D L, et al. Stress, cortisol, and B lymphocytes: a novel approach to understanding academic stress and immune function[J].Stress, 2016, 19(2): 185-191. DOI: 10.3109/10253890.2015.1127913.

[4]PADRO C J, SANDERS V M. Neuroendocrine regulation of inflammation[J]. Semin Immunol, 2014, 26(5): 357-368. DOI: 10.1016/j.smim.2014.01.003.

[5]ENGELAND C G, HUGO F N, HILGERT J B, et al. Psychological distress and salivary secretory immunity[J].Brain Behav Immun, 2016, 52: 11-17. DOI: 10.1016/j.bbi.2015.08.017.

[6]张军梅.美军官创伤后应激障碍研究及其启示[J].南京政治学院学报, 2012, 28(2): 104-107. DOI: 10.3969/j.issn.1001-9774.2012.02.024.

[6]ZHANG J M. A Study of Post-TRaumatic Stress Disorder(ptsd) of the us Army Officers and its Revelation[J]. J PLA Nanjing Inst Polit, 2012, 28(2): 104-107. DOI: 10.3969/j.issn.1001-9774.2012.02.024.

[7]谢莎丽, 林辉, 蒙艺, 等.美军健康相关状况及干预措施研究的系统评价[J].军事医学, 2016, 40(10): 777-781. DOI: 10.7644/j.issn.1674-9960.2016.10.001.

[7]XIE S L, LIN H, MENG Y, et al. System evaluation of health status and intervention in us armed forces[J]. Mil Med Sci, 2016, 40(10): 777-781. DOI: 10.7644/j.issn.1674-9960.2016.10.001.

[8]赵名娟.军事应激下军人心理应激反应研究进展[J].中国康复理论与实践, 2011, 17(3): 255-257. DOI: 10.3969/j.issn.1006-9771.2011.03.018.

[8]ZHAO M J. Psychological stress reaction of soldiers under military stress (review)[J]. Chin J Rehabil Theor Prac, 2011, 17(3): 255-257. DOI: 10.3969/j.issn.1006-9771.2011.03.018.

[9]刘伟立, 武小梅.不同军事应激环境中官兵心理应激反应及中介因素比较研究[J].军事医学, 2011, 35(9): 693-696. DOI: 10.3969/j.issn.1674-9960.2011.09.014.

[9]LIU W L, WU X M. Different military stress responses in various stress situations and corresponding intermediate factors: a comparative research[J]. Bull Acad Mil Med Sci, 2011, 35(9): 693-696. DOI: 10.3969/j.issn.1674-9960.2011.09.014.

[10]刁天喜, 王磊, 楼铁柱, 等. 2011年度美军卫生勤务进展概述[J].军事医学, 2012, 36(1): 15-19. DOI: 10.3969/j.issn.1674-9960.2012.01.005.

[10]DIAO T X, WANG L, LOU T Z, et al. An overview of u.s.military health service development in 2011[J]. Mil Med Sci, 2012, 36(1): 15-19. DOI: 10.3969/j.issn.1674-9960.2012.01.005.

[11]李权超, 于泱, 王真真.论外军战斗应激反应控制原则与策略[J].临床心身疾病杂志, 2010, 16(5): 458-459. DOI: 10.3969/j.issn.1672-187X.2010.05.041-0458-02.

[11]Li Q C, YU Y, WANG Z Z. The military combat stress reaction control principle and strategy[J]. J Clin Psychosomatic Dis, 2010, 16(5): 458-459. DOI: 10.3969/j.issn.1672-187X.2010.05.041-0458-02.

[12]BLANCHET A, NOELJORAND M C, BONALDI V. Discursive strategies of subjects with high altitude hypoxia: Extreme environment[J]. Stress Med, 1997, 13(3): 151. DOI: 10.1002/(SICI)1099-1700(199707)13: 3<151: : AID-SMI733>3.0.CO;2-W.

