远洋航行船员应对方式在心理弹性与心理应激间的中介效应分析  

Mediating effect of coping styles in psychological resilience and psychological stress among ocean-going seafarers

作　　者：孙占颖 张晖 路春丽 唐楠 高远[2] SUN Zhanying;ZHANG Hui;LU Chunli;TANG Nan;GAO Yuan(Graduate School,Chinese PLA Medical School,Beijing 100853,China;不详)

机构地区：[1]解放军医学院研究生院,北京100853 [2]解放军总医院第一医学中心护理部,北京100853 [3]陆军第八十二集团军医院,河北保定071000

出　　处：《中国职业医学》2024年第6期677-681,共5页China Occupational Medicine

基　　金：军队护理创新与培育专项项目(2021HL070)。

摘　　要：目的探讨应对方式在远洋航行船员心理弹性与心理应激间的中介效应。方法采用便利抽样法,选择502名执行远洋航行任务的船员为研究对象,采用《心理弹性量表》《军人心理应激自评问卷》《简易应对方式问卷》测量其心理弹性、心理应激和应对方式情况。采用Amos 21.0软件建立结构方程模型并进行中介效应验证。结果远洋航行船员心理弹性、心理应激、积极应对、消极应对得分中位数和第25、75百分位数分别为75.0(58.0,90.0)、47.8(40.6,55.6)、2.0(1.6,2.7)和1.0(0.5,1.6)分。远洋航行船员心理弹性得分分别与心理应激、消极应对方式得分呈负相关关系[Spearman相关系数(r_(S))分别为−0.57、−0.50,P值均<0.01];心理弹性得分与积极应对方式得分呈正相关关系(r_(S)=0.57,P<0.01);心理应激得分与消极应对方式得分呈正相关关系(r_(S)=0.50,P<0.01),与积极应对方式得分呈负相关关系(r_(S)=−0.44,P<0.01)。结构方程模型结果显示,心理弹性可直接影响心理应激,直接效应占总效应的37.7%;心理弹性通过积极应对方式和消极应对方式间接影响心理应激,总中介效应占总效应的62.3%,积极应对方式、消极应对方式在总中介效应中分别占51.7%和48.3%。结论远洋航行船员应对方式在心理弹性与心理应激间起到并行多重中介作用。Objective To investigate the mediating effect of coping styles in the relationship between psychological resilience and psychological stress among ocean-going seafarers.Methods A total of 502 ocean-going seafarers were selected as the study subjects using the convenience sampling method.Psychological resilience,psychological stress,and coping styles were assessed using the Connor-Davidson Resilience Scale,Military Psychological Stress Self-Assessment Scale and Simplified Coping Style Questionnaire.The structural equation modeling was performed using Amos 21.0 software to verify the mediating effect.Results The median and the 25th and 75th percentiles scores of psychological resilience,psychological stress,positive coping and negative coping among ocean-going sailors were 75.0(58.0,90.0),47.8(40.6,55.6),2.0(1.6,2.7),and 1.0(0.5,1.6)points,respectively.The scores of psychological resilience were negatively correlated with those of psychological stress and negative coping styles[Spearman correlation coefficients(r_(S))were−0.57 and−0.50,respectively,both P<0.01].The scores of psychological resilience were positively correlated with those of positive coping styles(r_(S)=0.57,P<0.01).The score of psychological stress was positively correlated with the score of negative coping style(r_(S)=0.50,P<0.01)and negatively correlated with the score of positive coping style(r_(S)=−0.44,P<0.01).The results of the structural equation model showed that psychological resilience directly affected psychological stress,with the direct effect accounting for 37.7%of the total effect.Psychological resilience indirectly affected psychological stress via positive and negative coping styles,with a total mediating effect accounting for 62.3%of the total effect,with the positive coping style and negative coping style accounting for 51.7%and 48.3%of the total mediating effect,respectively.Conclusion Coping styles play a parallel multiple mediating role in the relationship between psychological resilience and psychological stress among oc

关 键 词：心理弹性 应对方式 心理应激 中介效应 远洋航行 船员 

分 类 号：R135[医药卫生—劳动卫生]