摘要
目的 探讨人类免疫缺陷病毒(human immunodeficiency virus, HIV)感染和获得性免疫缺陷综合征(acquired immune deficiency syndrome, AIDS)住院患者心理资本、应对方式与抑郁之间的关系。方法 采用积极心理资本量表、简易应对方式问卷、抑郁自评量表和自行设计的一般资料调查表对长沙市某医院AIDS科的404例HIV/AIDS住院患者进行问卷调查。运用路径分析探讨应对方式在心理资本与抑郁之间的中介作用。结果 404例HIV/AIDS住院患者心理资本、积极应对、消极应对、抑郁总分分别为(121.54±22.10)、(20.67±7.42)、(10.50±4.42)、(53.54±10.87)分;心理资本及其各维度与积极应对为正相关关系(P<0.01);心理资本及其各维度、积极应对均与抑郁为负相关关系(P<0.01);心理资本可以直接预测抑郁,应对方式是心理资本(韧性、乐观、希望三个维度)与抑郁之间的中介变量。结论 HIV/AIDS住院患者心理资本水平较低,抑郁问题较严重,应对方式在HIV/AIDS住院患者心理资本对抑郁的影响过程中发挥部分中介效应。改善HIV/AIDS住院患者的心理资本状况,鼓励其采取更加积极的应对方式是降低抑郁水平的有效途径。
Objective To explore the association between psychological capital, coping style and depression among HIV/AIDS inpatients, and to discuss the mediating effect of coping style on the association between psychological capital and depression. Methods A questionnaire survey was conducted among a total of 404 HIV/AIDS inpatients in Changsha using positive psychological capital scale, simplified coping style questionnaire and self-rating depression scale as well as a self-designed general information questionnaire.The path analysis was used to explore the mediating effect of coping style on the association between psychological capital and depression. Results The mean scores of psychological capital, positive coping, negative coping and depression were(121.54±22.10),(20.67±7.42),(10.50±4.42), and(53.54±10.87), respectively, and 66.09%(267/404) of HIV/AIDS patients had depressive symptoms.Psychological capital and its domains were significantly positively correlated with positive coping style(P<0.01).However, psychological capital and its domains, positive coping were all negatively correlated with depression(P<0.01). Path analysis showed that psychological capital could directly predict depression, and coping style played a partial intermediating role in the association between psychological capital(resilience, optimism and hope) and depression. Conclusions HIV/AIDS inpatients have low level of psychological capital and are at high risk of depression.Coping style plays a partial intermediary role in the effect of psychological capital on the depression Therefore,improving the psychological capital of HIV/AIDS inpatients and encouraging them to have positive coping are the most effective ways to decrease the occurrence of depression.
作者
曹桂英
陶颜
谢建平
夏友
谭思
罗勇
曾平英
郑淳元
王红红
CAO Gui-ying;TAO Yan;XIE Jian-ping;XIA You;TAN Si;LUO Yong;ZENG Ping-ying;ZHENG Chun-yuan;WANG Hong-hong(Department ofAIDS,ChangshaFirst Hospital,Changsha,Hunan 410005,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2022年第11期851-855,共5页
Chinese Preventive Medicine
基金
长沙市科技计划(kq1907014)。
关键词
艾滋病患者
心理资本
应对方式
抑郁
中介作用
HIV/AIDS inpatients
Psychological capital
Coping style
Depression
Mediating effect
