高原军人情绪调节方式对焦虑情绪影响的交叉滞后研究

张晶轩; 王佳; 薛奕童; 许珂; 张晓琳; 冯正直

doi:10.16016/j.1000-5404.202003339

您当前的位置：

首页 >

文章列表页 >

高原军人情绪调节方式对焦虑情绪影响的交叉滞后研究

特殊军事环境心理健康研究 | 更新时间：2026-01-09

- 高原军人情绪调节方式对焦虑情绪影响的交叉滞后研究
- Effect of different emotional regulation strategies on anxiety in military personnel serving in high-altitude regions: a cross-lagged analysis
- 第三军医大学学报 2020年42卷第16期页码：1592-1599
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学):医学心理系军人发展心理学教研室
  2.400038 重庆，陆军军医大学(第三军医大学):教学考评中心
- 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：
  
  全军后勤科研重大项目(AWS17J014);全军医药卫生“十三五”重点项目(BWS16J012);军队应用基础研究项目重点项目(BWS17J018);陆军军医大学人文社科基金(2017XRW04)
- DOI：10.16016/j.1000-5404.202003339
  中图分类号： R339.54;R395.6;R821.2
- 收稿：2020-03-25，
  
  修回：2020-04-28，
  
  纸质出版：2020-08-30
- 稿件说明：
移动端阅览
张晶轩, 王佳, 薛奕童, 等. 高原军人情绪调节方式对焦虑情绪影响的交叉滞后研究[J]. 第三军医大学学报, 2020,42(16):1592-1599.

Jingxuan ZHANG, Jia WANG, Yitong XUE, et al. Effect of different emotional regulation strategies on anxiety in military personnel serving in high-altitude regions: a cross-lagged analysis[J]. Journal of Third Military Medical University, 2020, 42(16): 1592-1599.
张晶轩, 王佳, 薛奕童, 等. 高原军人情绪调节方式对焦虑情绪影响的交叉滞后研究[J]. 第三军医大学学报, 2020,42(16):1592-1599. DOI： 10.16016/j.1000-5404.202003339.

Jingxuan ZHANG, Jia WANG, Yitong XUE, et al. Effect of different emotional regulation strategies on anxiety in military personnel serving in high-altitude regions: a cross-lagged analysis[J]. Journal of Third Military Medical University, 2020, 42(16): 1592-1599. DOI： 10.16016/j.1000-5404.202003339.

摘要

目的

研究高原军人情绪调节方式对焦虑情绪影响的时间变化特点和影响因素。

方法

采用状态特质焦虑问卷、军人情绪调节方式问卷对青藏线某部不同驻地军人在2016年8月和2017年8月进行2次团体测评，第一次纳入军人600人，第二次剩余有效样本584例，同时收集人口学信息和环境因素，采用交叉滞后回归模型对情绪调节方式及4个因子(认知重视、情感求助、自我安慰、行为抑制)影响焦虑情绪的时间变化特点进行分析，并将人口学信息和环境因素纳入模型进行控制，同时考察其在焦虑情绪变化过程中的作用。模型可接受的指数标准为CFI>0.9、TLI>0.9、RMSEA < 0.08。

结果

① 纳入协变量后情绪调节方式和4个因子与状态、特质焦虑的模型拟合均分别可以接受(CFI=0.942、0.959、0.961、0.929、0.956，TLI=0.933、0.952、0.955、0.918、0.949，RMSEA=0.059、0.051、0.050、0.064、0.055)。②情绪调节方式对次年状态、特质焦虑有显著负向预测效应(

0.05)，而反之无显著预测效应(

0.05)。③认知重视对次年状态、特质焦虑有显著正向预测效应(

0.01)，情感求助和自我安慰对次年状态、特质焦虑有显著负向预测效应(

0.01)，行为抑制对次年状态、特质焦虑无显著预测效应(

0.05)，状态、特质焦虑对次年4种情绪调节方式无预测效应(

0.05)。④状态焦虑随时间呈显著的负向变化(

0.01)，特质焦虑和情绪调节方式随时间变化不显著(

0.05)。⑤文化程度在情绪调节方式、认知重视、情感求助、行为抑制和自我安慰模型中对状态焦虑均存在显著负向影响(

0.05，

0.01)，环境适应在五个模型中对状态焦虑(

0.01)和特质焦虑(

0.01，

0.05)均存在显著负向影响。

结论

文化程度、环境适应与焦虑水平有关，情绪调节方式对焦虑的变化有显著影响。在心理干预中应鼓励军人更多地使用情感求助、自我安慰的情绪调节方式，而少采用认知重视、行为抑制等方式。

