不孕症患者情绪调节策略与抑郁和焦虑症状的关系  

Relation of emotion regulation strategies to depression and anxiety symptoms in infertile patients

作　　者：马丹丹 白彩锋[2] 毛芳香 曹枫林[1] MA Dandan;BAI Caifeng;MAO Fangxiang;CAO Fenglin(School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;School of Nursing,Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]山东大学护理与康复学院,济南250012 [2]宁夏医科大学护理学院,银川750004

出　　处：《中国心理卫生杂志》2023年第8期662-671,共10页Chinese Mental Health Journal

基　　金：国家社科基金——“全面两孩”政策下女性围产期心理健康状况的发展轨迹、预测模型及干预研究(17BSH054)。

摘　　要：目的:探讨4种情绪调节策略(重新评价、表达抑制、反刍和正念)与不孕症患者抑郁和焦虑症状的相关性的相对大小,并检验性别对其关系的调节作用。方法:选取740名不孕症患者,采用病人健康问卷抑郁模块(PHQ-9)、广泛性焦虑量表(GAD-7)评估抑郁和焦虑症状,情绪调节量表(ERQ)、反刍思维量表(RRS)和简版正念能力量表(SIM-C)评估4种情绪调节策略。采用优势分析比较情绪调节策略与PHQ-9、GAD-7得分的相关大小。结果:优势分析显示,反刍、正念和重新评价分别解释抑郁症状56.0%、39.6%和4.4%的方差,解释焦虑症状73.1%、19.6%和7.3%的方差;回归分析显示,RRS得分与性别的交互作用与PHQ-9、GAD-7得分正向相关(β=0.06、0.10)。简单斜率检验表明,RRS得分与女性PHQ-9、GAD-7得分的相关程度(β=0.28、0.27)大于RRS得分与男性PHQ-9、GAD-7得分的相关程度(β=0.22、0.21)。结论:反刍是与不孕症患者抑郁和焦虑症状明显相关的因素。反刍对抑郁和焦虑症状的影响与性别有关,女性更强。Objective:To examine the relative magnitude of the correlation between 4 emotion regulation strategies(cognitive reappraisal,expressive suppression,rumination and mindfulness)and depression and anxiety symptoms in infertile patients and the moderating role of gender in the relationship.Methods:Totally 740 infertile patients were recruited.The Patient Health Questionnaire-9(PHQ-9)and Generalized Anxiety Disorder-7(GAD-7)were used to evaluate depressive and anxiety symptoms,respectively.The Emotion Regulation Questionnaire(ERQ),Ruminative Responses Scale(RRS),and Short Inventory of Mindfulness Capability(SIM-C)were used to evaluate 4 emotion regulation strategies.Dominance analysis was used to compare the correlation between emotion regulation strategies andthe scores of PHQ-9 and GAD-7.Results:The dominance analysis showed that rumination,mindfulness and cognitive reappraisal could explain 56.0%,39.6%and 4.4%variance of depressive symptoms.Rumination,mindfulness and cognitive reappraisal could explain 73.1%,19.6%and 7.3%variance of anxiety symptoms.Regression analysis showed that the interaction between the RRS scores and gender was positively correlated thescores of PHQ-9 and GAD-7(β=0.06,0.10).The simple slope test showed that the correlations between the RRS scores and the scores of PHQ-9 and GAD-7 in females(β=0.28,0.27)were higher than that between the RRS scores and the scores of PHQ-9 and GAD-7 in males(β=0.22,0.21).Conclusion:Rumination is a significant factor associated with depression and anxiety in infertile patients.The effect of rumination on depression and anxiety symptoms is gender dependent,and the effect is stronger in females than in males.

关 键 词：不孕症 情绪调节策略 抑郁 焦虑 优势分析 

分 类 号：R395.2[哲学宗教—心理学] R749.41[医药卫生—医学心理学]