军事行动类型对我国退役军人心理健康双因素的影响：心理素质的中介作用

李媛媛; 王妍; 廖兴亚; 张小玲; 熊珂; 孙淑娟; 冯正直

doi:10.16016/j.2097-0927.202311093

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军事行动类型对我国退役军人心理健康双因素的影响：心理素质的中介作用

专题报道：军事心理健康训练 | 更新时间：2026-01-09

- 军事行动类型对我国退役军人心理健康双因素的影响：心理素质的中介作用
- Effect of military operation types on dual factors of mental health in Chinese veterans: mediating role of psychological quality
- 陆军军医大学学报 2024年46卷第14期页码：1600-1608
- 作者机构：
  
  1.100042 北京，解放军总医院京西医疗区高井门诊部
  2.510000 广州，31626 部队
  3.266000 山东青岛，91951 部队卫生队
  4.100141 北京，军事科学院系统工程研究院
  5.831200 新疆呼图壁，陆军军医大学(第三军医大学)边防卫勤训练大队
  6.400038 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，E-mail: fzz@tmmu.edu.cnFENG Zhengzhi, E-mail: fzz@tmmu.edu.cn
- 基金信息：
  
  重庆英才计划“包干制”项目(CSTC2022YCJH-BGZXM0022)
- DOI：10.16016/j.2097-0927.202311093
  中图分类号： R395.1;R395.6;R821.2
- 收稿：2023-11-19，
  
  修回：2024-03-18，
  
  纸质出版：2024-07-30
- 稿件说明：
移动端阅览
李媛媛, 王妍, 廖兴亚, 等. 军事行动类型对我国退役军人心理健康双因素的影响：心理素质的中介作用[J]. 陆军军医大学学报, 2024,46(14):1600-1608.

Yuanyuan LI, Yan WANG, Xingya LIAO, et al. Effect of military operation types on dual factors of mental health in Chinese veterans: mediating role of psychological quality[J]. Journal of Army Medical University, 2024, 46(14): 1600-1608.
李媛媛, 王妍, 廖兴亚, 等. 军事行动类型对我国退役军人心理健康双因素的影响：心理素质的中介作用[J]. 陆军军医大学学报, 2024,46(14):1600-1608. DOI： 10.16016/j.2097-0927.202311093.

Yuanyuan LI, Yan WANG, Xingya LIAO, et al. Effect of military operation types on dual factors of mental health in Chinese veterans: mediating role of psychological quality[J]. Journal of Army Medical University, 2024, 46(14): 1600-1608. DOI： 10.16016/j.2097-0927.202311093.

摘要

目的

基于心理健康双因素模型

探讨军事行动类型对我国退役军人心理健康的影响及心理素质的中介作用。

方法

本研究采用横断面研究设计方案。应用自编人口学信息问卷、患者健康问卷抑郁量表、广泛性焦虑量表、生活满意度问卷、心理素质问卷

对3 027名我国退役军人进行问卷调查。

结果

① 与单因素模型及其他双因素模型比较

以焦虑症状为消极指标

生活满意度为积极指标的心理健康双因素模型拟合效果更好(

/df=8.927

GFI=0.974

AGFI=0.962

RMSEA=0.051

NNFI=0.985

IFI=0.988

CFI=0.988);②以未参加战争/非战争军事行动者为参照

心理素质在战争与生活满意度、战争与焦虑症状的相对中介效应均显著(

0.05)

在非战争军事行动与生活满意度、非战争军事行动与焦虑症状的相对中介效应均不显著; ③战争通过对心理素质的认知维度、适应性维度、个性维度的完全中介作用

降低退役军人生活满意度

通过对心理素质个性维度的部分中介作用增加其焦虑症状。

结论

心理健康双因素模型适用于我国退役军人群体

心理素质在战争与心理健康之间起中介作用。

Abstract

Objective

To explore the effects of military operation types on the mental health of Chinese veterans and the mediating role of psychological quality based on a dual-factor model of mental health.

Methods

Cross-sectional study design was adopted in this study.Self-designed demographic information questionnaire

patient health questionnaire depression module-9 item (PHQ-9)

general anxiety disorder-7(GAD-7)

satisfaction with life scale and psychological quality questionnaire were used to survey on 3 027 Chinese veterans.

