患者领悟社会支持和乐观中介变量与抑郁关系

发布时间：2018-04-11 04:07

本文选题：领悟社会支持 + 乐观　；参考：《中国公共卫生》2014年05期

【摘要】：目的探讨领悟社会支持、乐观和自我效能与骨科患者抑郁之间的关系,为临床心理干预提供参考。方法采用现况调查方法于2013年11—12月期间收集109例骨科住院患者,应用一般情况调查问卷、领悟社会支持量表、乐观量表、自我效能量表、流调用抑郁自评量表对研究对象进行自填式问卷调查。结果骨科患者抑郁总得分为(19.11±8.38)分,社会支持为(65.31±13.19)分,乐观倾向为(36.19±4.45)分,自我效能得分(28.81±5.96)分,抑郁组与非抑郁组人群各维度得分差异有统计学意义(P均0.001);多元分层回归分析显示,家庭外支持维度与抑郁存在负相关,解释抑郁变异的26.3%(P0.001);乐观在社会支持与抑郁的关系中起到完全中介作用,与抑郁呈负相关,解释抑郁变异的14.3%,而自我效能因素暂未发现有中介作用。结论领悟社会支持以乐观为中介对骨科患者的抑郁症状具有负向预测作用,社会支持和乐观可以有效地减轻抑郁症状,有利于患者身心健康。
[Abstract]:Objective to explore the relationship between perceived social support, optimism and self-efficacy and depression in orthopaedic patients, and to provide reference for clinical psychological intervention.Methods A total of 109 orthopedic inpatients were collected from November to December 2013 by using general situation questionnaire, perceived social support scale, optimism scale and self-efficacy scale.A self-filled questionnaire was conducted on the subjects with self-rating depression scale.Results the total scores of depression, social support, optimism and self-efficacy were 19.11 卤8.38, 65.31 卤13.19, 36.19 卤4.45 and 28.81 卤5.96, respectively.There was a negative correlation between the dimension of extrafamilial support and depression, which explained the variation of depression (26.3 / P 0.001), optimism played a completely mediating role in the relationship between social support and depression, and was negatively correlated with depression.14.3% of the variation in depression was explained, but the self-efficacy factor was not found to be an intermediary for the time being.Conclusion perceived social support plays a negative role in predicting depressive symptoms in orthopaedic patients mediated by optimism. Social support and optimism can effectively alleviate depressive symptoms and are beneficial to patients' physical and mental health.
【作者单位】：中国医科大学附属盛京医院脊柱关节骨科;
【分类号】：R749.4

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