摘要
目的:探讨突发性耳聋患者心理弹性在心理应激与应对方式间的中介作用。方法:选取某院2021年4月-2022年6月502例突发性耳聋患者进行问卷调查,使用中文版心理弹性量表(CD-RISC)评价患者心理弹性,简易应对方式量表(SCSQ)评估应对方式、焦虑与抑郁自评量表(SAS、SDS)评估心理应激状态,通过Pearson积差系数分析突发性耳聋患者心理弹性与心理应激、应对方式间的相关性,采用多重线性回归和结构方程模型检验心理弹性在的中介作用。结果:突发性耳聋患者心理应激SAS、SDS评分高于国内常模(t=32.594,31.735;P<0.001);突发性耳聋患者应对方式SCSQ量表中积极应对评分低于国内常模(t=-11.290,P<0.001),消极应对评分高于国内常模(t=4.832,P<0.001);突发性耳聋患者心理弹性CD-RISC量表坚韧、乐观、自强及量表总分均低于国内常模(t=22.352,13.491,25.757,22.476;P<0.001);突发性耳聋患者积极应对与心理弹性呈正相关,与焦虑、抑郁呈负相关(r=0.542,-0.475,-0.435;P<0.05);消极应对与心理弹性呈负相关,与焦虑、抑郁呈正相关(r=-0.597,0.500,0.452;P<0.05),焦虑、抑郁与心理弹性呈现负相关(r=-0.571,-0.448;P<0.05);回归方程加入心理弹性变量后,应对方式对焦虑情绪、抑郁情绪的回归系数均显著,突发性耳聋患者心理弹性在应对方式影响心理应激间,具有部分中介作用,心理弹性在积极、消极应对方式与焦虑情绪之间的中介效应分别占总效应的49.15%、50.50%;心理弹性在积极、消极应对方式与抑郁情绪之间的中介效应分别占总效应的37.40%、36.59%。结论:突发性耳聋患者心理弹性在其应对方式、心理应激间具有部分中介作用,临床应注重其心理弹性水平的提升,以降低其不良心理应激。
Objective:To explore the mediating effect of psychological resilience between psychological stress and coping styles in patients with sudden deafness.Methods:A total of 502 patients with sudden deafness in the hospital were selected for questionnaire survey between April 2021 and June 2022.The psychological resilience of patients was evaluated by Connor-Davidson Resilience Scale(CD-RISC),coping styles were evaluated by simplified coping style questionnaire(SCSQ),and psychological stress state was evaluated by Self-rating Anxiety and Depression Scale(SAS,SDS).The correlation between psychological resilience and psychological stress,coping styles was analyzed by Pearson product moment coefficient.The mediation model was tested by SPSS Process component compiled by Hayes,the regression coefficient was tested by bootstrap method with deviation correction and the 95%confidence interval was calculated.Results:The scores of SAS and SDS in patients with sudden deafness were higher than the domestic norm(t=32.594,31.735;P<0.001).In SCSQ,score of positive coping in patients with sudden deafness was lower than the domestic norm(t=-11.290,P<0.001),and score of negative coping was higher than the domestic norm(t=4.832,P<0.001).The scores of toughness,optimism and self-improvement,and total score of CD-RISC in patients with sudden deafness were lower than the domestic norm(t=22.352,13.491,25.757,22.476;P<0.001).The positive coping was positively correlated with psychological resilience,while negatively correlated with anxiety and depression(r=0.542,-0.475,-0.435;P<0.05).The negative coping was negatively correlated with psychological resilience,while positively correlated with anxiety and depression(r=-0.597,0.500,0.452;P<0.05).The anxiety and depression were negatively correlated with psychological resilience(r=-0.571,-0.448;P<0.05).After there was psychological resilience variable in the regression equation,the regression coefficients of coping style on anxiety and depression were significant.The psychological resilience pla
作者
赵婷
祖木热提·乌斯曼
吴梅
李萍
ZHAO Ting;Zumureti Wusiman;WU Mei;LI Ping(Department of Otolaryngology,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China;Nursing Department,People's Hospital of Xinjiang Uygur Autonomous Region)
出处
《中国健康心理学杂志》
北大核心
2023年第10期1504-1509,共6页
China Journal of Health Psychology
基金
新疆维吾尔自治区自然科学基金青年项目(编号:2017D01C142)。
关键词
突发性耳聋
心理应激
应对方式
心理弹性
中介作用
Sudden deafness
Psychological stress
Coping style
Psychological resilience
Mediating effect