Results

① Compared to the one-factor model and the two-factor models with other indicators

the dual-factor model of mental health

with anxiety symptoms as a negative indicator and life satisfaction as a positive indicator

fitted better (

Chi

-square/df=8.927

GFI=0.974

AGFI=0.962

RMSEA=0.051

NNFI=0.985

IFI=0.988

CFI=0.988).②Taking the subjects who did not participate in war/non-war military operations as the reference

psychological quality showed significant relatively mediating effects between war and life satisfaction

and between war and anxiety symptoms (

0.05)

while no such significances were observed in the corresponding ones for non-war military operations.③ War could decrease veterans'life satisfaction through full mediation of cognitive

adaptive and personality dimensions of psychological quality

and increase anxiety symptoms through partial mediation of the personality dimension of psychological quality.

Conclusion

The dual-factor model of mental health is applicable to Chinese veteran population

and psychological quality plays a mediating role between war and mental health.

关键词

Keywords

references

王鑫强, 张大均. 心理健康双因素模型述评及其研究展望[J]. 中国特殊教育, 2011(10): 68-73. DOI: 10.3969/j.issn.1007-3728.2011.10.013.

WANG X Q, ZHANG D J. A review of the dual-factor model of mental health and its prospects[J]. Chin J Spec Educ, 2011(10): 68-73. DOI: 10.3969/j.issn.1007-3728.2011.10.013.

GRYCH J, TAYLOR E, BANYARD V, et al . Applying the dual factor model of mental health to understanding protective factors in adolescence[J ] . Am J Orthopsychiatry, 2020, 90(4): 458-467. DOI: 10.1037/ort0000449.

陈艳桃, 高晓彤, 陈兆琳, 等. 基于双因素模型的老年人生命意义感与心理健康: 老化态度的中介作用[J]. 心理与行为研究, 2022, 20(1): 88-95. DOI: 10.12139/j.1672-0628.2022.01.013.

CHEN Y T, GAOX T, CHEN Z L, et al . Meaning in life and mental health of the elderly based on the dual-factor model: mediating effects of attitudes toward aging[J ] . Stud Psychol Behav, 2022, 20(1): 88-95. DOI: 10.12139/j.1672-0628.2022.01.013.

WILLIAMSON C, PALMER L, LEIGHTLEY D, et al . Military veterans and civilians' mental health diagnoses: an analysis of secondary mental health services[J ] . Soc Psychiatry Psychiatr Epidemiol, 2023, 58(7): 1029-1037. DOI: 10.1007/s00127-022-02411-x.

ROSSI F S, NILLNI Y, FOX A B, et al . The association between lifetime trauma exposure typologies and mental health outcomes among veterans[J ] . Psychiatry Res, 2023, 326: 115321. DOI: 10.1016/j.psychres.2023.115321.

SCHAPER K M, MACKINTOSH M A, WILLIS E A, et al . Military-related experiences and late-life depressive symptomatology among Japanese-American World War Ⅱ veterans[J ] . Aging Ment Health, 2020, 24(6): 870-878. DOI: 10.1080/13607863.2018.1558173.

CHUI Z, FEAR N T, GREENBERG N, et al . Combat exposure and co-occurring mental health problems in UK Armed Forces personnel[J ] . J Ment Health, 2022, 31(5): 624-633. DOI: 10.1080/09638237.2020.1766666.

MOBBS M C, BONANNO G A. Beyond war and PTSD: the crucial role of transition stress in the lives of military veterans[J]. Clin Psychol Rev, 2018, 59: 137-144. DOI: 10.1016/j.cpr.2017.11.007.

DEREFINKO K J, HALLSELL T A, ISAACS M B, et al . Perceived needs of veterans transitioning from the military to civilian life[J ] . J Behav Health Serv Res, 2019, 46(3): 384-398. DOI: 10.1007/s11414-018-9633-8.

PHILLIPS A C, BATTY G D, GALE C R, et al . Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study[J ] . Psychosom Med, 2009, 71(4): 395-403. DOI: 10.1097/PSY.0b013e31819e6706.

李媛媛, 廖兴亚, 张小玲, 等. 我国退役军人抑郁症状特点及相关因素分析[J]. 陆军军医大学学报, 2022, 44(19): 1911-1922. DOI: 10.16016/j.2097-0927.202202100.

