新兵知觉压力与认知灵活性、生活满意度的关系及正念认知干预研究

张一苇; 彭李; 许辰; 李敏

doi:10.16016/j.2097-0927.202306107

您当前的位置：

首页 >

文章列表页 >

新兵知觉压力与认知灵活性、生活满意度的关系及正念认知干预研究

医学心理学 | 更新时间：2026-01-09

- 新兵知觉压力与认知灵活性、生活满意度的关系及正念认知干预研究
- Relationship of perceived stress with cognitive flexibility and life satisfaction and mindfulness-based cognitive intervention in new recruits
- 陆军军医大学学报 2024年46卷第10期页码：1180-1186
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)医学心理系军事心理学教研室
- 作者简介：
  
  [李敏，E-mail：limin52267@tmmu.edu.cnLI Min, E-mail: limin52267@tmmu.edu.cn
- 基金信息：
  
  作者贡献声明张一苇全程参与实验方法设计，干预方案制定，方案实施，实验数据采集、录入和分析，论文的撰写和修改。彭李全程参与研究思路制定、实验方法设计、干预方案制定、方案实施、数据分析以及论文修改。许辰参与实验方法设计、方案实施、数据分析及论文修改。李敏制定和指导研究思路、核实实验设计、监督和领导干预实施，参与实验数据的分析、论文修改以及最终定稿。
- DOI：10.16016/j.2097-0927.202306107
  中图分类号： R395.1;R395.6;R821.2
- 收稿：2023-06-30，
  
  修回：2023-11-09，
  
  纸质出版：2024-05-30
- 稿件说明：
移动端阅览
张一苇, 彭李, 许辰, 等. 新兵知觉压力与认知灵活性、生活满意度的关系及正念认知干预研究[J]. 陆军军医大学学报, 2024,46(10):1180-1186.

Yiwei ZHANG, Li PENG, Chen XU, et al. Relationship of perceived stress with cognitive flexibility and life satisfaction and mindfulness-based cognitive intervention in new recruits[J]. Journal of Army Medical University, 2024, 46(10): 1180-1186.
张一苇, 彭李, 许辰, 等. 新兵知觉压力与认知灵活性、生活满意度的关系及正念认知干预研究[J]. 陆军军医大学学报, 2024,46(10):1180-1186. DOI： 10.16016/j.2097-0927.202306107.

Yiwei ZHANG, Li PENG, Chen XU, et al. Relationship of perceived stress with cognitive flexibility and life satisfaction and mindfulness-based cognitive intervention in new recruits[J]. Journal of Army Medical University, 2024, 46(10): 1180-1186. DOI： 10.16016/j.2097-0927.202306107.

摘要

目的

探讨认知灵活性在新兵知觉压力与生活满意度中的关系，构建正念认知干预方案，研究该方案对新兵认知灵活性和生活满意度的影响作用。

方法

采用整群抽样法对某部965名新兵进行问卷调查。评估工具包括中文版知觉压力量表(Chinese Perceived Stress Scale，CPSS)、认知灵活性量表(Cognitive flexibility Inventory，CFI)和生活满意度量表(Satisfaction Life Scale，SWLS)。其中61名新兵，以排为单位分为训练组(

=31)和对照组(

=30)，训练组接受6周正念认知干预，对照组每周仅接受心理健康教育。采用问卷以及行为学实验(线索任务转换范式)对训练效果进行评估。

结果

① 知觉压力和认知灵活性、生活满意度均呈显著负相关(

=-0.78，

0.01；

=-0.64，

0.01)，认知灵活性和生活满意度呈显著正相关(

=0.59，

0.01)；②认知灵活性在新兵知觉压力影响生活满意度之间起着中介作用，效应量为-0.12，占总效应的29.27%；③正念认知干预后，2组新兵在认知灵活性、生活满意度和线索任务转换范式上具有显著差异，训练组的认知灵活性、生活满意度及线索任务转换范式中的正确率和反应时均显著优于对照组(

0.05)；与前测结果比较，训练组后测的认知灵活性和生活满意度、线索任务转换范式均显著提高(

0.05)，而对照组前、后测结果差异无统计学意义。

结论

正念认知干预能有效提升新兵认知灵活性水平，提升新兵的生活满意度水平。

Abstract

Objective

To explore the relationship of cognitive flexibility with perceived stress and life satisfaction in new recruits

construct a mindfulness-based cognitive intervention program

and investigate the impact of this program on cognitive flexibility and life satisfaction in the participants.

