Kruse Julie A, Hagerty Bonnie M, Byers William S, Gatien Gary, Williams Reg A
Lourdes University, 6832 Convent Boulevard, Sylvania, OH 43560.
The University of Michigan, 400 North Ingalls Building, Ann Arbor, MI 48109.
Mil Med. 2014 Nov;179(11):1293-300. doi: 10.7205/MILMED-D-14-00116.
Key variables that have influenced depression in previous research were examined in this study including adult attachment, perceived social support, sense of belonging, conflict in relationships, and loneliness for their relationships in a relational model for depression with U.S. Navy recruits in basic training.
This theory-testing analysis study was part of a larger cross-sectional cohort study that examined the factors associated with depression in Navy recruits. The sample for this study included 443 recruits. Structural equation modeling was used to test the fit of the theoretical model.
The proposed model explained 49% of the variance in depressive symptoms with loneliness and sense of belonging as the strongest indicators of depression.
The Navy should consider interventions that increase sense of belonging in high risk for depression recruits to decrease loneliness and depression and circumvent recruits not completing basic training. The assumption that recruits are in close quarters and contact with other people and therefore are not lonely and receive adequate social support is not supported. This article contributes to advancing the science of mental health in relation to depression by considering predictors that are amenable to intervention.
本研究考察了先前研究中影响抑郁的关键变量，包括成人依恋、感知到的社会支持、归属感、人际关系冲突和孤独感，以探讨它们在美国海军新兵基础训练中抑郁关系模型中的相互关系。
这项理论检验分析研究是一项更大的横断面队列研究的一部分，该研究考察了与海军新兵抑郁相关的因素。本研究样本包括443名新兵。采用结构方程模型来检验理论模型的拟合度。
所提出的模型解释了抑郁症状中49%的变异，其中孤独感和归属感是抑郁最强的指标。
海军应考虑采取干预措施，增强有抑郁高风险新兵的归属感，以减少孤独感和抑郁情绪，并避免新兵无法完成基础训练。新兵身处近距离环境且与他人接触，因此不会感到孤独且能获得足够社会支持这一假设并不成立。本文通过考虑可干预的预测因素，为推进与抑郁相关的心理健康科学做出了贡献。
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