摘要
目的:探讨受艾滋病影响青年的心理弹性与创伤后成长(PTG)的关系及可能的作用机制。方法:在受艾滋病影响的青年群体中发放问卷,最终参与研究的有效被试为209名(自己身体健康,父母一方或双方感染艾滋病毒的大学生或大学毕业生)。分别采用心理弹性量表(CDRS)、创伤事件反刍量表(ERRI)、自尊问卷(SES)和创伤后成长量表(PTGI),探讨心理弹性、反刍、自尊与创伤后成长之间的关系。结果:受艾滋病影响青年的PTGI得分(3.6±0.9);CDRS得分对PTGI得分有直接的正向预测作用(直接效应值为0.49);CDRS得分还可以通过自主反刍得分正向预测PTGI得分(中介效应值为0.12),或通过侵入性反刍得分经自主反刍得分正向预测PTGI得分(中介效应值为0.03);SES得分在CDRS得分至侵入性反刍得分的通径上起调节作用,表现为只有低自尊群体的CDRS得分对侵入性反刍得分有预测作用(简单斜率值为0.57),而高自尊群体不存在这种关系(简单斜率值为0.10)。结论:受艾滋病影响青年的心理弹性可以直接作用于PTG,也可以通过反刍的多重中介作用于PTG,低自尊个体还会通过侵入性反刍促进自主反刍,实现创伤后成长。
Objective： To explore the relationship of resilience and post-traumatic growth（ PTG） among young people affected by acquired immunodeficiency syndrome（ AIDS）. Methods： A sample of 209 young people affected by AIDS were selected. They were healthy college students or college graduates whose parent or parents was/were infected by human immunodeficiency virus（ HIV）. The Conner-Davidson Resilience scale（ CDRS）,Event Related Rumination Inventory（ ERRI）,Self-Esteem Scale（ SES） and Post-traumatic Growth Inventory（ PTGI） were used to evaluate resilience,rumination,self-esteem and PTG respectively. Results： Firstly,the score of PTGI was（ 3. 6 ± 0. 9） among young people affected by AIDS. Secondly,CDRS score could affect PTGI score directly（ direct effect： 0. 49）, via deliberate rumination score indirectly（ indirect effect： 0. 12）, also via the indirect way which intrusive rumination score influenced deliberate rumination score（ indirect effect： 0. 03）. Thirdly, the SES score moderated the pathway from CDRS score to intrusive rumination score, only for persons with lowself-esteem,CDRS score could predict intrusive rumination score effectively（ simple slope = 0. 57）,but not for the high self-esteem group（ simple slope = 0. 10）. Conclusion： For young people affected by HIV/AIDS,resilience could affect PTG directly,also via the multiple mediation effects of rumination. Moreover,resilience could influence PTG via the indirect way which intrusive rumination influenced deliberate rumination among young people with lowselfesteem.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2017年第9期739-744,共6页
Chinese Mental Health Journal
基金
教育部人文社会科学研究青年基金项目(14YJC190015)
关键词
心理弹性
侵入性反刍
自主反刍
创伤后成长
自尊
resilience
intrusive rumination
deliberate rumination
post-traumatic growth
self-esteem