Abstract

Objective

To study the effect of different emotional regulation strategies on anxiety and the factors contributing to anxiety in military personnel serving in high-altitude regions.

Methods

Using State-Trait Anxiety Inquiry (STAI) and Armymen Emotional Regulation Types Questionnaire (AERTQ)

we conducted 2 groups assessments of the military personnel serving in high-altitude regions along the Qinghai-Tibet Supply Line in August

2016 (600 subjects) and in August

2017 (584 subjects) and collected the demographic and environmental data from the participants. The temporal variations of the effects of emotional regulation strategies and the 4 factors (strengthened attention

emotional appeal

self-consolation and behavioral inhibition) on anxiety were analyzed using a cross-lagged regression model

which included the demographic data and environmental factors to examine their effects on the changes of anxiety emotion. The acceptable criteria for model fit index were TLI>0.9

CFI>0.9

and RMSEA < 0.08.

Results

① After inclusion of the covariates

the model fit indices of emotional regulation and its 4 factors with state anxiety and trait anxiety were acceptable (CFI=0.942

0.959

0.961

0.929

0.956; TLI=0.933

0.952

0.955

0.918

0.949; RMSEA=0.059

0.051

0.050

0.064

0.055). ②Emotional regulation strategies had significant negative predictive effect on state and trait anxiety (

0.05) in the next year

but not vice versa (

0.05). ③Strengthened attention had a significant positive predictive effect on state and trait anxiety (

0.01)

while emotional appeal and self-consolation had significant negative predictive effects (

0.01); behavioral inhibition had no effect on state and trait anxiety (

0.05). State and trait anxiety had no predictive effects on the 4 dimensions of emotional regulation (

0.05). ④State anxiety showed a significant negative growth with time (

0.01)

and trait anxiety and emotional regulation strategies showed no obvious changes with time (

0.05). ⑤Educational level had negative effects on state anxiety in models that included emotional regulation

strengthened attention

emotional appeal

self-consolation and behavioral inhibition (

0.05

0.01). Environmental adaptation had negative effects on state anxiety (

0.01) and trait anxiety (

0.01

0.05) in the 5 models.

Conclusion

Educational level and environmental adaptation are correlated with anxiety in military personnel serving in high-altitude regions. Emotional regulation strategies can significantly affect the growth of anxiety

and during psychological interventions

emotional appeal and self-consolation

but not strengthened attention and behavioral inhibition

should be encouraged for emotional regulation.

关键词

Keywords

references

杨晓红, 罗勇军, 袁志兵, 等.高原驻防军人焦虑、抑郁情况与睡眠质量的相关性分析[J].中国医学前沿杂志(电子版), 2016, 8(10): 29-32.

YANG X H, LUO Y J, YUAN Z B, et al . Analysis of the relativity between anxiety, depression and sleep quality of soldiers in plateau garrison[J ] . Chin J Front Med Sci (Electron Version), 2016, 8(10): 29-32.

王立菲, 郭成, 冯正直, 等.军人情绪调节方式量表的编制[J].中华行为医学与脑科学杂志, 2009(4): 369-371.

WANG L F, GUO C, FENG Z Z, et al . The compilation of emotion regulation questionnaire for armymen[J ] . Chin J Behav Med Sci, 2009(4): 369-371.

王菲菲, 徐文佳, 谢守蓉, 等.高原军人抑郁、焦虑与情绪调节方式的关系[J].第三军医大学学报, 2017, 39(15): 1537-1542.

WANG F F, XU W J, XIE S R, et al . Relationship of emotion regulation types with depression and anxiety in military personnel in high altitude[J ] . J Third Mil Med Univ, 2017, 39(15): 1537-1542.

