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慢性军事应激致军人海马形态、认知功能和应对方式的变化

王丽杰 孙秋德 严进 刘爱丽 董建树 刘佳佳 王建平

心理学报2011,Vol.43Issue(7):792-797,6.
心理学报2011,Vol.43Issue(7):792-797,6.DOI:10.3724/SP.J.1041.2011.00792

慢性军事应激致军人海马形态、认知功能和应对方式的变化

Changes in Hippocampus Morphology, Cognitive Function and Coping Style Induced by Chronic Military Stress

王丽杰 1孙秋德 2严进 3刘爱丽 3董建树 1刘佳佳 2王建平1

作者信息

  • 1. 全军心理卫生研究中心
  • 2. 第二军医大学心理学教研室,上海200433
  • 3. 解放军107医院,烟台264001
  • 折叠

摘要

Abstract

Many organic functions will be changed undergoing chronic strong stress, especially in the continuous activation of the HPA axis, which results in successive high level of glucocorticoid in blood. Afterward it will make hippocampal neurons become atrophic and cognitive function impairment, which has been confirmed in laboratory. This investigation studied the morphological changes of hippocampus, cognitive functions and coping styles undergoing the chronic military stress.The present investigation was intended principally to study the characteristic changes in hippocampus morphology (MRI), cognition (simple and complex cognitive function), psychological trait (State-trait Anxiety Inventory, STAI) and coping style (Characteristic Coping Style Questionnaire, CCSQ) in chronic strong military stress. 572 soldiers were divided into the group of investigation (A) in accordance with Anxiety factor score in SCL-90 and the control group (B). In group A, very soldier who's the anxiety factor score was over 3. In control group, the soldiers were selected via matching method according to that in group A.The results showed that the level of plasma cortisol in group A and B were higher significantly higher than normal and that in group A was were higher significantly higher than group B. After standardization, there was no significant structural difference between right and left hippocampus in same subject. But, the hippocampal structural atrophy in group A and there was significant structural difference between group A and group B. In cognitive function, there were no significant change in the simple cognitive assignments between group A and B but significant difference in negative coping style between group A and B. In STAI, the estimative scores of state anxiety and trait anxiety in group A were significantly higher than group B and normal. The estimative scores of state anxiety in group B were significantly higher than normal. The estimative score of positive coping style in group A was significantly lower and that of negative coping style was significantly higher than group B and normal. The estimative score of positive coping style in group B was significantly higher than normal.The present findings indicated that chronic strong military stress can induce hippocampal structural atrophy and insult in characteristic changes in some psychological trait, cognitive function and behavior.

关键词

军事应激/状态-特质焦虑/应对方式/磁共振成像/血皮质醇/认知功能/海马

Key words

military stress/ STAI/ CSQ/ MRI/ Cortisol/ cognitive function/ hippocampus

分类

社会科学

引用本文复制引用

王丽杰,孙秋德,严进,刘爱丽,董建树,刘佳佳,王建平..慢性军事应激致军人海马形态、认知功能和应对方式的变化[J].心理学报,2011,43(7):792-797,6.

基金项目

国家科技支撑计划(2009BAI77B04) (2009BAI77B04)

国家高技术研究发展计划(863计划2008AA022602) (863计划2008AA022602)

上海市教委科研创新重点项目(11ZS79) (11ZS79)

国家新药创制科技重大项目(2008ZXJ09014-011). (2008ZXJ09014-011)

心理学报

OA北大核心CHSSCDCSCDCSSCICSTPCD

0439-755X

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