Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to ...Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.展开更多
目的比较某部野外驻训官兵与留守官兵的心理健康状况。方法采用症状自评量表(Symptom Check-list 90,SCL-90)和美国加州大学洛杉矶分校孤独量表(University of California at Los Angeles Loneliness Scale,UCLA LS),对某部244名野外驻...目的比较某部野外驻训官兵与留守官兵的心理健康状况。方法采用症状自评量表(Symptom Check-list 90,SCL-90)和美国加州大学洛杉矶分校孤独量表(University of California at Los Angeles Loneliness Scale,UCLA LS),对某部244名野外驻训官兵及231名留守官兵进行心理健康测评。结果野外驻训官兵和留守官兵分别有57人(23.36%)和38人(16.45%)被评为异常;野外驻训官兵在SCL-90总分、抑郁、焦虑、躯体化、人际关系、偏执、强迫、敌对、UCLA LS总分上的分值均高于留守官兵(P<0.05或0.01)及中国军人常模(P<0.05或0.01);留守官兵除抑郁因子分值较高外(P<0.01),其余因子得分与中国军人常模比较皆无明显差异;野外驻训士兵的焦虑、抑郁、敌对、偏执分值,士官的躯体化、强迫、人际关系分值,军官的人际关系及焦虑分值高于同等军衔的留守官兵(P<0.05或0.01),其余因子分值比较无明显差异;野外驻训的士兵、士官及军官UCLA LS分值皆高于同等军衔的留守官兵(P<0.05或0.01)。结论野外驻训官兵的心理健康水平总体低于留守官兵;且不同军衔的心理健康异常趋向亦有所不同,在心理辅导工作中要区别对待。展开更多
文摘Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.
文摘目的比较某部野外驻训官兵与留守官兵的心理健康状况。方法采用症状自评量表(Symptom Check-list 90,SCL-90)和美国加州大学洛杉矶分校孤独量表(University of California at Los Angeles Loneliness Scale,UCLA LS),对某部244名野外驻训官兵及231名留守官兵进行心理健康测评。结果野外驻训官兵和留守官兵分别有57人(23.36%)和38人(16.45%)被评为异常;野外驻训官兵在SCL-90总分、抑郁、焦虑、躯体化、人际关系、偏执、强迫、敌对、UCLA LS总分上的分值均高于留守官兵(P<0.05或0.01)及中国军人常模(P<0.05或0.01);留守官兵除抑郁因子分值较高外(P<0.01),其余因子得分与中国军人常模比较皆无明显差异;野外驻训士兵的焦虑、抑郁、敌对、偏执分值,士官的躯体化、强迫、人际关系分值,军官的人际关系及焦虑分值高于同等军衔的留守官兵(P<0.05或0.01),其余因子分值比较无明显差异;野外驻训的士兵、士官及军官UCLA LS分值皆高于同等军衔的留守官兵(P<0.05或0.01)。结论野外驻训官兵的心理健康水平总体低于留守官兵;且不同军衔的心理健康异常趋向亦有所不同,在心理辅导工作中要区别对待。
