有自杀意念的大学生应对方式在心理韧性与心理健康间的中介作用  

Relationships between resilience and mental health of college students with suicidal ideation: the mediating role of coping style

作　　者：王雅莉 张增国[1] 郑德伟[1] 马英英 郎芳[2] 臧宏运 WANG Ya-li;ZHANG Zeng-guo;ZHENG De-wei;MA Ying-ying;LANG Fang;ZANG Hong-yun(Department of Psychology,Weifang Medical University,Weifang,Shandong 261053,China)

机构地区：[1]潍坊医学院心理学系,山东潍坊261053 [2]潍坊医学院附属医院,山东潍坊261053

出　　处：《现代预防医学》2020年第3期457-461,共5页Modern Preventive Medicine

基　　金：山东省社会科学规划研究项目(17CQSJ14);潍坊市软科学研究计划项目(2017RKX138);潍坊医学院博士启动基金项目(2017BSQD56)

摘　　要：目的探讨有自杀意念的大学生应对方式在心理韧性与心理健康之间的中介作用,以期能够促进心理韧性发挥积极效果,为预防有自杀意念的大学生实施自杀行为提供参考。方法:采用分层随机抽样抽取山东省1170名大学生,采用特质应对方式问卷(TCSQ)、青少年心理韧性量表(RSCA)、一般健康问卷(CHQ-20)进行现场调查。结果:①有自杀意念的大学生检出率为12.70%(149名);②有自杀意念的大学生心理韧性、积极应对的分数均比无自杀意念的大学生低(P<0.05),消极应对与心理健康的分数均比无自杀意念的大学生高(P<0.01);③有自杀意念的大学生心理韧性、积极应对分数与心理健康分数均为负相关(P<0.01),消极应对与心理健康分数为正相关(P<0.01);④PC和NC在心理韧性对心理健康的作用中都发挥了中介作用,中介效应值占总效应值的62.15%.结论有自杀意念的大学生应对方式在心理韧性与心理健康间起到了部分中介效应。Objective To explore the mediating effect of coping style between resilience and mental health of college students with suicidal ideation,so as to promote the positive effect of resilience,provide reference for preventing suicidal behaviors of college students with suicidal ideation,and improve the mental health of college students with low resilience.Methods 1170 college students in Shandong Province were investigated with Trait Coping Style Questionnaire(TCSQ),Resilience Scale Adolescent(RSCA)and General Health Questionnaire(CHQ-20)by stratified random sampling.Results(1)The detection rate of suicidal ideation was 12.70%(149).(2)College students with suicidal ideation scored lower on the resilience scale and positive coping style than those without suicidal ideation(P<0.05),and higher on the negative coping style and mental health than those without suicidal ideation(P<0.01).(3)The scores of resilience scale and positive coping style were negatively correlated with the scores of mental health(P<0.01),while the scores of negative coping style and mental health were positively correlated(P<0.01).(4)Both PC and NC played a mediating role in the effect of resilience on mental health,and the mediating effect was 62.15%of the total effect.Conclusion The coping style of college students with suicidal ideation plays a mediating role between resilience and mental health.

关 键 词：有自杀意念的大学生 应对方式 心理韧性 心理健康 

分 类 号：R444[医药卫生—诊断学]