负面评价恐惧和自尊在青少年脊柱侧弯患者身体意象与社交外表焦虑间的链式中介作用  

Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis

作　　者：陈韦莹 李惠萍[1] 宋瑰琦 方继红 李国远 CHEN Weiying;LI Huiping;SONG Guiqi;FANG Jihong;LI Guoyuan(School of Nursing,Anhui Medical University,Hefei,Anhui 230032,China;不详)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]中国科学技术大学附属第一医院骨科,安徽合肥230036 [3]中国科学技术大学附属第一医院教育处 [4]安徽省儿童医院护理部,安徽合肥230022

出　　处：《中华全科医学》2024年第5期878-881,共4页Chinese Journal of General Practice

基　　金：国家自然科学基金项目(81902201);安徽省高等学校科学研究项目(2022AH040091)。

摘　　要：目的探讨青少年特发性脊柱侧弯患者身体意象、社交外表焦虑、负面评价恐惧和自尊之间的关系,并验证负面评价恐惧和自尊在身体意象和社交外表焦虑间的链式中介效应,以期为干预青少年特发性脊柱侧弯患者社交外表焦虑提供理论方法和依据。方法采用一般资料调查问卷、身体图像干扰问卷-脊柱侧弯版本、自尊量表、简明负面评价恐惧量表、社交外表焦虑量表对2019年9月—2022年5月于中国科学技术大学附属第一医院南区脊柱外科住院的101例青少年特发性脊柱侧弯患者进行问卷调查。结果不同年龄、体重、治疗方式青少年特发性脊柱侧弯患者的身体意象水平差异有统计学意义;身体意象可正向预测负面恐惧(r=0.302,P<0.001),身体意象(r=-0.348,P<0.01)、负面评价恐惧(r=-0.349,P<0.01)均可负向预测自尊,身体意象(r=0.422,P<0.001)、负面评价恐惧(r=0.766,P<0.001)均可正向预测社交外表焦虑,自尊可负向预测社交外表焦虑(r=-0.483,P<0.01)。负面评价恐惧和自尊在身体意象和社交外表焦虑中起部分中介效应,中介效应比为62.96%。结论青少年特发性脊柱侧弯患者的年龄、体重及治疗方式对身体意象水平有一定的预测作用,负面评价恐惧和自尊在青少年特发性脊柱侧弯患者身体意象和社交外表焦虑中的链式中介作用成立。医护人员进行心理护理时应协助患者树立对身体的正确认知,提高患者的自尊水平,降低负面评价恐惧,进而减缓社交外表焦虑的发生和进展。Objective This study aims to investigate the relationship between self-esteem and negative evaluation fear between body image and social appearance anxiety in adolescent idiopathic scoliosis patients,as well as the chain mediating effects among these variables.Methods This study investigated a sample of 101 hospitalized adolescent idiopathic scoliosis patients,who were admitted from September 2019 to May 2022.Data were collected using a general data questionnaire,the scoliosis version of the body image interference questionnaire,the self-esteem scale,the concise fear of negative evaluation scale,and the social appearance anxiety scale.Results The level of body image level in adolescent idiopathic scoliosis patients showed significant statistical differences based on age,weight,and treatment methods.Fear of negative evaluation was positively predicted by body image(r=0.302,P<0.001).While body image(r=-0.348,P<0.001)and fear of negative evaluation(r=-0.349,P<0.001)had negative predictive effects on self-esteem.Additionally,body image(r=0.422,P<0.001)and fear of negative evaluation(r=0.766,P<0.001)had positive predictive effects on social appearance anxiety,while self-esteem negatively predicted social appearance anxiety(r=-0.483,P<0.01).Both fear of negative evaluation and self-esteem demonstrated valid indirect effects.Fear of negative evaluation and self-esteem partially mediated the relationship between body image and social appearance anxiety,with a mediating effect ratio of 62.96%.Conclusion The age,weight,and treatment methods of adolescent idiopathic scoliosis patients have predictive effects on body image,while fear of negative evaluation and self-esteem act as chain mediator in the relationship between body image and social appearance anxiety in these patients.When providing psychological care,healthcare professionals should assist patients in developing a healthy body perception,enhancing their self-esteem,and reducing fear of negative evaluation,thereby mitigating the onset and progression of social appe

关 键 词：特发性脊柱侧弯 身体意象 自尊 负面评价恐惧 社交外表焦虑 

分 类 号：R681.5[医药卫生—骨科学] R471[医药卫生—外科学]