心境障碍患者心理韧性在自我接纳与希望水平间的中介效应  

Mediating effect of resilience on the level of self-acceptance and hope in mood disorders

作　　者：张雯雯 赵悠[1] ZHANG Wenwen;ZHAO You(Department of Medical Psychology,the Affiliated Brain Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京医科大学附属脑科医院医学心理科,江苏南京210029

出　　处：《中国医药导报》2024年第12期50-53,共4页China Medical Herald

基　　金：江苏省重点研发计划项目(BE2021616)。

摘　　要：目的 探究心境障碍患者心理韧性在自我接纳与希望水平间的中介效应。方法 选取2021年10月至2022年11月南京医科大学附属脑科医院医学心理科接收的89例心境障碍患者作为观察对象。采用结构方程模型检验变量间的中介效应。结果 89例心境障碍患者心理弹性量表(56.33±1.38)分、自我接纳问卷(30.48±1.55)分、Herth希望量表(33.35±3.43)分。自我评价与自强呈正相关(r=0.968,P<0.01);自我接纳与自强呈负相关(r=-0.592,P<0.01)。希望水平总分与乐观呈正相关(r=0.251,P<0.01);采取积极的行动、他人保持亲密、对现实和未来的积极态度与自强呈正相关(r=0.954、0.946、0.948,P<0.01)。自我接纳总分、自我评价、自我接纳与他人保持亲密呈正相关(r=0.944、0.938、0.952,P<0.01),与对现实和未来的积极态度呈负相关(r=-0.608、-0.618、-0.579,P<0.01)。心理韧性在89例心理障碍患者自我接纳和希望水平中介效应显著(P<0.05),中介效应占总效应的47.80%。结论 心境障碍希望水平可通过患者的心理韧性间接影响自我接纳水平,临床护理人员应着重于提升心境障碍患者心理韧性及希望水平。Objective To explore the mediating effect of resilience on the level of self-acceptance and hope in mood disorders.Methods A total of 89 patients with mood disorders received by the Affiliated Brain Hospital of Nanjing Medical University from October 2021 to November 2022 were selected as observation objects.Structural equation model was used to test the mediation effect between variables.Results Flexible scale was(56.33±1.38) points,self-acceptance questionnaire was(30.48±1.55) points,Herth hope scale(33.35±3.43) points,in 89 patients with mood disorders.Self-evaluation was positively correlated with self-improvement(r=0.968,P<0.01).Self-acceptance was negatively correlated with self-improvement(r=-0.592,P<0.01).The total score of hope level was positively correlated with optimism(r=0.251,P<0.01).Taking positive actions,being close to others,and having a positive attitude toward reality and the future were positively correlated with self-empowerment(r=0.954,0.946,0.948,P<0.01).The total score of self-acceptance,self-evaluation,and self-acceptance were positively correlated with staying close to others(r=0.944,0.938,0.952,P<0.01),and negatively correlated with positive attitudes toward reality and the future(r=-0.608,-0.618,-0.579,P<0.01).The mediating effect of psychological resilience between self-acceptance and hope level in 89 patients with psychological disorders was significant(P<0.05),the mediation effect represented 47.80% of the total effect.Conclusion The hope level of mood disorders can indirectly affect the level of self-acceptance through the mental toughness of patients.Clinical nursing staff should focus on improving the mental toughness and hope level of patients with mood disorders.

关 键 词：心境障碍 心理韧性 自我接纳 希望水平 

分 类 号：R749.4[医药卫生—神经病学与精神病学]