心理弹性对畸胎引产孕产妇正念和焦虑、抑郁的中介作用  

The Mediating Role of Psychological Resilience for Mindfulness and Anxiety and Depression among Women in the Pregnancy Termination for Fetal Abnormality

作　　者：曾巍 陈亚岚[3] 钱小芳[2,4] 刘桂华[5] Zeng Wei;Chen Yalan;Qian Xiaofang;iu Guihua(School of Nursing,Quanzhou Medical College,Quanzhou 362000,Fujian Province,China;School of Nursing,Fujian Medical University,Fuzhou 350004,Fujian Province,China;Department of Nursing,Fujian Health College,Fuzhou 350101,Fujian Province,China;Department of Nursing,Fujisn Maternal and Child Care Service Centre,Fuzhou 350001,Fujian Province,China;Department of Children Healthcare,Fujisn Maternal and Child Care Service Centre,Fuzhou 350001,Fujian Province,China)

机构地区：[1]泉州医学高等专科学校护理学院,福建泉州362000 [2]福建医科大学护理学院,福建福州350004 [3]福建卫生职业技术学院护理系,福建福州350101 [4]福建省妇幼保健院护理部,福建福州350001 [5]福建省妇幼保健院儿童保健科

出　　处：《解放军护理杂志》2017年第20期25-28,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：福建省医学创新性课题计划项目(2014-CX-8);福建省妇幼保健院科研基金项目(14-17);福建省临床重点专科建设项目(闽财指20121589)

摘　　要：目的旨在了解胎儿先天异常引产孕产妇焦虑、抑郁情况及正念水平的基础上,探讨心理弹性在两者关系中的中介作用。方法 2015年11月至2016年11月,便利抽样选取某妇幼专科医院185名选择引产的胎儿先天异常孕产妇,采用一般情况问卷、焦虑自评量表、抑郁自评量表、心理弹性量表(the resilience scale for adults,11items)、正念注意觉知量表(five facet mindfulness questionnaire,FFMQ)对其进行调查。结果畸胎引产孕产妇焦虑、抑郁状态发生率分别为25.4%(47/185)、42.2%(78/185),与中国人抑郁和焦虑常模标准分比较,差异有统计学意义(P<0.001)。焦虑、抑郁分别与正念水平、心理弹性呈负相关,正念与心理弹性呈正相关(均P<0.01)。心理弹性是正念影响焦虑抑郁的中介变量,其中介效应为分别为-0.149、-0.208,中介效应占总效应比例为31.9%、43.3%。结论提高正念水平和心理弹性是降低畸胎引产孕产妇焦虑、抑郁水平的有效途径。Objective To explore the status quo of anxiety,depression and mindfulness in women among the pregnancy termination for fetal abnormality and mediating effects of psychological resilience among mindfulness and anxiety,mindfulness and depression.Methods A total of185women in the pregnancy termination for fetal abnormality were selected by convenience sampling and accessed with general information questionnaire,self rating anxiety scale(SAS),self-rating depression scale(SDS),the resilience scale for adults-11items(RS11)and five facet mindfulness questionnaire(FFMQ).Results Occurrence rates of anxiety and depression of women in the pregnancy termination for fetal abnormality were25.4%(47/185),42.2%(78/185)respectively.Comparing with the Chinese anxiety and depression standard scores,the difference was statistical significant(P<0.001).Anxiety and depression was significantly and negatively correlated with mindfulness and psychological resilience respectively,and mindfulness was positively correlated with psychological resilience(allP<0.001).The relationship among mindfulness and anxiety,mindfulness and depression was mediated by psychological resilience,and the mediating effect was-0.149、-0.208,which accounted for31.9%,43.3%of the total effect respectively.Conclusion Improving the level of mindfulness and psychological resilience is an effective way to reduce anxiety and depression for women in the pregnancy termination for fetal abnormality.

关 键 词：正念 焦虑 抑郁 心理弹性 中介 引产 

分 类 号：R395.1[哲学宗教—心理学]