[13]丁魁, 王燕, 李权超, 等.首次急进高原士兵心理应激特点及其影响路径分析[J].军事医学, 2017, 41(6): 543-545, 封3. DOI: 10.7644/j.issn.1674-9960.2017.06.030.

[13]DING K, WANG Y, LI Q C, et al. For the first time the radical path analysis of plateau soldiers psychological stress characteristics and its influence[J]. Mil Med Sci, 2017, 41(6): 543-545, 封3. DOI: 10.7644/j.issn.1674-9960.2017.06.030.

[14]田益沁, 陈秀秀, 蔡云, 等.二炮某部军人高原驻训期间作业疲劳状态与心理应激、压力感知和自我效能感的关系[J].第三军医大学学报, 2015, 37(21): 2156-2159. DOI: 10.16016/j.1000-5404.201503128.

[14]TIAN Y Q, CHEN X X, CAI Y, et al. Relationship of military fatigue with psychological stress, stress perception and self efficacy in soldiers from 2nd artillery corps during plateau encamping[J]. J Third Mil Med Univ, 2015, 37(21): 2156-2159. DOI: 10.16016/j.1000-5404.201503128.

[15]李代波, 曾岚, 银涛, 等.热区某特种部队中暑现状及个体易感因素调查研究[J].第三军医大学学报, 2017, 39(4): 337-341.

[15]LI D B, ZENG L, YIN T, et al. Survey on status and individual susceptible factors of heat stroke in a troop of special forces stationed in thermal region[J]. J Third Mil Med Univ, 2017, 39(4): 337-341.

[16]王涛, 王静, 王尚, 等.热习服兔实验模型的建立及其病理生理特征[J].中国应用生理学杂志, 2013, 29(5): 473-476.

[16]WANG T, WANG J, WANG S, et al. Establishment of heat acclimatization model in rabbits and its pathophysilogical characteristics[J]. Chi J Appl Physiol, 2013, 29(5): 473-476.

[17]柴文丽, 赵璧, 吴思英, 等.军事飞行员工作应激现状及对亚健康影响[J].中国公共卫生, 2013, 29(8): 1133-1136. DOI: 10.11847/zgggws2013-29-08-13.

[17]CHAI W L, ZHAO B, WU S Y, et al. Work stress and its impact on sub-health among military pilots[J]. Chin J Public Health, 2013, 29(8): 1133-1136. DOI: 10.11847/zgggws2013-29-08-13.

[18]杨柳, 宋华淼, 张宜爽, 等.军事飞行人员心理应激防护训练的效果研究[J].中华行为医学与脑科学杂志, 2015, 24(5): 464-467. DOI: 10.3760/cma.j.issn.1674-6554.2015.05.021.

[18]YANG L, SONG H M, ZHANG Y S, et al. Effect of psychological stress defense training on military flight personnel[J]. Chin J Behav Med Brain Sci, 2015, 24(5): 464-467. DOI: 10.3760/cma.j.issn.1674-6554.2015.05.021.

[19]蔡荣荣, 张晨光, 张金涛, 等.战场环境封闭训练慢性应激对维和军人记忆功能的影响[J].中华行为医学与脑科学杂志, 2015, 24(5): 468-470. DOI: 10.3760/cma.j.issn.1674-6554.2015.05.022.

[19]CAI R R, ZHANG C G, ZHANG J T, et al. Effects of military stress on memory function in battlefield environment confined intensive training of peace-keeping soldiers[J]. Chin J Behav Med Brain Sci, 2015, 24(5): 468-470. DOI: 10.3760/cma.j.issn.1674-6554.2015.05.022.

[20]王学友, 杨智, 张伟, 等.装甲车辆舱室内一氧化碳气体净化实验研究[J].军事医学, 2015, 39(9): 660-663. DOI: 10.7644/j.issn.1674-9960.2015.09.003.

