軍人憂鬱症狀之相關因素

Factors Associated with Depressive Symptoms among Soldiers

目的：本研究主要目的在探討軍人憂鬱症狀的盛行率，並且進一步分析軍人憂鬱症狀之相關因素。方法：透過橫斷面研究，於北台灣軍隊中取樣，針對已完成新兵訓練之1,155位士兵進行訪談與完成自填量表，並以台灣人憂鬱症量表評估其憂鬱症狀，等於或高於19分者為高憂鬱症狀組，低於19分者為低憂鬱症狀組。並以卡方檢定分析比較兩組間各種變項之差異，再以邏輯式多變項迴歸分析與軍人憂鬱症狀之相關因素。結果：本研究發現軍人高憂鬱症狀的盛行率為27.7%。邏輯迴歸分析相關因素，發現低教育程度、低家庭收入，有軍中、家庭、經濟壓力和擔心未來前途、且習慣以消極技巧因應問題和缺乏社會支持者，容易出現高憂鬱症狀。結論：此研究發現軍人有較高的憂鬱症狀盛行率，因此軍人在服役期間，部隊應注意與本研究上述之相關危險因子，並提供良好衛教以降低憂鬱症狀的發生。

Objective: The aims of this study was to investigate the prevalence of depressive symptoms among soldiers during military training, and to further evaluate and analyze factors associated with depressive symptoms. Methods: In this cross-sectional study, the Taiwanese Depression Questionnaire (TDQ) was given to assess the self-reported experiences of depressive symptoms among 1,155 young adult soldiers. All male subjects were non-randomized selected from the army troops in northern Taiwan, and completed general training. We divided them into the“low depressive symptoms group”and the“high depressive symptoms group,” based on TDQ screening results. The cut-off point was 19. Results: The fi ndings showed that 27.7% (n=320) of the soldiers had TDQ scores more than or equal to 19. With logistic regression, we found that signifi cant correlations between depressive symptoms, and factors of low education levels, low family income, stress from military life and family, high levels of fi nancial stress, stress from worrying about the future, passive coping skills, and inadequate social support. Conclusions: This pilot study revealed a higher prevalence rate of depressive symptoms and may refl ect problems in adapting to military environment. Special attention should be paid in soldiers who have low education levels, low family income, stressors, passive coping skills, and inadequate social support during training course.