Methods

Cluster sampling was applied to select new recruits from a unit

and 965 participants were surveyed with questionnaires. The assessment instruments included Chinese Perceived Stress Scale (CPSS)

Cognitive Flexibility Inventory (CFI)

and Satisfaction With Life Scale (SWLS). Among them

61 new recruits were divided into a training group (

=31) and a control group (

=30). The training group received a mindfulness-based cognitive intervention for 6 weeks

and the control group only received mental health education every week. The training efficacy were evaluated with questionnaires and behavioral experiment (cued task-switching paradigm).

Results

① Perceived stress was significantly negatively correlated with cognitive flexibility and life satisfaction (

=-0.78

0.01;

=-0.64

0.01)

and cognitive flexibility and life satisfaction were positively correlated (

=0.59

0.01); ② The mediating effect was observed in cognitive flexibility between recruits' perceived stress affecting life satisfaction

with a mediating effect size of -0.12

accounting for 29.27% of the total effect; ③ After intervention

there were significant differences between the 2 groups of new recruits in terms of cognitive flexibility

life satisfaction

accuracy and reaction time in the cued task-switching paradigm

with those of the training group obviously better than those of the control group (

0.05). The training group obtained notably improvements in above scores after intervention (

0.05)

but no such changes were observed in the control group.

Conclusion

Mindfulness-based cognitive intervention can effectively improve cognitive flexibility and life satisfaction for new recruits.

关键词

Keywords

references

许辰, 彭李, 刘笑彤, 等. 军校学员生涯适应力对生活满意度的影响: 自我效能感和希望感的链式中介作用[J]. 陆军军医大学学报, 2022, 44(11): 1177-1182. DOI: 10.16016/j.2097-0927.202111118.

XU C, PENG L, LIU X T, et al . Effect of career adaptability on life satisfaction in cadets: chain mediating effect of self-efficacy and hope[J ] . J Army Med Univ, 2022, 44(11): 1177-1182. DOI: 10.16016/j.2097-0927.202111118.

BULMER S, DRAIN J R, TAIT J L, et al . Quantification of recruit training demands and subjective wellbeing during basic military training[J ] . Int J Environ Res Public Health, 2022, 19(12): 7360. DOI: 10.3390/ijerph19127360.

TAIT J L, DRAIN J R, BULMER S, et al . Factors predicting training delays and attrition of recruits during basic military training[J ] . Int J Environ Res Public Health, 2022, 19(12): 7271. DOI: 10.3390/ijerph19127271.

周雪莹, 陈静, 赵云仙, 等. 医学院校大一新生压力知觉与生活满意度的关系及应对方式的中介效应分析[J]. 中国医科大学学报, 2023, 52(2): 137-140. DOI: 10.12007/j.issn.0258-4646.2023.02.008.

ZHOU X Y, CHEN J, ZHAO Y X, et al . Relationship between perceived stress and life satisfaction in medical university freshmen and the mediating effect of the coping style[J ] . J China Med Univ, 2023, 52(2): 137-140. DOI: 10.12007/j.issn.0258-4646.2023.02.008.

LI J, GAO W, YANG Q Q, et al . Perceived stress, anxiety, and depression in treatment-naïve women with breast cancer: a case-control study[J ] . Psycho Oncology, 2021, 30(2): 231-239. DOI: 10.1002/pon.5555.

GARGIULO A T, LI X Y, GRAFE L A. Assessment of stress effects on cognitive flexibility using an operant strategy shifting paradigm[J]. J Vis Exp, 2020(159). DOI: 10.3791/61228.