马振坤, 王立菲, 黄华涛, 等.青年军人情绪调节方式与焦虑的相关研究[J].中国健康教育, 2015, 31(6): 584- 586. DOI: 10.16168/j.cnki.issn.1002-9982.2015.06.015.

MA Z K, WANG L F, HUANG H T, et al . Analysis on relationship between emotion regulation types and anxiety among young army men[J ] . Chin J Heal Educ, 2015, 31(6): 584-586.

王立菲, 谢守蓉, 李丽, 等.高原军人心理健康与负性认知加工偏向、情绪调节方式的关系[J].第三军医大学学报, 2017, 39(15): 1514-1519. DOI: 10.16016/j.1000-5404.201704038.

WANG L F, XIE S R, LI L, et al . Relationship of negative cognitive processing bias and emotion regulation style with mental health in plateau military personnel[J ] . J Third Mil Med Univ, 2017, 39(15): 1514-1519. DOI: 10.16016/j.1000-5404.201704038.

赵鑫, 张雅丽, 陈玲, 等.人格特质对青少年社交焦虑的影响:情绪调节方式的中介作用[J].中国临床心理学杂志, 2014, 22(6): 1057-1061.

ZHAO X, ZHANG Y L, CHEN L, et al . Effect of personality traits on social anxiety in adolescents: the mediating effect of emotion regulation[J ] . Chin J Clin Psychol, 2014, 22(6): 1057-1061.

GERTSCH J H, VIRRE E, SRACIC M K, et al . Acute anxiety among marines after recent arrival at high altitude: high altitude anxiety as a distinct diagnostic entity[J ] . Wilderness Environ Med, 2011, 22(4): 356-357. DOI: 10.1016/j.wem.2011.08.016.

SRACIC M K, THOMAS D, PATE A, et al . Syndrome of acute anxiety among marines after recent arrival at high altitude[J ] . Mil Med, 2014, 179(5): 559-564. DOI: 10.7205/MILMED-D-13-00359.

胡军, 李晓云, 王东红, 等.急进高原官兵抑郁、焦虑及其影响因素的研究[J].西北国防医学杂志, 2015, 36(6): 377-380.

HU J, LI X Y, WANG D H, et al . Depression and anxiety in officers and soldiers who entered the plateau rapidly and it's influential factors[J ] . Med J Natl Defending Forces Northwest China, 2015, 36(6): 377-380.

谢钧润, 王冠, 董连喜, 等.急进高原前后士兵心理应激与焦虑、抑郁情绪的交叉滞后分析[J].第三军医大学学报, 2014, 36(14): 1500-1503.

XIE J R, WANG G, DONG L X, et al . A cross-lagged regression analysis of plain soldiers' stress, anxiety and depression before and after rush entry into plateau[J ] . J Third Med Mil Univ, 2014, 36(14): 1500-1503.

刘红平.急进高原驻训军人心理健康的追踪研究[D].重庆: 第三军医大学, 2017.

LIU H P. Longitudinal investigation on mental health of training armymen at high altitude[D]. Chongqing: Third Military Medical University, 2017.

张晶轩, 贺英, 赵梦雪, 等.高海拔环境下军人状态-特质焦虑的特点研究[J].第三军医大学学报, 2017, 39(15): 1532-1536. DOI: 10.16016/j.1000-5404.201704048.

ZHANG J X, HE Y, ZHAO M X, et al . Characteristics of state-trait anxiety in military personnel in high altitude[J ] . J Third Mil Med Univ, 2017, 39(15): 1532-1536. DOI: 10.16016/j.1000-5404.201704048.

赖薇, 郑飞宇, 谢守蓉, 等.不同海拔高度军人焦虑特点与其负性认知偏向的关系[J].第三军医大学学报, 2017, 39(15): 1525-1531. DOI: 10.16016/j.1000-5404.201704043.

LAI W, ZHENG F Y, XIE S R, et al . Relationship of emotion regulation types with depression and anxiety in military personnel in high altitude[J ] . J Third Mil Med Univ, 2017, 39(15): 1525-1531. DOI: 10.16016/j.1000-5404.201704043.

