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中国矿山救援人员的心理障碍及其相关危险因素:一项横断面研究。

Psychological Disturbances and Associated Risk Factors in Chinese Mine Rescuers: A Cross-Sectional Study.

作者信息

Hou Yijing, Meng Yunchen, Wu Fang, Yang Sanjun, Yang Fan

机构信息

Department of PE, China University of Mining and Technology-Beijing, Beijing, People's Republic of China.

Li Ning Sports Science Research Center, Li Ning (China) Sports Goods Company Limited, Beijing, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2025 Apr 5;21:751-760. doi: 10.2147/NDT.S504337. eCollection 2025.

DOI:10.2147/NDT.S504337
PMID:40206285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980922/
Abstract

PURPOSE

This study aimed to assess the psychological disturbance profiles of Chinese mine rescuers and identify associated risk factors.

METHODS

A stratified whole-group sampling method was employed to select 150 members of the Datong Mine Rescue Team in China as survey participants. These participants completed the following 6 assessment tools: the Injury Assessment Questionnaire for Mine Rescuers, the Symptom Checklist-90 (SCL-90), the Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), the Pittsburgh Sleep Quality Index (PSQI), and the Perceived Stress Scale (PSS). The relationships between sociodemographic variables, risk factors, and psychological disturbances were analyzed using logistic regression analysis.

RESULTS

Based on the cut-off scores for the SAS, SDS, and SCL-90, the sample was categorized into high- and low-risk groups. Among the 150 participants of the Datong Mine Rescue Team in China, the prevalences of anxiety, depression, and psychological distress were 15.3%, 17.3%, and 43.3%, respectively. Logistic regression analysis revealed that self-perception of stress (OR=4.359, p=0.005), sleep quality (OR=4.338, p=0.010), training-related injuries history (OR=5.609, p=0.040), and training frequency (OR=3.013, p=0.047) were risk factors for anxiety among mine rescuers. Additionally, self-perception of stress (OR=7.371, p<0.001) was identified as a risk factor for depression, while sleep quality (OR=4.844, p<0.001) was a risk factor for psychological disturbance based on the SCL-90. Training with existing injuries was found to be a risk factor for interpersonal sensitivity (OR=10.054, p=0.006), depression (OR=4.698, p=0.033), anxiety (OR=6.472, p=0.027), hostility (OR=3.864, p=0.047), and other factor (OR=3.736, p=0.020) among rescuers.

CONCLUSION

Nearly half of the rescuers from the Datong Mine Rescue Team exhibited adverse psychological symptoms. Associated risk factors included self-perceived stress, sleep quality, training frequency, history of training-related injuries, and training with existing injuries. To promote mental health among rescuers, it is crucial to manage training-related injuries and proactively prevent training with under existing injury conditions.

摘要

目的

本研究旨在评估中国矿山救援人员的心理障碍状况,并确定相关风险因素。

方法

采用分层整群抽样方法,选取中国大同矿山救援大队的150名队员作为调查对象。这些参与者完成了以下6种评估工具:矿山救援人员伤害评估问卷、症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)和感知压力量表(PSS)。使用逻辑回归分析来分析社会人口统计学变量、风险因素和心理障碍之间的关系。

结果

根据SAS、SDS和SCL-90的临界值,将样本分为高风险组和低风险组。在中国大同矿山救援大队的150名参与者中,焦虑、抑郁和心理困扰的患病率分别为15.3%、17.3%和43.3%。逻辑回归分析显示,压力自我认知(OR=4.359,p=0.005)、睡眠质量(OR=4.338,p=0.010)、训练相关受伤史(OR=5.609,p=0.040)和训练频率(OR=3.013,p=0.047)是矿山救援人员焦虑的风险因素。此外,压力自我认知(OR=7.371,p<0.001)被确定为抑郁的风险因素,而根据SCL-90,睡眠质量(OR=4.844,p<0.001)是心理障碍的风险因素。研究发现,带伤训练是救援人员人际敏感(OR=10.054,p=0.006)、抑郁(OR=4.698,p=0.033)、焦虑(OR=6.472,p=0.027)、敌对(OR=3.864,p=0.047)和其他因子(OR=3.736,p=0.020)的风险因素。

结论

大同矿山救援大队近半数救援人员存在不良心理症状。相关风险因素包括自我感知压力、睡眠质量、训练频率、训练相关受伤史以及带伤训练。为促进救援人员的心理健康,管理训练相关损伤并积极预防在现有受伤状况下进行训练至关重要。

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