职业与健康 ›› 2025, Vol. 41 ›› Issue (21): 2955-2959.

• 论著 • 上一篇    下一篇

执行高原任务官兵心理状况与认知功能的关系研究

张海英1a, 安花花2, 邢媛1b, 张晓燕1c, 李文玲3, 文鹏1d   

  1. 1.联勤保障部队第九四○医院 a 皮肤科, b 检验科, c 内镜中心,d军人诊区,甘肃 兰州 730050;
    2.兰州石化总医院(甘肃省中医药大学第四附属医院)心身与睡眠医学科,甘肃 兰州 730060;
    3.西宁联勤保障中心综合保障团,青海 西宁 810000
  • 收稿日期:2024-12-03 修回日期:2025-02-17 发布日期:2025-12-15
  • 通信作者: 李文玲,工程师,E-mail:ahh21@126.com
  • 作者简介:张海英,女,副主任护师,主要从事心理护理工作。
  • 基金资助:
    2023年度后勤科研自主项目

Study on the relationship between the psychological conditions and cognitive functions of the plateau mission officers and soldiers

ZHANG Haiying1a, AN Huahua2, XING Yuan1b, ZHANG Xiaoyan1c, LI Wenling3, WEN Peng1d   

  1. 1. a Department of Dermatology,b Department of Clinical Laboratory,c Gastroenterology Endoscopy Center,d Military Clinic,The 940th Hospital,Joint Logistical Support Force of CPLA,Lanzhou,Gansu 730050,China;
    2. Department of Psychosomatic and Sleep Medicine,Lanzhou Petrochemical General Hospital(The Fourth Affiliated Hospital of Gansu University of Chinese Medicine),Lanzhou,Gansu 730060,China;
    3. Comprehensive Security Mission,Xining Joint Logistic Support Center,Xining,Qinghai 810000,China
  • Received:2024-12-03 Revised:2025-02-17 Published:2025-12-15
  • Contact: LI Wenling,Engineer,E-mail:ahh21@126.com

摘要: 目的 研究执行高原任务官兵心理健康特点及其与认知功能的关系。方法 采用心理健康测查表、认知灵活性问卷、注意偏向问卷对2022年3月—2023年2月执行高原任务前101名、任务期126名和回撤后111名官兵进行评估。结果 执行高原任务时高原官兵心理状况在性别(t躯体化=2.750,t抑郁=4.417)、人员类别(F躯体化=5.116,F抑郁=3.289,F焦虑=6.514,F病态人格=3.306,F疑心=6.392,F脱离现实=5.798)及受教育程度(F躯体化=2.751,F抑郁=6.721,F焦虑=6.459,F病态人格=4.676,F疑心=6.837,F脱离现实=3.869)方面比较,差异均有统计学意义(均P<0.05)。任务期及回撤后官兵躯体化、抑郁及疑心得分显著高于任务前(F躯体化=8.853,F抑郁=3.349,F疑心=3.540,均P<0.05);任务前及回撤后兴奋状态得分显著高于任务期(F=3.224,P<0.05);任务前及任务期控制得分显著高于回撤后(F=5.106,P<0.05)。心理状况各因子与选择(r=-0.385、-0.365、-0.342、-0.292、-0.255、-0.318,均P<0.01)、控制(r=-0.436、-0.424、-0.431、-0.361、-0.385、-0.437、-0.107,均P<0.05)及正性注意偏向(r=-0.266、-0.241、-0.254、-0.291、-0.248、-0.315,均P<0.01)呈显著负相关,与负性注意偏向呈显著正相关(r=0.320、0.259、0.366、0.404、0.379、0.418、0.153,均P<0.05)。结论 执行高原任务官兵心理状况需按时间节点关注,女性、军官、高学历群体的心理状况都需格外关注,心理状况可预测官兵的认知灵活性与注意偏向。

关键词: 高原任务, 心理健康, 认知灵活性, 注意偏向

Abstract: Objective To study the psychological health characteristics of high-altitude mission officers and soldiers and their relationship with cognitive function. Methods The mental health questionnaire,cognitive flexibility questionnaire,and attention bias questionnaire were used to evaluate the top 101 officers and soldiers performing high-altitude tasks,126 during the task period,and 111 officers and soldiers after withdrawal from March 2022 to February 2023. Results There were statistically significant differences in the psychological status of officers and soldiers performing tasks at high altitude in terms of gender(tsomatization=2.750, tdepression=4.417), personnel category(Fsomatization=5.116, Fdepression=3.289, Fanxiety=6.514, Fpsychopathy=3.306, Fsuspicion=6.392, Ffantasy=5.798) and education level(Fsomatization=2.751, Fdepression=6.721, Fanxiety=6.459, Fpsychopathy=4.676,Fsuspicion=6.837, Ffantasy=3.869)(all P<0.05). The scores for somatization, depression and suspicion of officers and soldiers during the mission and after the withdrawal were significantly higher than before the mission(Fsomatization=8.853, Fdepression=3.349, Fsuspicion=3.540, all P<0.05), the scores of excitement state before the mission and after the withdrawal were significantly higher than during the mission(F=3.224, P<0.05), the scores of control before the mission and during the mission were significantly higher than after the withdrawal(F=5.106, P<0.05). The factors of psychological status were significantly negatively correlated with select(r=-0.385, -0.365, -0.342, -0.292, -0.255, -0.318, all P<0.01), control(r=-0.436, -0.424, -0.431, -0.361, -0.385,-0.437, -0.107,all P<0.05), positive attentional bias(r=-0.266,-0.241,-0.254,-0.291,-0.248,-0.315,all P<0.01), and significantly positively correlated with negative attentional bias(r=0.320,0.259,0.366,0.404, 0.379,0.418,0.153, all P<0.05). Conclusion Attention should be paid to the psychological status of officers and soldiers who perform tasks at high altitude according to the time node,and special attention should be paid to the psychological status of women,officers and highly educated groups. The psychological status can predict the cognitive flexibility and attentional bias of officers and soldiers.

Key words: High-altitude tasks, Mental health, Cognitive flexibility, Attentional bias

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