慢乙肝患者的应对方式与抑郁情绪：韧性的中介作用

发布时间：2018-07-30 07:23

【摘要】：慢性乙型病毒性肝炎（简称慢乙肝）是由乙型肝炎病毒（HBV）而引起的传染性疾病。抑郁情绪是慢乙肝患者较为普遍的一种情绪状态，，不同应对方式的患者体验不同水平的抑郁情绪，本研究主要围绕慢乙肝患者的应对方式如何影响他们的抑郁情绪展开探讨。本研究包括三个部分的研究：研究一采用访谈法对慢乙肝患者进行访谈，对访谈资料进行质性分析，探讨慢乙肝患者诊疗过程中的情绪体验以及应对方式对情绪体验的影响。其抑郁情绪发生的因素；研究二采用问卷法，调查慢乙肝患者的抑郁情绪、应对方式和韧性现状；研究三主要探讨慢乙肝患者应对方式、韧性与抑郁的关系。研究主要结论有：(1)慢乙肝患者存在较多的消极情绪体验，慢乙肝患者面对自己患病事实，更多采取的依次是认知调整、逃避拒绝、行为改变等应对，患者采取的应对方式会影响消极情绪的增减。（2）慢乙肝患者的抑郁情绪标准分显著高于常模，在性别、疾病严重程度上差异显著，在教育程度上差异显著，总体随教育水平升高而降低。（3）慢乙肝患者的应对方式在教育程度、疾病严重程度上差异显著；积极应对维度均分总体随教育程度呈上升趋势；消极应对维度均分上总体随教育程度呈下降趋势。（4）慢乙肝患者韧性在性别上、疾病严重程度上显著差异，受教育程度越高，慢乙肝患者韧性水平越高。（5）慢乙肝患者的应对方式、韧性和抑郁有极其显著的相关关系，韧性在积极应对和抑郁间起完全中介作用，在消极应对和抑郁间起部分中介作用。
[Abstract]:Chronic hepatitis B (chronic hepatitis B) is a infectious disease caused by hepatitis B virus (HBV). Depression is a common emotional state in patients with chronic hepatitis B. patients with different coping styles experience different levels of depression. This study focuses on how the coping styles of patients with chronic hepatitis B affect their depression. This research includes three parts: first, interviews with patients with chronic hepatitis B were conducted by interview, and qualitative analysis of interview data was carried out. To explore the emotional experience in the diagnosis and treatment of patients with chronic hepatitis B and the influence of coping style on emotional experience. The second study was to investigate the status of depression, coping style and resilience in patients with chronic hepatitis B by questionnaire. The third study was mainly to explore the relationship between coping style, resilience and depression in patients with chronic hepatitis B. The main conclusions of the study are as follows: (1) patients with chronic hepatitis B have more negative emotional experience. The coping style adopted by the patients will affect the increase and decrease of negative emotion. (2) the standard score of depression emotion of patients with chronic hepatitis B is significantly higher than that of the norm, and there are significant differences in gender, disease severity, and education level. (3) the coping style of patients with chronic hepatitis B was significantly different in education level and disease severity, and the average score of positive coping dimension showed an upward trend with education level. The average score of negative coping dimensions showed a downward trend with the education level. (4) there were significant differences in the degree of disease severity between the patients with chronic hepatitis B and the patients with chronic hepatitis B. the higher the education level, the higher the resilience level of patients with chronic hepatitis B. (5) the coping style of patients with chronic hepatitis B. There is a significant correlation between resilience and depression. Resilience plays a complete role as a mediator between positive coping and depression and partly between negative coping and depression.
【学位授予单位】：闽南师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：B842.6

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