KNAUFT K, WALDRON A, MATHUR M, et al . Perceived chronic stress influences the effect of acute stress on cognitive flexibility[J ] . Sci Rep, 2021, 11(1): 23629. DOI: 10.1038/s41598-021-03101-5.

SMITH C A, KONIK J. Who is satisfied with life? Personality, cognitive flexibility, and life satisfaction[J]. Curr Psychol, 2022, 41(12): 9019-9026. DOI: 10.1007/s12144-021-01359-6.

UDDIN L Q. Cognitive and behavioural flexibility: neural mechanisms and clinical considerations[J]. Nat Rev Neurosci, 2021, 22(3): 167-179. DOI: 10.1038/s41583-021-00428-w.

张晓燕, 文鹏, 王永兰, 等. 认知灵活性对军事对峙任务中高原官兵心理应激的影响[J]. 华南国防医学杂志, 2022, 36(3): 208-211. DOI: 10.13730/j.issn.1009-2595.2022.03.011.

ZHANG X Y, WEN P, WANG Y L, et al . Influence of cognitive flexibility on the psychological stress of officers and soldiers at the plateau during military confrontation task[J ] . Mil Med J South China, 2022, 36(3): 208-211. DOI: 10.13730/j.issn.1009-2595.2022.03.011.

陶慧, 安花花, 刘莹, 等. 心理弹性、认知灵活性对急进高原驻训官兵心理应激的影响[J]. 西北国防医学杂志, 2021, 42(6): 448-451. DOI: 10.16021/j.cnki.1007-8622.2021.06.005.

TAO H, AN H H, LIU Y, et al . Influence of psychological flexibility and cognitive flexibility on the psychological stress of officers and soldiers stationed at high altitude[J ] . Med J Natl Defending Forces Northwest China, 2021, 42(6): 448-451. DOI: 10.16021/j.cnki.1007-8622.2021.06.005.

LACKNER J M, GUDLESKI G D, RADZIWON C D, et al . Cognitive flexibility improves in cognitive behavioral therapy for irritable bowel syndrome but not nonspecific education/support[J ] . Behav Res Ther, 2022, 154: 104033. DOI: 10.1016/j.brat.2022.104033.

JANKOWSKI T, HOLAS P. Effects of brief mindfulness meditation on attention switching[J]. Mindfulness, 2020, 11(1): 1150-1158.

ZO U Y M, LI P, HOFMANN S G, et al . The mediating role of non-reactivity to mindfulness training and cognitive flexibility: a randomized controlled trial[J ] . Front Psychol, 2020, 11: 1053. DOI: 10.3389/fpsyg.2020.01053.

杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9): 760-764. DOI: 10.3760/j.issn: 0254-6450.2003.09.004.

YANG T Z, HUANG H T. An epidemiological study on stress among urban residents in social transition period[J]. Chin J Epidemiol, 2003, 24(9): 760-764. DOI: 10.3760/j.issn: 0254-6450.2003.09.004.

王阳, 杨燕, 肖婉婷, 等. 认知灵活性问卷中文版测评大学生样本的效度和信度[J]. 中国心理卫生杂志, 2016, 30(1): 58-63. DOI: 10.3969/j.issn.1000-6729.2016.01.012.

WANG Y, YANG Y, XIAO W T, et al . Validity and reliability of the Chinese version of the cognitive flexibility inventory in college students[J ] . Chin Ment Health J, 2016, 30(1): 58-63. DOI: 10.3969/j.issn.1000-6729.2016.01.012.

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.

XIONG C Q, XU Y L. Reliability and validity of thestisfaction with life scale for Chinese demos[J]. China J Health Psychol, 2009, 17(8): 948-949. DOI: 10.13342/j.cnki.cjhp.2009.08.026.

DAJANI D R, ODRIOZOLA P, WINTERS M, et al . Measuring cognitive flexibility with the flexible item selection task: from fMRI adaptation to individual connectome mapping[J ] . J Cogn Neurosci, 2020, 32(6): 1026-1045. DOI: 10.1162/jocn_a_01536.

