摘要
目的 探讨脑卒中患者侵袭性思维在述情障碍与心理困扰之间的作用。方法 选择徐州医科大学附属医院2021年1月至12月收治的脑卒中患者125例为研究对象。采用简易凯斯勒心理困扰状况评定量表、多伦多述情障碍量表、事件影响量表进行调查评估,采用Pearson方法进行相关性分析,多元回归分析中介作用效应。结果 125例患者述情障碍总分及情感识别困难(DIF)、情感描述困难(DDF)、外向型思维(EOT)维度得分与抑郁、焦虑呈正相关(r:0.309~0.442,均P<0.05);述情障碍总分及DIF、DDF与侵袭性思维呈正相关(r:0.235~0.426,均P<0.05);侵袭性思维与抑郁、焦虑呈正相关(r分别为0.601和0.546,均P<0.05)侵袭性思维得分为部分中介效应,其效应值为0.221,占总效应的40.77%。结论 侵袭性思维在脑卒中患者的述情障碍与心理困扰之间存在部分中介效应。
Objective To explore the effect of invasive thinking in alexithymia and psychological distress in stroke patients.Methods 125 stroke patients admitted to the Affiliated Hospital of Xuzhou Medical University from January to December 2021 were invested by the Brief Kessler Psychological Distress Rating Scale and Toronto Alexithymia Scale and Event Impact Scale.Pearson method was used for correlation analysis and multiple regression analysis was used to analyze the mediating effect.Results The total score of alexithymia,DIF,DDF and EOT were positively correlated with depression and anxiety(r:0.309~0.442,all P<0.05).The total score of alexithymia,DIF and DDF were positively correlated with invasive thinking(r:0.235~0.426,all P<0.05).Aggressive thinking was positively correlated with depression and anxiety.The score of aggressive thinking was a partial mediating effect,with an effect value of 0221,accounting for 4077%of the total effect.Conclusions Invasive thinking has a partial mediating effect between alexithymia and psychological distress in stroke patients.
作者
刘婷雅
刘婷隽
方晶晶
LIU Tingya;LIU Tingjun;FANG Jingjing(Department of Neurology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)
出处
《医药高职教育与现代护理》
2023年第4期316-319,共4页
Medical Higher Vocational Education and Modern Nursing
关键词
脑卒中
侵袭性思维
述情障碍
心理困扰
Stroke
Aggressive thinking
Alexithymia
Psychological distress