[20]WANG X Y, YANG Z, ZHANG W, et al. Purification of carbon monoxide in armored vehicle cabins[J]. Mil Med Sci, 2015, 39(9): 660-663. DOI: 10.7644/j.issn.1674-9960.2015.09.003.

[21]王周然, 陈海燕, 雷美英, 等. 6950名男性军人焦虑与睡眠质量的关联分析[J].中华行为医学与脑科学杂志, 2014, 23(10): 944-945. DOI: 10.3760/cma.j.issn.1674-6554.2014.10.024.

[21]WANG Z R, CHEN H Y, LEI M Y, et al. Association between anxiety and sleep quality in 6950 male servicemen[J]. Chi J Behav Med Brain Sci, 2014, 23(10): 944-945. DOI: 10.3760/cma.j.issn.1674-6554.2014.10.024.

[22]顾晔, 邢陈, 宋伦, 等.连续睡眠剥夺对大鼠肝生物钟基因及肝损伤标志物表达水平的影响[J].军事医学, 2017, 41(3): 174-177. DOI: 10.7644/j.issn.1674-9960.2017.03.004.

[22]GU Y, XING C, SONG L, et al. Effect of continuous sleep deprivation on liver circadian clock gene expression and alteration of liver bio-marker levels in rats[J]. Mil Med Sci, 2017, 41(3): 174-177. DOI: 10.7644/j.issn.1674-9960.2017.03.004.

[23]SMITH S K, ZIMMERMAN S, WILLIAMS C S, et al.Post-traumatic stress symptoms in long-term non-Hodgkin'slymphoma survivors: does time heal[J]. J Clin Oncol, 2011, 29(34): 4526-4533. DOI: 10.1200/JCO.2011.37.2631.

[24]HUAN H B, YANG D P, WEN X D, et al. HOXB7 accelerates the malignant progression of hepatocellular carcinoma by promoting stemness and epithelial-mesenchymal transition[J].J Exp Clin Cancer Res, 2017, 36(1): 86. DOI: 10.1186/s13046-017-0559-4.

[25 ] WEN X, HUAN H, WANG X, et al. Sympathetic neurotransmitters promote the process of recellularization in decellularized liver matrix via activating the IL-6/Stat3 pathway[J ] . Biomed Mater, 2016, 11(6): 065007. DOI: 10.1088/1748-6041/11/6/065007.

[26]HUAN H B, WEN X D, CHEN X J, et al. Sympathetic nervous system promotes hepatocarcinogenesis by modulating inflammation through activation of alpha1-adrenergic receptors of Kupffer cells[J].Brain Behav Immun, 2017, 59: 118-134. DOI: 10.1016/j.bbi.2016.08.016.

[27]HUAN H, WEN X, CHEN X, et al. C/EBPα Short-Activating RNA Suppresses Metastasis of Hepatocellular Carcinoma through Inhibiting EGFR/β-Catenin Signaling Mediated EMT[J]. PLoS ONE, 2016, 11(4): e0153117. DOI: 10.1371/journal.pone.0153117.

[28]XIA F, LAI E C, LAU W Y, et al. High serum hyaluronic acid and HBV viral load are main prognostic factors of local recurrence after complete radiofrequency ablation of hepatitis B-related small hepatocellular carcinoma[J]. Ann Surg Oncol, 2012, 19(4): 1284-1291. DOI: 10.1245/s10434-011-2042-3.

[29]XU Y, XIA F, MA L, et al. MicroRNA-122 sensitizes HCC cancer cells to adriamycin and vincristine through modulating expression of MDR and inducing cell cycle arrest[J]. Cancer Lett, 2011, 310(2): 160-169. DOI: 10.1016/j.canlet.2011.06.027.

[30]HAUSCHILDT M, PETERS M J, MORITZ S, et al. Heart rate variability in response to affective scenes in posttraumatic stress disorder[J]. Biol Psychol, 2011, 88: 215-222. DOI: 10.1016/j.biopsycho.2011.08.004.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据