抑郁症患者自杀意念调查及其与家庭功能的关系:情绪调节自我效能感的中介作用  

Investigation of suicidal ideation in patients with depression and its relationship with family function:The mediating role of emotional regulation self-efficacy

作　　者：陈静 施旭爱 CHEN Jing;SHI Xuai(Lishui Second People's Hospital,Department of Psychiatry,Lishui 323000,China)

机构地区：[1]浙江省丽水市第二人民医院精神科,323000

出　　处：《中国健康心理学杂志》2024年第11期1647-1652,共6页China Journal of Health Psychology

基　　金：丽水市科技计划项目(编号:2022SJZC043)。

摘　　要：目的:探讨抑郁症患者自杀意念情况,分析情绪调节自我效能感在家庭功能与抑郁症患者自杀意念间的中介作用。方法:选取某院2023年4月-2024年3月112例抑郁症患者进行问卷调查,使用自杀意念量表(SIOSS)、家庭功能评估量表(FAD)、情绪调节自我效能感量表(SRESE)评估,通过Pearson相关性分析患者自杀意念、情绪调节自我效能感、家庭功能间的相关性,通过多重线性回归与结构方程分析情绪调节自我效能感中介作用。结果:112例抑郁症患者SIOSS总分为13.74±2.82分,其中有自杀意念者61例,占54.46%;有自杀意念的抑郁症患者FAD总分高于无自杀意念患者(t=8.024,P<0.05);有自杀意念的抑郁症患者SRESE总分低于无自杀意念患者(t=9.599,P<0.05);抑郁症患者自杀意念SIOSS评分与FAD评分呈现正相关(r=0.646,P<0.05);SIOSS评分与SRESE评分呈现负相关(r=-0.712,P<0.05);FAD评分与SRESE评分呈现负相关(r=-0.593,P<0.05);回归方程加入情绪调节自我效能感变量后,抑郁症患者家庭功能对自杀意念的回归系数均显著,情绪调节自我效能感在抑郁症患者家庭功能、自杀意念中具有部分中介作用,中介效应占总效应的37.333%(总效应量:0.825:中介效应量:0.308)。结论:抑郁症患者情绪调节自我效能感在家庭功能与自杀意念间起部分中介作用,临床可通过家庭积极干预改变抑郁症患者处境,帮助其个体情绪调节自我效能感的提升,降低患者自杀意念。Objective:To explore the status of suicidal ideation in patients with depression and analyze the mediating role of emotional regulation self-efficacy in the relationship between family function and suicidal ideation in these patients.Methods:A total of 112 patients with depression from our hospital were surveyed from April 2023 to March 2024.The Suicide Ideation Scale(SIOSS),Family Assessment Device(FAD),and Self-Regulation Emotional Self-Efficacy Scale(SRESE)were used for evaluation.Pearson correlation analysis was used to analyze the correlations between suicidal ideation,emotional regulation self-efficacy,and family function.Multiple linear regression and structural equation modeling were employed to analyze the mediating role of emotional regulation self-efficacy.Results:The total SIOSS score of 112 patients with depression was(13.74±2.82)points,with 61 patients(54.46%)reporting suicidal ideation.The total FAD score of patients with suicidal ideation was higher than that of patients without suicidal ideation(t=8.024,P<0.05).The total SRESE score of patients with suicidal ideation was lower than that of patients without suicidal ideation(t=9.599,P<0.05).The SIOSS score of patients with depression showed a positive correlation with the FAD score(r=0.646,P<0.05),and a negative correlation with the SRESE score(r=-0.712,P<0.05).The FAD score showed a negative correlation with the SRESE score(r=-0.593,P<0.05).After including the variable of emotional regulation self-efficacy in the regression equation,the regression coefficients of family function on suicidal ideation were significant.Emotional regulation self-efficacy played a partial mediating role between family function and suicidal ideation in patients with depression,accounting for 37.333%of the total effect(total effect size:0.825;mediation effect size:0.308).Conclusion:Emotional regulation self-efficacy partially mediates the relationship between family function and suicidal ideation in patients with depression.Clinical interventions targeting family funct

关 键 词：抑郁症 自杀意念 家庭功能 情绪调节自我效能感 中介效应 

分 类 号：R395.4[哲学宗教—心理学] R749.4[医药卫生—医学心理学]