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[连贯感对日本自卫队男性青年入职后抑郁症状的影响]

[Effects of sense of coherence on depressive symptoms after employment in the Japan Self-Defense Force among male young adults].

作者信息

Kobayashi Tohru

机构信息

Department of Food Science and Human Wellness, Rakuno Gakuen University.

出版信息

Nihon Koshu Eisei Zasshi. 2017;64(3):150-155. doi: 10.11236/jph.64.3_150.

DOI:10.11236/jph.64.3_150
PMID:28367936
Abstract

Objective The present study aimed to explore the effects of sense of coherence (SOC) on depressive symptoms after employment in the Japan Self-Defense Force among male young adults.Methods In April 2013, 953 new male members of the Japan Ground Self-Defense Force (JGSDF; age range: 18-24 years) participated in this study. Depressive symptoms were assessed using the 20-item version of the Center for Epidemiologic Studies Depression scale (CES-D), which defines a score of 16 or greater as indicating the presence of depressive symptoms. The SOC score was assessed using a 13-item version (SOC-13), in which a score of 59 or greater is as assigned to the high score group. A second survey was conducted two months later, in June of 2013. For the analysis, we selected participants without depressive symptoms at the baseline survey. The association between SOC scores at baseline and the onset of depressive symptoms was examined using a logistic regression analysis.Results The final analysis was conducted on data on 389 new male members of the JGSDF. The logistic regression analysis showed a significant reduction in the onset of depressive symptoms among the group with high SOC scores (odds ratios: 0.59, 95% confidence interval=0.35-0.98) as compared with that observed in the group with low SOC scores.Conclusions The present study clarified that SOC among male young adults has a buffering effect on the risk of developing depressive symptoms after employment in the Japan Self-Defense Force. Our results may be useful for improving the mental health of new employees.

摘要

目的 本研究旨在探讨连贯感(SOC)对日本自卫队中年轻男性入职后抑郁症状的影响。

方法 2013年4月,953名日本陆上自卫队新入职男性成员(年龄范围:18 - 24岁)参与了本研究。使用流行病学研究中心抑郁量表(CES - D)的20项版本评估抑郁症状,该量表将16分及以上定义为存在抑郁症状。使用13项版本(SOC - 13)评估SOC得分,其中59分及以上被归为高分组。两个月后的2013年6月进行了第二次调查。在分析中,我们选择了基线调查时无抑郁症状的参与者。使用逻辑回归分析检查基线时的SOC得分与抑郁症状发作之间的关联。

结果 对389名日本陆上自卫队新入职男性成员的数据进行了最终分析。逻辑回归分析显示,与低SOC得分组相比,高SOC得分组抑郁症状发作显著减少(优势比:0.59,95%置信区间 = 0.35 - 0.98)。

结论 本研究表明,年轻男性的SOC对日本自卫队入职后出现抑郁症状的风险具有缓冲作用。我们的结果可能有助于改善新员工的心理健康。

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