LI Y Y, LIAO X Y, ZHANG X L, et al . Characteristics of depressive symptoms and related factors in Chinese veterans[J ] . J Army Med Univ, 2022, 44(19): 1911-1922. DOI: 10.16016/j.2097-0927.202202100.

李媛媛, 冯正直, 李奎良, 等. 基于变量中心和个体中心分析我国退役人员创伤后应激障碍的症状特点及影响因素[J]. 海军军医大学学报, 2023, 44(4): 454-465. DOI: 10.16781/j.CN31-2187/R.20220595.

LI Y Y, FENG Z Z, LI K L, et al . Characteristics and influencing factors of post-traumatic stress disorder symptoms in Chinese veterans: variable-centered and person-centered perspectives[J ] . Acad J Nav Med Univ, 2023, 44(4): 454-465. DOI: 10.16781/j.CN31-2187/R.20220595.

李媛媛, 冯正直, 廖兴亚, 等. 我国退役军人焦虑症状特点及影响因素分析[J]. 职业与健康, 2024, 40(3): 358-364. DOI: 10.13329/j.cnki.zyyjk.2024.0066.

LI Y Y, FENG Z Z, LIAO X Y, et al . Analysis on anxiety symptom characteristics and influencing factors of Chinese veteran[J ] . Occup Health, 2024, 40(3): 358-364. DOI: 10.13329/j.cnki.zyyjk.2024.0066.

LOSCALZO Y, GIANNINI M, GORI A, et al . The wellbeing of Italian peacekeeper military: psychological resources, quality of life and internalizing symptoms[J ] . Front Psychol, 2018, 9: 103. DOI: 10.3389/fpsyg.2018.00103.

IKIN J F, SIM M R, MCKENZIE D P, et al . Life satisfaction and quality in Korean War veterans five decades after the war[J ] . J Epidemiol Community Health, 2009, 63(5): 359-365. DOI: 10.1136/jech.2007.061986.

MONROE S M, SIMONS A D. Diathesis-stress theories in the context of life stress research: implications for the depressive disorders[J]. Psychol Bull, 1991, 110(3): 406-425. DOI: 10.1037/0033-2909.110.3.406.

冯正直, 宋新涛, 王智, 等. 我国军人心理素质研究进展与展望[J]. 心理科学, 2011, 34(5): 1274-1279. DOI: 10.16719/j.cnki.1671-6981.2011.05.003.

FENG Z Z, SONG X T, WANG Z, et al . The progress and prospect of PLA men's mental quality[J ] . J Psychol Sci, 2011, 34(5): 1274-1279. DOI: 10.16719/j.cnki.1671-6981.2011.05.003.

王鑫强, 张大均. 心理素质与心理健康关系模型构建: 对PTH和DFM的超越[J]. 西南大学学报(社会科学版), 2012, 38(6): 67-74, 174. DOI: 10.13718/j.cnki.xdsk.2012.06.012.

WANG X Q, ZHANG D J. Looking beyond PTH and DFM: the relationship model between psychological quality and mental health[J]. J Southwest Univ Soc Sci Ed, 2012, 38(6): 67-74, 174. DOI: 10.13718/j.cnki.xdsk.2012.06.012.

MARCOLINI S, ROJCZYK P, SEITZ-HOLLAND J, et al . Posttraumatic stress and traumatic brain injury: cognition, behavior, and neuroimaging markers in Vietnam veterans[J ] . J Alzheimers Dis, 2023, 95(4): 1427-1448. DOI: 10.3233/JAD-221304.

DIETER J N, ENGEL S D. Traumatic brain injury and posttraumatic stress disorder: comorbid consequences of war[J]. Neurosci Insights, 2019, 14: 1179069519892933. DOI: 10.1177/1179069519892933.

B∅G M, FILGES T, J∅RGENSEN A M K. Deployment of personnel to military operations: impact on mental health and social functioning[J]. Campbell Syst Rev, 2018, 14(1): 1-127. DOI: 10.4073/csr.2018.6.

冯正直, 夏蕾. 非战争军事行动军人心理问题特点及影响因素[J]. 第三军医大学学报, 2018, 40(6): 459-465. DOI: 10.16016/j.1000-5404.201710145.

FENG Z Z, XIA L. Characteristics and influencing factors of psychological problems of Chinese soldiers in non-war military operations[J]. J Third Mil Med Univ, 2018, 40(6): 459-465. DOI: 10.16016/j.1000-5404.201710145.

