新入伍军人抑郁情绪与家庭环境和应对方式的关系
Relationship of depression with family environment and coping styles of recruits
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摘要:
目的 了解新入伍军人的抑郁自评得分，并分析抑郁情绪与家庭环境和应对方式之间的关系。
方法 采用多阶段分层整群随机抽样的方法，以新疆某部队2014年9月新入伍军人为研究对象，采用中文版抑郁自评量表（SDS）、中文版家庭环境量表（FES-CV）和简易应对方式量表（SCSQ）进行调查。两组间比较采用t检验和Mann-Whitney U检验，相关性分析采用Spearman检验，对是否会出现抑郁情绪的影响因素进行二分类logistic回归分析。
结果 323名新入伍军人SDS平均得分为（42.53±8.51）分。高中及以下文化程度组SDS得分为（43.98±8.30）分，高于专科及以上文化程度组的（37.94±5.50）分；入伍前为非学生身份组的SDS得分为（45.00±7.60）分，高于学生身份组的（40.42±8.02）分；吸烟组的SDS得分为（45.33±7.74）分，高于非吸烟组的（40.34±7.58）分（均P < 0.05）。SDS ≥ 50分组的娱乐性、组织性和控制性得分低于SDS < 50分组（均P < 0.05）。SDS得分与SCSQ消极应对得分呈正相关（r=0.30），与FES-CV的矛盾性得分呈正相关（r=0.32），与其知识性（r=-0.43）、娱乐性（r=-0.42）、组织性（r=-0.37）和控制性（r=-0.28）得分均呈负相关（均P < 0.05）。logistic回归分析显示，娱乐性分量表得分是出现抑郁情绪的保护因素，OR（95% CI）为0.512（0.319~0.824）。
结论 新入伍军人抑郁情绪与其家庭环境有一定关系，娱乐性可能是其潜在的保护因素。
Abstract:Objective To understand the self-rating depression scores of recruits and analyze its relationship with family environment and coping styles.
Methods By multi-stage stratified cluster random sampling survey, recruits enrolled in September 2014 and stationed in a Xinjiang military troop were chosen as study subjects and asked to complete Self-Rating Depression Scale (SDS) Chinese version, Family Environment Scale Chinese Version (FES-CV), and Simplified Coping Style Questionnaire (SCSQ). Between-groups comparisons were performed with t-test and Mann-Whitney U test, correlations were assessed by Spearman test, and the influencing factors of depression were analyzed by logistic regression analysis.
Results The average score of SDS for the selected 323 recruits was 42.53±8.51. Specifically, the SDS score of the high school and below group was higher than that of the college and above group(43.98±8.30) vs (37.94±5.50), P < 0.05, the SDS score of non-student (social status before enlisting) group was higher than that of the student group(45.00±7.60) vs (40.42±8.02), P < 0.05, and the SDS score of the smoking group was higher than that of the non-smoking group(45.33±7.74) vs (40.34±7.58), P < 0.05). The scores of entertainment, organization, and controllability of the SDS ≥ 50 group were lower than those of the SDS < 50 group (Ps < 0.05). SDS score was positively correlated with SCSQ negative copying style score (r=0.30), positively correlated with FES-CV contradiction score (r=0.32), and negatively correlated with FES-CV knowledge score (r=-0.43), entertainment score (r=-0.42), organization score (r=-0.37), and controllability score (r=-0.28), respectively (Ps < 0.05). The logistic regression analysis results showed that entertainment score was a protective factor of depression, with OR (95% CI) of 0.512 (0.319-0.824).
Conclusion Depression of recruits is correlated to their family environment, and entertainment may be a potential protective factor for depression.
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