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目的探索军医大学新生集训及300公里拉练后应激后成长及其影响因素。方法采用应激后成长量表(PTGI)、Connor-Davidson心理弹性量表(CD-RISC)、正负性情绪量表(PANAS)、状态-特质焦虑量表(STAI)和流调用抑郁自评量表(CESD),对刚刚结束2个月集训及300公里拉练后的565名某军医大学新生进行调查研究。结果 1军医大学新生应激后成长总分为(69.19±18.65)。2应激后成长与心理弹性、正性情绪呈显著正相关(r值分别为0.728、0.703,P<0.01),与负性情绪、状态焦虑、特质焦虑、抑郁呈显著负相关(r值分别为-0.499、-0.644、-0.673、-0.249,P<0.01)。3应激后成长高分组在心理弹性、正性情绪的得分显著高于低分组(P<0.01);在负性情绪、状态焦虑、特质焦虑、抑郁得分均显著低于低分组(P<0.01)。4正性情绪、心理弹性、特质焦虑可以有效预测应激后成长水平,总解释率为61.5%。结论提升正性情绪与心理弹性水平,降低焦虑和抑郁水平,有助于促进军校大学新生的应激后成长,提升心理健康水平。
Objective To explore the growth and its influencing factors of freshmen of military medical university after 300-kilo-pull training and training. Methods PTGI, CD-RISC, PANAS, STAI and depression-related self-rating depression (CESD) to conduct a survey on the freshmen of 565 military medical universities just after the end of two months of training and 300 kilometers of zipper training. Results A total score of freshmen of Military Medical University after growth was (69.19 ± 18.65). There was a significant positive correlation between growth and mental resilience and positive emotion after stress (r = 0.728,0.703, P <0.01), but negatively correlated with negative emotion, state anxiety, trait anxiety and depression -0.499, -0.644, -0.673, -0.249, P <0.01). (3) There was a significant difference between the high emotion group and the low emotion group (P <0.01). The score of negative emotions, state anxiety, trait anxiety and depression were significantly lower than those in the low group (P <0.01) ). 4 Positive emotions, psychological resilience, trait anxiety can effectively predict the level of post-stress growth, with a total interpretation rate of 61.5%. Conclusions Increasing the level of positive emotions and mental resilience and reducing the levels of anxiety and depression help to promote the post-stress growth of freshmen in military universities and improve their mental health.