艾滋病患者社会支持、应对方式、心理健康三者关系研究

发布时间：2018-03-01 08:17

本文关键词： 艾滋病患者社会支持应对方式心理健康　出处：《扬州大学》2017年硕士论文　论文类型：学位论文

【摘要】：本研究旨在初步探讨艾滋病患者社会支持是怎样通过应对方式对心理健康产生影响的,并进一步分析三者之间的内在关系。研究随机选取某艾滋病专业医院和某基金会艾滋病资助项目共248名艾滋病患者为研究对象,使用社会支持评定量表、应对方式量表、心理健康状况自评量表SCL-90对被试群体进行问卷调查。以SPSS 21.0研究艾滋病患者社会支持、应对方式、心理健康在人口学变量上的差异以及三者之间的相关关系。随后运用AMOS 21.0对三者关系构建了结构方程模型,进一步探讨了三因素之间的作用路径。结果如下:(1)艾滋病患者的社会支持与全国10城市常模进行比较,社会支持水平显著低于全国水平,处于中等偏下的状态。同时,艾滋病患者的社会支持情况在学历水平上存在非常显著的差异。来自城市的艾滋病患者比农村的艾滋病患者得到更多的社会支持。CD4数值350的艾滋病患者在社会支持总分上显著高于350的艾滋病患者。(2)艾滋病患者的应对方式在解决问题和求助上平均分较低,在自责和退避上平均分较高。父母已婚的艾滋病患者在幻想和退避两个应对方式上显著低于父母离异的艾滋病患者。来自农村的艾滋病患者比城市的艾滋病患者更多的使用自责、幻想和退避的消极应对方式;来自城市的艾滋病患者比来自农村的艾滋病患者较多的使用求助和合理化的应对方式。(3)艾滋病患者的心理健康水平与全国常模进行比较,在躯体化、抑郁、焦虑、敌对、偏执和精神病性均显著高于全国水平,说明艾滋病患者的心理健康水平较低。同时,在学历水平、城乡所在地和感染方式上存在显著差异。(4)艾滋病患者的社会支持与积极应对方式呈正向相关、与消极应对方式呈负向相关;艾滋病患者的社会支持水平与心理健康呈正相关;艾滋病患者的积极应对方式与心理健康呈正相关、消极应对方式与心理健康呈负相关。(5)艾滋病患者的社会支持对积极应对方式起正向预测作用、对消极应对方式起负向预测作用;社会支持对心理健康起正向预测作用;积极应对方式对心理健康起正向预测作用、消极应对方式对心理健康起负向预测作用。(6)艾滋病患者的积极应对方式和消极应对方式在社会支持与心理健康之间起中介调节作用,社会支持可以直接影响心理健康,也可以通过应对方式间接地影响心理健康。
[Abstract]:The purpose of this study is to explore how social support of AIDS patients has an impact on mental health through coping styles. And further analysis of the internal relationship between the three. The study randomly selected a professional hospital and a foundation of AIDS projects a total of 248 AIDS patients as the study object, using the Social support rating scale, coping style scale, Mental health self-rating scale (SCL-90) was used to investigate the social support and coping style of AIDS patients with SPSS 21.0. The difference in demographic variables of mental health and the correlation between them. The structural equation model of the three variables is constructed by using AMOS 21. 0. This paper further discusses the action path between the three factors. The results are as follows: 1) the social support of AIDS patients is compared with the national norm of 10 cities. The level of social support is significantly lower than that of the whole country, and it is in a moderate state. At the same time, There is a very significant difference in the social support of AIDS patients in the level of education. AIDS patients from urban areas than rural AIDS patients received more social support. CD4 350 in the social support of AIDS patients in the social branch. AIDS patients with a total score significantly higher than 350.) coping styles of AIDS patients were lower on average in problem-solving and help-seeking. The average score of self-blame and retreat is higher. Married parents of AIDS in fantasy and retreat two coping styles are significantly lower than parents divorced AIDS patients. Rural AIDS patients than urban AIDS patients. More use of self-blame, Negative coping styles of fantasy and retreat; AIDS patients from urban areas use more help and rational coping styles than those from rural areas) the mental health level of AIDS patients is compared with the national norm. Somatization, depression, anxiety, hostility, paranoia and psychosis are significantly higher than the national level, indicating that the mental health level of AIDS patients is low. There is a significant difference between urban and rural areas and infection modes. 4) the social support of AIDS patients is positively correlated with positive coping styles, and negatively correlated with negative coping styles, and the level of social support of AIDS patients is positively correlated with mental health. The positive coping styles of AIDS patients were positively correlated with mental health, and negative coping styles negatively correlated with mental health. 5) the social support of AIDS patients played a positive predictive role in positive coping styles. Negative predictive effect of negative coping style; positive predictive effect of social support on mental health; positive predictive effect of positive coping style on mental health; Negative coping styles play a negative predictive role on mental health. 6) positive coping styles and negative coping styles of AIDS patients play an intermediary role between social support and mental health, and social support can directly affect mental health. It can also indirectly affect mental health through coping styles.
【学位授予单位】：扬州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B844

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