邢文荣, 徐莉, 张珺, 等.不同海拔区域对高原官兵心理健康状况影响的调查研究[J].西北国防医学杂志, 2016, 37(12): 777-779. DOI: 10.16021/j.cnki.1007-8622.2016.12.003.

XING W R, XU L, ZHANG J, et al . Investigation of soldiers' mental health at plateau[J ] . Med J Nat Defending Forces Northwest China, 2016, 37(12): 777-779. DOI: 10.16021/j.cnki.1007-8622.2016.12.003.

CHOWDHURY M Z I, TURIN T C. Variable selection strategies and its importance in clinical prediction modelling[J]. Fam Med Community Health, 2020, 8(1): e000262. DOI: 10.1136/fmch-2019-000262.

张作记.行为医学量表手册[M].北京:中华医学电子音像出版社, 2005: 64.

ZHANG Z J. Manual of behavioral medicine scales[M]. Beijing: Chinese Medical Multimedia Press, 2005: 64.

温忠麟, 侯杰泰, 马什赫伯特.结构方程模型检验:拟合指数与卡方准则[J].心理学报, 2004, 36(2): 186-194.

WEN Z L, HOU J T, MASH H W. Structural equation model testing: cutoff criteria for goodness of fit indices and chi-square test[J]. Acta Psychologica Sinica, 2004, 36(2): 186-194.

程晓彤, 王佳, 徐慧敏, 等.高原军人抑郁情绪与负性认知加工偏向、情绪调节方式的关系[J].第三军医大学学报, 2019, 41(22): 2246-2252. DOI: 10.16016/j.1000-5404.201906167.

CHENG X T, WANG J, XU H M, et al . Association of negative cognitive processing bias and emotion regulation styles with depressive emotion in military personnel serving in high-altitude areas[J ] . J Third Mil Med Univ, 2019, 41(22): 2246-2252. DOI: 10.16016/j.1000-5404.201906167.

HU T J, XIAO J, PENG J, et al . Relationship between resilience, social support as well as anxiety/depression of lung cancer patients: a cross-sectional observation study[J ] . J Cancer Res Ther, 2018, 14(1): 72-77. DOI: 10.4103/jcrt.JCRT_849_17.

胡恒德, 朱霞.某军校新学员心理资本与应对方式及焦虑的相关性研究[J].人民军医, 2018, 61(6): 483-486.

HU H D, ZHU X. The relationship among psychological capital, coping style and anxiety of new recruited cadets of a military academy[J]. People Mil Surg, 2018, 61(6): 483-486.

李承龙, 谢琴红.情绪调节策略与社交焦虑的关系: 负面身体自我的中介作用[C].第二十一届年全国心理学学术会议摘要集, 2018: 1083.

LI C L, XIE Q H. The relationship between emotional regulation strategies and social anxiety: the mediating role of negative physical self[C]. Abstract Book of the 21st National Academic Congress of Psychology, 2018: 1083.

刘华峰, 王晓一, 高志华.情绪调节策略在大学生情绪体验与健康状况间的调节作用[J].中华行为医学与脑科学杂志, 2019(2): 166-171.

LIU H F, WANG X Y, GAO Z H. The moderating effect of emotional regulation strategies in the relationship between emotional experiences and physical health of college students[J]. Chin J Behav Med Brain Sci, 2019(2): 166-171.

龚玲.农村初中生情绪调节策略潜在类别及情绪和行为问题比较[J].中国临床心理学杂志, 2019, 27(2): 356-361. DOI: 10.16128/j.cnki.1005-3611.2019.02.030.

GONG L. A person-centered approach to assessing emotion regulation strategies and links to emotional and behavioral problems of the rural junior high school students[J]. Chin J Clin Psychol, 2019, 27(2): 356-361. DOI: 10.16128/j.cnki.1005-3611.2019.02.030.

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

高原军人抑郁症状发展特点及与耐挫的关系研究

高原军人情绪调节方式的发展特点及其对抑郁的预测

高原军人抑郁情绪与负性认知加工偏向、情绪调节方式的关系

基于网络分析的军人心理健康综合评估和性别差异比较