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目的 基于网络测量学构建新兵集训期间抑郁与焦虑症状的心理网络结构，同时探讨不同社会支持维度对该结构的影响。方法 采用患者健康问卷（PHQ-9）、广泛性焦虑量表（GAD-7）及感知社会支持量表对入伍集训期间的新兵进行调查，共收集有效问卷619份，采用网络分析法构建抑郁焦虑症状网络，探索不同社会支持维度的影响。结果 （1）抑郁焦虑症状网络结构稳定，症状关联紧密，其核心症状为“快感缺乏”和“无法放松”；（2）“抑郁或悲伤的情绪”与“急躁易怒”被确定为连接抑郁焦虑社团的桥梁症状；（3）三种社会支持方式之间联系紧密，且与不同的抑郁和焦虑症状具有独特的负向关联，其中其他社会支持的桥梁预期影响值最大。结论 入伍新兵抑郁焦虑症状关系密切，两者相互影响；各类社会支持方式均可减少新兵抑郁焦虑症状的产生，而强化新兵骨干及领导对新兵的心理支持是减少新兵抑郁焦虑症状的最重要抓手。
Abstract：Objective To construct the psychological network structure of depressive and anxiety symptoms among recruits during basic training based on network psychometrics, and to explore the influence of different dimensions of social support on this structure. Methods Recruits undergoing basic training were investigated using the patient health questionnaire-9(PHQ-9), generalized anxiety disorder 7-item scale(GAD-7), and perceived social support questionnaire(PSSQ). A total of 619 valid questionnaires were collected. Network analysis was used to construct the depressive-anxiety symptom network and assess the influence of distinct social support dimensions. Results(1) The depression-anxiety symptom network was stable, with close symptom interconnections. The core symptoms were “anhedonia” and “trouble relaxing”.(2) “Depressed or sad mood” and “irritability” were identified as bridge symptoms connecting the depression and anxiety communities.(3) The three types of social support(family, friends, and significant others) were closely interconnected and each exhibited unique negative associations with specific depression and anxiety symptoms. Among them, support from significant others showed the highest bridge expected influence value. Conclusion Depression and anxiety symptoms among recruits are closely related and mutually reinforcing. All types of social support can reduce the emergence of these symptoms, and strengthening psychological support from squad leaders and officers is critical for alleviating recruits' depression and anxiety.
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基本信息:
DOI：10.16289/j.cnki.1002-0837.2026.03005
中图分类号:R828.4
引用信息:
[1]王婧,刘冬霞,李燕,等.入伍新兵抑郁焦虑症状网络结构与社会支持关系的研究[J].航天医学与医学工程,2026,37(03):253-258.DOI:10.16289/j.cnki.1002-0837.2026.03005.
基金信息:
军队后勤科研项目(20JDYY-2025009)
2025-10-21
2025
2025-12-18
2026-01-09
2026
1
2026-06-25
2026-06-25