首页> 中文期刊>中国全科医学 >心理弹性在认知情绪调节策略和军人急性应激反应中的中介作用研究

心理弹性在认知情绪调节策略和军人急性应激反应中的中介作用研究

摘要

目的 探讨认知情绪调节策略、心理弹性和军人急性应激反应之间的关系.方法 采用便利抽样法,抽取某军区1 553名官兵进行团体问卷测试,测试时间为参加某军演前1周内.回收有效问卷1 477份,有效回收率为95.11%.采用认知情绪调节问卷中文版(CERQ-C)、心理弹性量表(CD-RISC)和军人急性应激反应量表对官兵进行测试,运用结构方程分析变量之间的相互关系.结果 适应性调节策略高分组应激反应得分高于适应性调节策略低分组(t=-2.14,P=0.03).非适应性调节策略高分组应激反应得分高于非适应性调节策略低分组(t=-11.93,P<0.001).心理弹性高分组应激反应得分低于心理弹性低分组(t=7.93,P<0.001).应激生理反应和应激心理反应与自强、坚韧、乐观维度均呈负相关(P<0.05);与非适应性调节策略、适应性调节策略均呈正相关(P<0.05);自强、坚韧、乐观与适应性调节策略呈正相关(P<0.05).非适应性调节策略对应激反应有直接正向影响(β=0.374,P<0.01);心理弹性在非适应性调节策略和应激反应之间的中介效应值为-0.260×-0.216≈0.056,中介效应占总效应的比例为13.06%.适应性调节策略直接作用不显著(P>0.05),心理弹性在适应性调节策略和应激反应之间的中介效应值为0.484×-0.216≈-0.105.模型拟合良好[x2/df=1.059,近似误差均方根(RMSEA)=0.006,比较拟合指数(CFI)=1,拟合优度指数(GFI) =0.998,调整拟合优度指数(AGFI) =0.994,基准化拟合指数(NFI)=0.998,相对拟合指数(RFI) =0.994,增量拟合指数(IFI)=1,Tucker-Lewis拟合指数(TLI)=1].结论 非适应性调节策略对军人急性应激反应既存在直接影响,也通过心理弹性间接影响急性应激反应,适应性调节策略仅通过心理弹性间接影响应激反应.%Objective To discuss the relationships among strategies of cognitive emotion regulation,psychological resilience and acute stress response of soldiers.Methods By convenient sampling method,1 553 soldiers were selected from a military area to conduct a group questionnaire test,and the test time was within 1 week before they participating in a military exercise.A total of 1 477 valid questionnaires were collected and the effective response rate was 95.11%.The soldiers were tested by cognitive emotion regulation questionnaire-Chinese version (CERQ-C),Connor-Davidson resilience scale (CD-RISC) and acute stress scale of soldiers.The structural equations were used to analyze the interrelationships among variables.Results The score of stress response in high score group of adaptive strategies was higher than that in low score group of adaptive strategies (t =-2.14,P =0.03).The score of stress response in high score group of non-adaptive strategies was higher than that in low score group of non-adaptive strategies (t =-11.93,P <0.001).The score of stress response in high score group of psychological resilience was lower than that in low score group of psychological resilience (t =7.93,P < 0.001).Physiological responses to stress and psychological responses to stress were negatively correlated with dimensions of selfimprovement,toughness and optimism (P < 0.05);and the two were positively correlated with non-adaptive strategies and adaptive strategies (P < 0.05);dimensions of self-improvement,toughness and optimism were positively correlated with adaptive strategies (P < 0.05).The non-adaptive strategy had a direct positive effect on the stress response of soldiers (β =0.374,P < 0.01);the mediating effective value of psychological resilience on non-adaptive strategies and stress response of soldiers was-0.260 ×-0.216 ≈0.056,the mediating effect covered 13.06% of the total effects.Adaptive strategies only had indirectly effect on acute stress response through the mediating effect of resilience (P > 0.05),the mediating effective value of psychological resilience on adaptive strategies and stress response of soldiers was 0.484 ×-0.216 ≈-0.105.The model was well fitted (x2/df= 1.059,RMSEA =0.006,CFI =1,GFI =0.998,AGFI =0.994,NFI =0.998,RFI =0.994,IFI =1,TLI =1).Conclusion The non-adaptive strategies directly influence on the stress response of soldiers,but also indirectly affect the stress response through psychological resilience.The adaptive strategies only indirectly affect the stress response through psychological resilience.

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