新冠肺炎疫情下的评估、应对与抑郁和焦虑的关系:多元多重中介模型  

The Relationship between Appraisal,Coping,Depression,and Anxiety during COVID-19:A Multivariable Multilevel Mediation Model

作　　者：周菡 李冠军[1,2] 朱卓影 Zhou Han;Li Guanjun;Zhu Zhuoying(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai,200030;Clinical Department 3 of Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai,200030)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030 [2]上海交通大学医学院附属精神卫生中心临床三科,上海200030

出　　处：《心理科学》2022年第3期695-701,共7页Journal of Psychological Science

基　　金：上海交通大学“新型冠状病毒防治”专项软课题(2020RK61);上海市精神心理疾病临床医学研究中心(19MC1911100)的资助。

摘　　要：作为全球性公共卫生事件,新型冠状病毒肺炎疫情成为潜在心理应激事件。本研究以线上调研形式在疫情爆发上升期考察了民众对疫情的可控性评估、应对方式和抑郁焦虑水平。结果表明:自控性显著负向预测抑郁焦虑,他控性对抑郁焦虑无显著预测作用;前行应对显著负向预测抑郁焦虑,创伤应对显著正向预测抑郁焦虑;前行应对在自控性与抑郁焦虑间起中介作用,即自控性通过正向预测前行应对进而负向预测抑郁焦虑;前行应对在他控性与抑郁焦虑间起中介作用,即他控性通过正向预测前行应对进而负向预测抑郁焦虑;创伤应对亦在他控性与抑郁焦虑间起中介作用,即他控性通过正向预测创伤应对进而正向预测抑郁焦虑。本研究对可控性评估与应对方式对抑郁焦虑的影响及其间中介路径进行了探讨。As a global public health event,COVID-19 had become a major source of stress,people’s psychological adjustment was worthy of attention.As proposed by previous researchers,cognitive appraisal and coping style played an important role in a potential stressful event like COVID-19.To understand people’s cognitive and behavioral reactions during this special period,as well as the psychological influence caused by COVID-19,this study investigated the feature of and the relationship among controllability appraisal,forward focus coping,trauma focus coping,depression and anxiety.According to Folkman and Lazarus’s transactional theory about stress,appraisal,and coping,individuals’coping styles might mediate the relationship between their cognitive appraisal toward the stressful event and their adjustment.In consistent with previous studies,a multivariable multiple mediation model was established,in which coping was supposed to mediate the relationship between controllability appraisal and depression/anxiety.Researchers collected 1372 online questionnaires from 13 provinces in China on February 7th.Apart from demographic information such as age,gender,education,and annual family income,the Stress Appraisal Measurement scale,the Perceived Ability to Cope with Trauma scale,CES-D-11,and GAD-7 were used to measure target variables.SPSS 23.0 was used to analyze descriptive statistics,the Cronbachαcoefficient,and the multi-collinearity.A latent variable structural equation model analysis was conducted through Amos 21.0 to testify the purposed multivariable multiple mediation model.The proposed multivariable multiple mediation model was approved statistically:χ2/df=6.31,RMSEA=.06,IFI=.93,CFI=.94,GFI=.94.The results showed that:(1)Controllable-by-self negatively predicted depression and anxiety,but controllable-by-others did not predict depression/anxiety;(2)Controllable-by-self positively predicted forward focus coping,but did not predict trauma focus coping;(3)Controllable-byothers positively predicted both forward focu

关 键 词：新冠肺炎疫情 自控性 他控性 前行应对 创伤应对 抑郁 焦虑 

分 类 号：B845.67[哲学宗教—心理学]