注意控制在医学新生负性自动思维与社交焦虑问的中介作用  

The mediating role of attentional control between negative automatic thoughts and social anxiety a- mong medical freshmen

作　　者：李甜甜[1] 曹建琴[1] 李英丽[1] 李辞[1] 杨军[1] 苏红[1] 

机构地区：[1]大庆哈尔滨医科大学大庆校区护理学院,163319

出　　处：《中华行为医学与脑科学杂志》2017年第6期568-572,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：黑龙江省社会科学基金项目（15EDB03）

摘　　要：目的探讨注意控制在医学新生负性自动思维与社交焦虑间的中介作用。方法采用交往焦虑量表（IAS）、负性自动思维问卷（ATQ）、注意控制量表（ACS）对某医科大学1504名大学新生进行调查。结果大学新生交往焦虑得分为（39．36±8．15）分，注意控制得分为（53．50±7．48）分，负性自动思维得分为（48．93＋19．72）分。相关分析结果显示，负性自动思维得分与社交焦虑得分呈正相关（r=0．313，P〈0．01），负性自动思维得分与注意控制得分呈负相关（r=-0．275，P〈0．01），注意控制得分与社交焦虑得分呈负相关（r=-0．455，P〈0．01）。中介效应检验结果显示，注意控制在负性自动思维与社交焦虑问起部分中介作用（x^2／df=1．650，GFI=0．998，AGFI=0．993，RMSEA=0．021），且中介效应的贡献率为50．8％。结论负性自动思维可直接和间接影响医学新生社交焦虑状况，注意控制在负性自动思维与社交焦虑之间起部分中介作用。Objective To explore the mediating effect of attentional control between negative auto- matic thoughts and social anxiety. Methods A total of 1 504 college freshmen of medical university were surveyed with the Interaction Anxiety Scale （IAS）, the Automatic Thoughts questionnaire （ATQ） and the Attentional Control Scale （ACS）. Results The scores of IAS, ACS and ATQ of medical freshmen were （ 39.36±8.15）, （53.50±7.48） and （48.93± 19.72） respectively. Correlation analysis showed that ATQ total score was significantly positively correlated with IAS total score（ r= 0.313, P〈0.01 ） , ATQ total score was sig- nificantly negatively correlated with ACS total score（r=-0.275, P〈0.01 ） , and ACS score was significantly negatively correlated with IAS total score（r=-0.455, P〈0.01）. Mediating effect analysis showed that atten- tional control partly-mediated the relationship between negative automatic thoughts and social anxiety among medical freshmen （ X^2/df= 1.650, GFI = 0.998, AGFI = 0.993, RMSEA = 0.021 ） , and accounted for 50.8% of the mediating effect. Conclusion Negative automatic thoughts is an important factor which plays direct and indirect roles in social anxiety. Attentional control is the intermediate link between negative automatic thoughts and social anxiety.

关 键 词：医学新生 社交焦虑 负性自动思维 注意控制 中介作用 

分 类 号：G444[哲学宗教—心理学] R-4[哲学宗教—发展与教育心理学]