LIU G Z, PAN Y G, LI B B, et al . The protective effect of psychological suzhi on the relationship between school climate and alcohol use among Chinese adolescents[J ] . Psychol Res Behav Manag, 2019, 12: 307-315. DOI: 10.2147/PRBM.S202127..

张娟, 张大均. 大学生心理素质水平与正性负性情绪的外显和内隐相关[J]. 心理与行为研究, 2019, 17(1): 91-96.

ZHANG J, ZHANG D J. The explicit and implicit correlation of college students' psychological quality level and the positive and negative emotions[J]. Stud Psychol Behav, 2019, 17(1): 91-96.

KROENKE K, SPITZER R L, WILLIAMS J B. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. DOI: 10.1046/j.1525-1497.2001.016009606.x.

何筱衍, 李春波, 钱洁, 等. 广泛性焦虑量表在综合性医院的信度和效度研究[J]. 上海精神医学, 2010, 22(4): 200-203.

HE X Y, LI C B, QIAN J, et al . Reliability and validity of a generalized anxiety disorder scale in general hospital outpatients[J ] . Shanghai Arch Psychiatry, 2010, 22(4): 200-203.

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 the stisfaction 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.

刘广增, 张大均, 胡天强, 等. 成人心理素质问卷的编制及信效度检验[J]. 西南大学学报(自然科学版), 2018, 40(10): 47-52. DOI: 10.13718/j.cnki.xdzk.2018.10.007.

LIU G Z, ZHANG D J, HU T Q, et al . The development of an adult psychological quality questionnaire and its reliability and validity test[J ] . J Southwest Univ Nat Sci Ed, 2018, 40(10): 47-52. DOI: 10.13718/j.cnki.xdzk.2018.10.007.

方杰, 温忠麟, 张敏强. 类别变量的中介效应分析[J]. 心理科学, 2017, 40(2): 471-477. DOI: 10.16719/j.cnki.1671-6981.20170233.

FANG J, WEN Z L, ZHANG M Q. Mediation analysis of categorical variables[J]. J Psychol Sci, 2017, 40(2): 471-477. DOI: 10.16719/j.cnki.1671-6981.20170233.

李媛媛. 我国退役军人心理健康特点及相关因素研究[D]. 重庆: 中国人民解放军陆军军医大学, 2022. DOI: 10.27001/d.cnki.gtjyu.2022.000369.

LI Y Y. A study on the characteristics and related factors of mental health of Chinese veteran[D]. Chongqing: Army Medical University, 2022. DOI: 10.27001/d.cnki.gtjyu.2022.000369.

PEREIRA M G, PEREIRA D, PEDRAS S. PTSD, psychological morbidity and marital dissatisfaction in colonial war veterans[J]. J Ment Health, 2020, 29(1): 69-76. DOI: 10.1080/09638237.2018.1487532.

LEVY B S, SIDEL V W. Health effects of combat: a life-course perspective[J]. Annu Rev Public Health, 2009, 30: 123-136. DOI: 10.1146/annurev.publhealth.031308.100147.

MYERS H F, WYATT G E, ULLMAN J B, et al . Cumulative burden of lifetime adversities: trauma and mental health in low-SES African Americans and Latino/as[J ] . Psychol Trauma, 2015, 7(3): 243-251. DOI: 10.1037/a0039077.

YEH C J, LIAO H Y, MA P W W, et al . Ecological risk and protective factors of depressive and anxiety symptoms among low-income, Chinese immigrant youth[J ] . Asian Am J Psychol, 2014, 5(3): 190-199. DOI: 1 0.1037/a0034105.

REHMAN Y, ZHANG C, YE H L, et al . The extent of the neurocognitive impairment in elderly survivors of war suffering from PTSD: meta-analysis and literature review[J ] . AIMS Neurosci, 2021, 8(1): 47-73. DOI: 10.3934/Neuroscience.2021003.

MADHU L N, KODALI M, ATTALURI S, et al . Melatonin improves brain function in a model of chronic Gulf War Illness with modulation of oxidative stress, NLRP3 inflammasomes, and BDNF-ERK-CREB pathway in the hippocampus[J ] . Redox Biol, 2021, 43: 101973. DOI: 10.1016/j.redox.2021.101973.

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