摘要
目的:探究应对方式在双相情感障碍(BD)患者社会支持与病耻感间的中介效应。方法:选取2019年1月-2021年10月于抚州市第三医院就诊的BD患者100例,出院后随访3个月时,分别采用简易应对方式问卷(SCSQ)、领悟社会支持量表(PSSS)及精神疾病患者病耻感量表中文版(SSMI-C)对入组患者应对方式、社会支持及病耻感进行评估;采用双变量Pearson相关性分析检验分析患者应对方式、社会支持及病耻感之间的关系,并采用多重线性回归检验应对方式在BD患者社会支持与病耻感间的中介效应。结果:BD患者SCSQ中积极应对维度评分为(14.62±2.18)分,消极应对维度评分为(15.50±1.80)分;PSSS总分为(49.84±5.48)分,SSMI-C总分为(75.34±6.96)分,双变量Pearson相关性分析显示,BD患者积极应对方式与PSSS各维度及总分呈正相关(r>0,P<0.05),与SSMI-C各维度及总分呈负相关(r<0,P<0.05);消极应对方式与PSSS各维度及总分呈负相关(r<0,P<0.05),与SSMI-C各维度及总分呈正相关(r>0,P<0.05);PSSS各维度及总分与SSMI-C各维度及总分均呈负相关(r<0,P<0.05);根据中介效应检验流程分析可知,积极应对方式及消极应对方式在BD患者社会支持与病耻感间均起部分中介效应,积极应对方式中介效应对总效应的贡献率为30.6%,消极应对方式中介效应对总效应的贡献率为18.9%。结论:应对方式在BD患者社会支持与病耻感间起部分中介效应的作用。
Objective:To explore the mediating effect of coping style between social support and stigma in patients with bipolar disorder(BD).Method:A total of 100 patients with BD treated in the Third Hospital of Fuzhou from January 2019 to October 2021 were selected.When they were followed up for 3 months after discharge,their coping style,social support and stigma were evaluated by simple coping style questionnaire(SCSQ),perceived social support scale(PSSS)and Chinese version of stigma scale for mental illness(SSMI-C).Bivariate Pearson correlation analysis was used to analyze the relationship between coping style,social support and stigma in patients,and multiple linear regression was used to test the mediating effect of coping style between social support and stigma in BD patients.Result:The score of positive coping dimension in SCSQ of BD patients was(14.62±2.18)points,and the score of negative coping dimension was(15.50±1.80)points;the total score of PSSS was(49.84±5.48)points,and the total score of SSMI-C was(75.34±6.96)points.Bivariate Pearson correlation analysis showed that the positive coping style of BD patients was positively correlated with each dimension and total score of PSSS(r>0,P<0.05),and negatively correlated with each dimension and total score of SSMI-C(r<0,P<0.05);negative coping style was negatively correlated with each dimension and total score of PSSS(r<0,P<0.05),and positively correlated with each dimension and total score of SSMI-C(r>0,P<0.05);each dimension and total score of PSSS were negatively correlated with each dimension and total score of SSMI-C(r<0,P<0.05).According to the analysis of mediation effect test process,both positive coping style and negative coping style had partial mediation effect between social support and stigma of BD patients.The contribution rate of positive coping style mediation effect to the total effect was 30.6%,and the contribution rate of negative coping style mediation effect to the total effect was 18.9%.Conclusion:Coping style plays partial mediating role b
作者
廖莉萍
朱珊珊
席永琴
LIAO Liping;ZHU Shanshan;XI Yongqin(The Third Hospital of Fuzhou,Jiangxi Province,Fuzhou 344000,China;不详)
出处
《中国医学创新》
CAS
2022年第29期100-104,共5页
Medical Innovation of China
