军医大学新生集训应激后成长及影响因素分析

目的考察军医大学新生集训应激后成长及影响因素。方法 2011年某军医大学新生入学集训1个月后,采用Connor-Davidson回弹力问卷(CD-RISC)、应激后成长问卷(PTGI)、情绪调节方式问卷(ERS)、积极情感消极情感量表(PANAS)和情绪调节量表(ERQ)对来自不同地区的137名军校新生进行调查。结果①军校大学新生集训应激后成长与心理弹性(r=0.611,P<0.01)、抑制调节(r=0.309,P<0.01)、宣泄调节(r=0.333,P<0.01)、正性情绪(r=0.588,P<0.01)和认知重评(r=0.372,P<0.01)显著正相关,与负性情绪显著负相关(r=-0.204,P<0.05)。②军医大学新生应激后成长高分组在心理弹性、抑制/宣泄调节、正性情绪和认知重评得分上显著高于低分组(P<0.05,P<0.01)。③军医大学新生的心理弹性、抑制调节、正性情绪和认知重评能较好地预测应激后成长,解释率为53%。④心理弹性、抑制调节、正性情绪和认知重评直接正性影响应激后成长,且抑制调节、正性情绪和认知重评还可通过心理弹性间接正性影响应激后成长。结论心理弹性、抑制/宣泄调节、正/负性情绪和认知重评与应激后成长密切相关,且心理弹性、抑制调节、正性情绪和认知重评是应激后成长的重要影响因素。

Posttraumatic growth in fresh medical cadets after training and its influencing factors

Objective To explore the posttraumatic growth and influencing factors of fresh medical cadets after training,and to provide scientific evidences for mental health education and recruits training.Methods Connor-Davidson resilience questionnaire(CD-RISC),posttraumatic growth inventory(PTGI),emotion regulation scale(ERS),positive and negative affect scale(PANAS) and emotion regulation questionnaire(ERQ) were applied to examine 137 fresh cadets from a military medical university after one-month training in 2011.Results(1) The posttraumatic growth of the cadets had significant positive correlation with resilience(r=0.611,P<0.01),inhibition adjustment(r=0.309,P<0.01),abreaction adjustment(r=0.333,P<0.01),positive emotion(r=0.588,P<0.01) and cognitive reappraisal(r=0.372,P<0.01),and had negative correlation with negative emotion(r=-0.204,P<0.05).(2) Compared with the cadets with low PTGI scores,the cadets with high PTGI scores scored significantly higher in resilience,abreaction/inhibition adjustment,positive emotion and cognitive reappraisal(P<0.05,P<0.01).(3) The resilience,inhibition adjustment,positive emotion and cognitive reappraisal of the cadets could predict their posttraumatic growth(explaining rate 53%).(4) Resilience,inhibition adjustment,positive emotion and cognitive reappraisal directly affected posttraumatic growth,and inhibition adjustment,positive emotion and cognitive reappraisal could also indirectly affect the posttraumatic growth through resilience.Conclusion Resilience,abreaction/inhibition adjustment,positive/negative emotion and cognitive reappraisal are closely correlated with posttraumatic growth,and resilience,inhibition adjustment,positive emotion and cognitive reappraisal are important influencing factors of posttraumatic growth.