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Mediating role of expressive suppression between psychological stress and sleep disturbances in military personnel stationed at extremely high altitudes: A cross-sectional study based on structural equation modeling
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Sitong SHEN1, 2, Yihao HUANG3, Jingyong LI4, Qingqing SU5, Lijun WANG1, Wenwen MENG6, Yuan GAO5, Hongying PI7
Journal of Army Medical University | 2026, 48(1) : 100 - 106
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Journal of Army Medical University | 2026, 48(1): 100-106
• Military Psychology Medicine •
Mediating role of expressive suppression between psychological stress and sleep disturbances in military personnel stationed at extremely high altitudes: A cross-sectional study based on structural equation modeling
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Sitong SHEN1, 2, Yihao HUANG3, Jingyong LI4, Qingqing SU5, Lijun WANG1, Wenwen MENG6, Yuan GAO5, Hongying PI7
Affiliations
  • 1Department of General Surgery, No. 945 Hospital of Joint Service Support Force , Ya’an Sichuan Province China
  • 2Graduate School, First Medical Center, Chinese PLA General Hospital , Beijing, China
  • 3Outpatient Department, No. 945 Hospital of Joint Service Support Force, Ya’an Sichuan Province
  • 4Department of Clinical Laboratory, No. 945 Hospital of Joint Service Support Force, Ya’an Sichuan Province
  • 5Department of Nursing,First Medical Center, Chinese PLA General Hospital, Beijing, China, Beijing,
  • 6Department of General Surgery of Northern Medical Branch,First Medical Center, Chinese PLA General Hospital , Beijing,
  • 7Center for Medical Service and Training,First Medical Center, Chinese PLA General Hospital, Beijing, China
Published: 2026-01-15 doi: 10.16016/j.2097-0927.202508085
Outline
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Objective

To explore the group characteristics of emotion regulation strategies and their mediating mechanism between psychological stress and sleep disorders among military personnel stationed at altitudes.

Methods

A cross-sectional study was conducted on 401 servicemen subjected with convenience sampling from a troop stationed at Garze Tibetan Autonomous Prefecture, Sichuan Province (3 980 to 4 200 m) during December 2024 and April 2025. Psychological stress self-evaluation test for military personnel (PSET), emotion regulation questionnaire (ERQ), and Pittsburgh sleep quality index (PSQI) were used for evaluation. Structural equation modeling was employed to analyze the mediating effects of emotion regulation strategies between psychological stress and sleep disorders.

Results

The incidence of sleep disorders was 20.2% among ultra-high-altitude military personnel, and the incidence of mild sleep disorder 18.45%. Sleep disorder total score showed significant positive correlations with expressive suppression and psychological stress (r=0.23, 0.53, P<0.01). Expressive suppression played a partial positive mediating role between psychological stress and sleep disorders, accounting for 3.63% of the total effect.

Conclusion

The frequency of using emotion regulation strategy among ultra-high-altitude stationed military personnel is increased with rising psychological stress levels. It is recommended to implement alternative training targeting expressive suppression strategies for high-stress groups in order to improve sleep disorders.

ultra-high-altitude  /  stationed military personnel  /  emotion regulation strategies  /  psychological stress  /  sleep disorders  /  mediating role
沈思彤, 黄一豪, 李经勇, 苏清清, 王丽君, 孟文文, 高远, 皮红英. 表达抑制在超高海拔驻防军人心理应激与睡眠障碍间的中介作用:一项基于结构方程模型的横断面研究. 陆军军医大学学报, 2026 , 48 (1) : 100 -106 . DOI: 10.16016/j.2097-0927.202508085
Sitong SHEN, Yihao HUANG, Jingyong LI, Qingqing SU, Lijun WANG, Wenwen MENG, Yuan GAO, Hongying PI. Mediating role of expressive suppression between psychological stress and sleep disturbances in military personnel stationed at extremely high altitudes: A cross-sectional study based on structural equation modeling[J]. Journal of Army Medical University, 2026 , 48 (1) : 100 -106 . DOI: 10.16016/j.2097-0927.202508085
Year 2026 volume 48 Issue 1
130
47
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Article Info
doi: 10.16016/j.2097-0927.202508085
  • Receive Date:2025-08-28
  • Online Date:2026-10-23
  • Published:2026-01-15
Article Data
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History
  • Received:2025-08-28
  • Revised:2025-12-04
Affiliations
    1Department of General Surgery, No. 945 Hospital of Joint Service Support Force , Ya’an Sichuan Province China
    2Graduate School, First Medical Center, Chinese PLA General Hospital , Beijing, China
    3Outpatient Department, No. 945 Hospital of Joint Service Support Force, Ya’an Sichuan Province
    4Department of Clinical Laboratory, No. 945 Hospital of Joint Service Support Force, Ya’an Sichuan Province
    5Department of Nursing,First Medical Center, Chinese PLA General Hospital, Beijing, China, Beijing,
    6Department of General Surgery of Northern Medical Branch,First Medical Center, Chinese PLA General Hospital , Beijing,
    7Center for Medical Service and Training,First Medical Center, Chinese PLA General Hospital, Beijing, China
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表12种不同金属材料的力学参数
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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