KOCH I, POLJAC E, MVLLER H, et al . Cognitive structure, flexibility, and plasticity in human multitasking—An integrative review of dual-task and task-switching research[J ] . Psychol Bull, 2018, 144(6): 557-583. DOI: 10.1037/bul0000144.

STEFAN S, CRISTEA I, TǍTAR A S, et al . Cognitive-behavioral therapy (CBT) for generalized anxiety disorder: contrasting various CBT approaches in a randomized clinical trial[J ] . J Clinical Psychology, 2019, 75(7): 1188-1202.

季猛, 张立立, 张巧, 等. 正念干预对陆航机务官兵认知重评、正性注意偏向和抑郁的影响[J]. 陆军军医大学学报, 2023, 45(9): 994-1000. DOI: 10.16016/j.2097-0927.202207050.

JI M, ZHANG L L, ZHANG Q, et al . Effects of mindfulness-based intervention on cognitive reappraisal, positive attention bias and depression in army aviation maintenance personnel[J ] . J Army Med Univ, 2023, 45 (9): 994-1000. DOI: 10.16016/j.2097-0927.202207050.

BRINTZ C E, MILLER S, OLMSTE D K R, et al . Adapting mindfulness training for military service members with chronic pain[J ] . Mil Med, 2020, 185(3/4): 385-393. DOI: 10.1093/milmed/usz312.

RUDNIK A, PIOTROWICZ G, BASIŃSKA M A, et al . The importance of cognitive flexibility and flexibility in coping with stress for the quality of life in inflammatory bowel disease patients during biological therapy. A preliminary report[J ] . Prz Gastroenterol, 2019, 14(2): 121-128. DOI: 10.5114/pg.2018.81081.

张晓鸣, 乞盟, 李红娟, 等. 中学生生活事件和抑郁的关系: 认知灵活性的中介作用[J]. 临床精神医学杂志, 2020, 30(6): 393-397.

ZHANG X M, QI M, LI H J, et al . Relationship between life events and depression in middle school students: the mediating role of cognitive flexibility[J ] . J Clin Psychiatry, 2020, 30(6): 393-397.

MONNI A, SCANDOLA M, HÉLIE S, et al . Cognitive flexibility assessment with a new Reversal learning task paradigm compared with the Wisconsin card sorting test exploring the moderating effect of gender and stress[J ] . Psychol Res, 2023, 87(5): 1439-1453. DOI: 10.1007/s00426-022-01763-y.

SHANKLAND R, FAVRE P, KOTSOU I, et al . Mindfulness and de-automatization: effect of mindfulness-based interventions on emotional facial expressions processing[J ] . Mindfulness, 2021, 12(1): 226-239. DOI: 10.1007/s12671-020-01515-2.

NAGATA S, SEKI Y, SHIBUYA T, et al . Does cognitive behavioral therapy alter mental defeat and cognitive flexibility in patients with panic disorder?[J ] . BMC Res Notes, 2018, 11(1): 23. DOI: 10.1186/s13104-018-3130-2.

WANG Y M, CHEN J E, YUE Z Z. Positive emotion facilitates cognitive flexibility: an fMRI study[J]. Front Psychol, 2017, 8: 1832. DOI: 10.3389/fpsyg.2017.01832.

MOHAMADI J, GHAZANFARI F, DRIKVAND F M. Comparison of the effect of dialectical behavior therapy, mindfulness based cognitive therapy and positive psychotherapy on perceived stress and quality of life in patients with irritable bowel syndrome: a pilot randomized controlled trial[J]. Psychiatr Q, 2019, 90(3): 565-578. DOI: 10.1007/s11126-019-09643-2.

浏览量

326

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

正念注意觉知在抑郁合并失眠患者知觉压力与抑郁情绪间的中介作用

叙事团体心理训练对集训期新兵心理适应的干预研究

问题管理家(PM+)心理训练对集训期新兵心理适应能力提升的干预研究

新兵知觉压力与失眠的关系：反刍和抑郁的链式中介效应

知觉压力对男军人失眠严重程度的影响：抑郁的中介和正念的调节作用