恶性血液病患者社会支持对焦虑的影响:一个有调节的中介效应模型

The effect of social support on anxiety in patients with hematopathy malignant: a moderated mediation model

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

哈尔滨师范大学 ;
济宁医学院 ;

摘要
探讨恶性血液病患者的社会支持与焦虑之间的关系,分析心理弹性的中介效应以及自我效能感的调节效应。方法 选取284名恶性血液病患者采用社会支持评定量表、一般自我效能感量表、心理弹性量表和焦虑自评量表进行问卷调查,运用SPSS22.0和AMOS21.0进行数据处理。结果 恶性血液病患者的社会支持对焦虑有显著的负向影响(r=-0.15,P<0.01);恶性血液病患者的心理弹性在社会支持与焦虑之间起完全中介作用,间接效应大小为0.26,占总效应的0.90;恶性血液病患者的一般自我效能感调节社会支持→心理弹性→焦虑中介模型的前半路径(β社会支持×一般自我效能感→心理弹性=0.09,P<0.05),具体而言,在高自我效能感水平下,社会支持能显著的正向预测心理弹性,而在低自我效能感水平下,社会支持对心理弹性的预测作用不显著。结论 恶性血液病患者的社会支持对焦虑的影响是有调节的中介效应,社会支持通过心理弹性影响焦虑,自我效能感调节了社会支持→心理弹性→焦虑中介模型的前半路径。医务工作者应注重提高患者的心理弹性和一般自我效能感水平,以降低其焦虑的负性状态。
Abstract
Objective To explore the relationship between social support and anxiety, and to analyze the mediating effect of resilience and moderating effect of self-efficacy. Methods By surveying 284 patients with hematopathy malignant with Social Support Rating Scale(SSRS), General Self-efficacy Scale(GSES), Connor-Davidson Resilience Scale(CD-RISC) and Self-Rating Anxiety Scale(SAS), using SPSS22.0 and AMOS21.0 for data processing. Results The social support of patients with hematopathy malignant has a significant negative effect on anxiety(r=-0.15,P<0.01); The resilience of patients with hematopathy malignant played a full mediating role between social support and anxiety, and the estimated value of mediating effect was 0.26, accounting for 0.90; The self-efficacy of patients with hematopathy malignant moderates the first half path of social support(β社会支持×一般自我效能感→心理弹性=0.09,P<0.05), resilience and anxiety, that is,there was a significant positive relation between support and resilience under the high self-efficacy, however,there was a non-significant relation between support and resilience under the low self-efficacy level.Conclusion The influence of social support on anxiety in patients with hematopathy malignant is a mediated mediating effect. Social support affects anxiety completely through resilience, and self-efficacy regulates the first half path of social support, resilience and anxiety, medical workers should pay attention to improving the psychological elasticity and general self-efficacy of patients in order to reduce the negative state of anxiety.
关键词
恶性血液病;社会支持;自我效能感;心理弹性;焦虑;
KeyWord
Hematological malignancies; Social support; Self-efficacy; Resilience; Anxiety;
基金项目
页码 859-862
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郭晴晴,刘传新*. 恶性血液病患者社会支持对焦虑的影响:一个有调节的中介效应模型 [J]. 国际精神病学杂志. 2019; 46; (5). 859 - 862.

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