新冠疫情期间公众的内隐健康信念对心理健康状态的影响  

The Impact of Implicit Theories of Health on People’s Mental Health During the COVID-19 Pandemic

作　　者：达莉娟 赵彩凤 冯丹媛 张宁[1,3] DA Li-juan;ZHAO Cai-feng;FENG Dan-yuan;ZHANG Ning(School of Public Health of Zhejiang University School of Medicine,Hangzhou 310030,China;College of Agriculture and Biotechnology of Zhejiang University,Hangzhou 310030,China;The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院公共卫生学院,杭州310030 [2]浙江大学农业与生物技术学院,杭州310030 [3]浙江大学医学院附属第二医院,杭州310003

出　　处：《中国临床心理学杂志》2022年第1期157-161,共5页Chinese Journal of Clinical Psychology

基　　金：2020年国家大学生创新创业训练计划项目“新型冠状病毒肺炎疫情期间公众的风险感知对亲社会行为和心理健康的影响”(项目编号:202010335088)。

摘　　要：目的:探究新冠疫情期间公众的内隐健康信念对焦虑、抑郁状态的影响及其机制。方法:采用内隐健康信念量表、健康防护行为参与度量表、亲社会行为参与度量表、广泛性焦虑量表(GAD-7)、患者健康问卷(PHQ-9),邀请全国各地942位18岁以上的成年人参与调查。结果:(1)内隐健康信念与焦虑、抑郁呈显著负相关;(2)健康防护行为参与度部分中介了内隐健康信念对抑郁的预测效应,但在内隐健康信念和焦虑之间没有中介效应;(3)亲社会行为参与度调节了内隐健康信念对抑郁的影响,但不调节内隐健康信念对焦虑的影响。结论:内隐健康信念能够通过健康防护行参与度对抑郁症状起预测作用,在该作用中亲社会行为参与度起调节作用。Objective:To investigate the impact of implicit theories on people’s mental health(anxiety and depression) during the COVID-19 pandemic.Methods:A total of 942 adults(18 years old or above)across the country were invited to participate in this study,and finished the lay theories of health scale,measure of health protection behaviors and prosocial behaviors,Generalized Anxiety Disorder scale(GAD-7),Patient Health Questionnaire(PHQ-9),and demographic information survey(including gender,age,occupation,education,income,residence etc.).Results:(1)Implicit theories of health were negatively correlated with anxiety and depression.(2)Health protection behavior participation partially mediated the predictive effect of implicit theories of health on depression,but not on anxiety.(3)Engagement in prosocial behaviors moderated the effect of implicit theories of health on depression,but not on anxiety.Conclusion:People’s implicit theories of health predict the level of depressive symptoms through engagement in health protection behaviors during the COVID-19 pandemic.Engagement in pro-social behaviors moderated this effect.

关 键 词：内隐健康信念 健康防护行为 亲社会行为 焦虑 抑郁 

分 类 号：R395.6[哲学宗教—心理学]