|
|
Changes and influence on cognitive function of stress of new recruits trained in closed environment |
REN Zhaoqi1, ZENG Ding2, WU Jiansong3, YAN Tao3 |
1. Department of Blood Transfusion,2. Department of Burn,3. Outpatient Department, Characteristic Medical Centre of PLA Rocket Force, Beijing 100088, China |
|
|
Abstract Objective To explore changes of stress of new recruits trained in closed environment, and the influence of stress on cognitive function.Methods Ninety-seven male new recruits of a certain army were chosen as the study group who had finished the routine training for new recruits and were taking the mission of training in closed environment for the first time. Forty-six male veterans trained in closed environment at the same time served as the control group who had been in army service for more than two years and had trained in closed environment for no less than twice. With the week before training and the training period as the observational period, ELISA was employed to monitor salivary cortisol(SC) concentrations of subjects successively. With the second week of training as the observational section, MoCA-BJ was employed to assess their cognitive function. The SC concentrations and MoCA-BJ scores were compared between the two groups, and the relevance of SC concentrations to MoCA-BJ scores was analyzed respectively.Results Ninety-two men were admitted to the study group, and 43 men were admitted to the control one. Compared with the control group, SC of the study group increased earlier, peaked higher, lasted longer, and its SC concentrations of the first three weeks after the training were higher than those in the control group significantly (P<0.01). In the second week, the total MoCA-BJ score in each group of the study group (22.87±1.65) was lower than that of the control one (27.32±1.53), and the difference was statistically significant (t=13.72,P<0.01). SC concentrations of the study group were correlated negatively with MoCA-BJ scores statistically(rs=-0.426,95% CI:-0.511--0.331,P<0.01),while SC concentrations of the control group were uncorrelated with MoCA-BJ scores(rs=0.236,P>0.05).Conclusion During training in closed environment, the new recruits show stronger stress than the veterans so the prevention and treatment ofcognitive function should be paid more attention.
|
Received: 20 February 2022
|
|
|
|
|
[1] |
向月应,向 桢,张玉诺,等.军队健康服务与管理建设思考[J].解放军医院管理杂志,2019,26(1):32-35.
|
[2] |
张忠霞,马晓伟,王铭维.不良应激对认知功能的影响及相关机制[J].临床神经病学杂志,2014,27(5):393-395.
|
[3] |
武涧松,原 杰,王国治,等.密闭驻训军人认知功能评价与相关因素[J].中国健康心理学杂志,2019,27(5):741-748.
|
[4] |
郭起浩,洪 震.神经心理评估[M].2版.上海:上海科学技术出版社,2016: 72-82.
|
[5] |
黄菲芸,王艳红,李娟娟,等.蒙特利尔认知评估量表在中国中老年人群筛查轻度认知功能障碍中的截断值的系统评价[J].中国循证医学杂志,2017,17(4):450-457.
|
[6] |
Ciesielska N. Is the Montreal cognitive assessment (MoCA) test better suited than the mini-mental state examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60 Meta-analysis[J]. Psychiatr Pol,2016,50(5):1039-1052.
|
[7] |
Jackson M. The stress of life: a modern complaint[J].Lancet , 2014,383 (9914): 300-301.
|
[8] |
夏 锋,冯正直.军事应激研究进展与类战争心身应激模型建立的思考[J].第三军医大学学报,2017,39(24):2335-2340.
|
[9] |
Anzela N, John F S, Jonathan P G. Microglia priming with aging and stress [J]. Neuropsychopharmacology, 2017, 42(1):318-333.
|
[10] |
Adebero T, McKinlay B J ,Theocharidis A , et al. Salivary and serum concentrations of cortisol and testosterone at rest and in response to intense exercise in boys versus men[J]. Pediatr Exerc Sci, 2020,32(2):65-72.
|
[11] |
孙健芳,王利刚,张隆欢,等.应激强度与应激预期时长对个体反应抑制能力的影响[J].中华行为医学与脑科学杂志,2016,25(12):1109-1113.
|
[12] |
闫玉朋,夏 勉,江光荣.心理干预的优先获益者—来自发展可塑性的研究证据[J].心理科学进展,2016,24(2):250-260.
|
[13] |
曾春菊,吕 莉,刘海玲.认知行为干预对部队军事训练伤伤员心理应激的影响[J].华南国防医学杂志,2017,31(4):250-252.
|
[14] |
吴志颖,姜延伟,王丽杰.心理柔韧性训练用于舰艇艇员的效果观察[J].人民军医,2020,63(11):1058-1062.
|
[15] |
崔荣荣.心理社会应激的运动干预机制:基于情绪与认知关系的研究证据[J].中华运动医学杂志,2019,38(6):531-538.
|
[16] |
李长芹.军事作业医学关键问题与美军发展借鉴研究[D].北京:解放军军事医学科学院,2017.
|
[17] |
Hermann B A, Shiner B, Friedman B J. Epidemiology and prevention of combat-related post-traumatic stress inOEF/OIF/OND service members [J]. Mil Med, 2012, 177(8 Suppl):1-6.
|
[18] |
Smeets T. Acute stress impairs memory retrieval independent of time of day[J]. Psychoneuroendoerinology,2011, 36(4):495- 501.
|
[19] |
罗跃嘉,林婉君,吴健辉,等.应激的认知神经科学研究[J].生理科学进展,2013,44(5):345-353.
|
[20] |
吕 薇.积极人格特质个体的社会应激反应及其自主神经调节机制研究[D].西安:陕西师范大学,2014.
|
[21] |
冯正直,张 睿.军事认知神经科学研究进展[J].第三军医大学学报,2013,35(20):2129-2133.
|
[22] |
李 晨,游继武,宁 群.近20年我国遂行军事特勤任务人员心理应激研究述评[J].中国健康心理学杂志,2017,25(3):467-471.
|
[23] |
徐一冉.急性多重应激致认知损伤的机制及防治研究[D].北京:解放军军事医学科学院,2012.
|
[24] |
Slavich G M. Life stress and health: A review of conceptual issues and recent findings[J]. Teach Psychol, 2016, 43(4):346-355.
|
|
|
|