战斗应激反应的研究进展及展望

冯正直; 王佳

doi:10.16016/j.1000-5404.201809150

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战斗应激反应的研究进展及展望

2018年度重庆市出版专项资金资助论文 | 更新时间：2026-01-09

- 战斗应激反应的研究进展及展望
- Current progress and future perspective in combat stress reactions
- 第三军医大学学报 2019年41卷第4期页码：275-281
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)医学心理系
- 作者简介：
  
  [ 冯正直，博士，教授，博士研究生导师。担任中国社会心理学学会常务理事，中国社会心理学会军事心理学专业委员会主任委员，中国心理学会军事心理学专业委员会主任委员，全军心理学专业委员会副主任委员，重庆社会心理学会候任理事长，重庆心理学会和心理卫生协会副理事长，中华医学会重庆身心医学会副主任委员。主持国家自然(社会)科学基金、“863”子课题、全军医药卫生重大课题子课题、全军医药卫生重点课题等30余项；获军队院校育才金奖。以第一作者或通信作者发表论文300余篇，其中在《Clinical Neurophysiology》《International Journal of Psychophysiology》《Progress in Neuro-Psychopharmacology & Biological Psychiatry》等SCI/SSCI国际期刊和《心理学报》《心理科学》等发表论文50余篇。主编、副主编教材20余部。主要从事军事心理健康训练与抑郁认知神经机制方面的研究。E-mail：fzz@tmmu.edu.cn FENG Zhengzhi, E-mail: fzz@tmmu.edu.cn
- 基金信息：
  
  全军医药卫生“十三五”重点项目(BWS16J012);中央军委科技委创新课题(17-163-12-ZT-001-144);第三军医大学人文社科基金(2016XRW04)
- DOI：10.16016/j.1000-5404.201809150
  中图分类号： R395.1;R82
- 收稿：2018-09-21，
  
  修回：2018-11-05，
  
  纸质出版：2019-02-28
- 稿件说明：
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冯正直, 王佳. 战斗应激反应的研究进展及展望[J]. 第三军医大学学报, 2019,41(4):275-281.

Zhengzhi FENG, Jia WANG. Current progress and future perspective in combat stress reactions[J]. Journal of Third Military Medical University, 2019, 41(4): 275-281.
冯正直, 王佳. 战斗应激反应的研究进展及展望[J]. 第三军医大学学报, 2019,41(4):275-281. DOI： 10.16016/j.1000-5404.201809150.

Zhengzhi FENG, Jia WANG. Current progress and future perspective in combat stress reactions[J]. Journal of Third Military Medical University, 2019, 41(4): 275-281. DOI： 10.16016/j.1000-5404.201809150.

摘要

Abstract

Soldiers in the combat field may demonstrate such non-adaptive reactions as panic disorder

narrow visual field and hearing disturbance

which potentially cause non-combat attrition and compromise the high-level cognitive functions (reasoning

judgment and decision-making). These non-adaptive reactions

known collectively as combat stress reactions (CSR)

can be categorized into different subtypes based on the severity and types of the symptoms. The protective factors against CSR include social support

positive copping style

self-efficacy

strong team leadership and group cohesion

which all help to reduce the impact of stress events. The threat of death

harsh environment and poor health condition are the risk factors that contribute to the occurrence of CSR. Studies of CSR in a neurological perspective revealed that in the event of CSR

catecholamine release might promote the levels of alertness and excitability of an individual to enhance the combat efficacy; excessive alertness in this scenario

however

may cause overestimation of the risk information. Meanwhile

the interaction between the activated amygdala and the prefrontal cortex interferes with the execution control functions

leading to possible irrational behaviors. Long-term stress may even change the brain structure and potentially cause post-trauma stress disorder (PTSD). Based on these observations

military psychologists proposed several intervention principles for CSR

including PIE

IMPRESS and BICEPS. These principles point to the importance of simple and quick handling of CSR with necessary physical

emotional and social support to help the soldiers regain combat abilities soon. The specific measures of CSR control include battle mind debriefing

trauma risk management

eye movement desensitization and reprocessing

and ego-state therapy. Future studies of CSR will focus on developing quick evaluation tools and standards and accurate prediction of CSR occurrence; reinforcement of combat-oriented simulation training and establishment of systemic strategies of countermeasures against CSR; reinforcement of CSR management in combat field and establishment of CSR control unit in the field hospitals; and exploration of the mechanisms of CSR occurrence and the pathways that mediate its effects.

关键词

Keywords

references

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