[1]汪涛,朱安平,徐松,等.知觉压力与抑郁的关系:反思、沉浸性反刍的多重中介作用[J].第三军医大学学报,2019,41(04):388-393.
 WANG Tao,ZHU Anping,XU Song,et al.Relationship between perceived stress and depression: multiple mediating roles of reflection and brooding [J].J Third Mil Med Univ,2019,41(04):388-393.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第04期
页码:
388-393
栏目:
医学心理学
出版日期:
2019-02-28

文章信息/Info

Title:
Relationship between perceived stress and depression: multiple mediating roles of reflection and brooding
 
作者:
汪涛朱安平徐松 向爱国边晨鲁芳彭李李敏
陆军军医大学(第三军医大学):医学心理系基础心理学教研室,医学心理系军事心理学教研室,护理系;解放军第991医院;丰都县人民医院
Author(s):
WANG Tao ZHU Anping XU Song XIANG Aiguo BIAN Chen LU Fang PENG Li LI Min

Department of Basic Psychology, Faculty of Medical Psychology, Department of Military Psychology, Faculty of Medical Psychology, Faculty of Nursing, Army Medical University (Third Military Medical University), Chongqing, 400038; NO. 991 Hospital of PLA, Xiangyang, 441000, Hubei Province; People’s Hospital of Fengdu County, Chongqing, 408200, China
 

关键词:
知觉压力抑郁沉思反思沉浸性反刍
Keywords:
perceived stress depression reflection brooding
分类号:
R395.1;R395.6;R749.4
文献标志码:
A
摘要:

目的 探索反思、沉浸性反刍因子在知觉压力与抑郁关系中的中介作用。方法 采用方便采样的方法,从重庆市、襄阳市两家事业单位整群抽取20~55岁1 238名在职工作人员分批次开展心理测评,每批次均有专业的心理学人员进行现场指导。评估工具包括知觉压力量表(Perceived Stress Scale, PSS)、简版沉思反应问卷(ruminative responses scale, RSS)、贝克抑郁自评量表(Beck depression inventory,BDI-Ⅱ)及人口学基本信息问卷。结果 ①知觉压力与反思、沉浸性反刍、抑郁中等程度正相关,反思与沉浸性反刍、抑郁显著正相关(r值为0.349~0.698,P<0.001);知觉压力、反思、沉浸性反刍均进入回归方程,能共同解释46.80%的变异量。②反思、沉浸性反刍在知觉压力与抑郁关系中起着多重中介作用,两条中介路径分别占总效应量的47.24%、20.89%。③各限定模型之间χ2值之差Δχ2在相应的自由度差(Δdf)上差异具有统计学意义(P<0.05),不同年龄组中知觉压力反思路径的路径系数差为-3.199,差异具有统计学意义(P<0.01)。结论 反思与沉浸性反刍在知觉压力与抑郁关系中起着重要的中介作用,其中反思是关键的中介因子,可通过直接或间接路径影响知觉压力与抑郁间的关系;知觉压力反思这一前半路径受到年龄因素的调节。

Abstract:

Objective To explore the mediating roles of reflection and brooding in the relationship between perceived stress and depression. Methods A total of 1 238 participants aged 20 to 55 years selected from Chongqing and Xiangyang cities using a cluster sampling method were asked to complete assessments with Perceived Stress Scale (PSS), simplified Ruminative Stress Scale (RSS), Beck Depression Inventory (BDI-Ⅱ) and a demographic information questionnaire. The participants were tested in batches and provided with professional assistance during completion of the tests. ResultsPerceived stress showed a moderate positive correlation with brooding, reflection and depression, and reflection had a significant positive correlation with brooding and depression (r=0.349~0.698, P<0.001). PSS, brooding and reflection in the regression equation jointly explained 46.80% of the variation. Reflection and brooding played important mediating roles in the relationship between perceived stress and depression, and in the total indirect effect size of 68.20%, the mediating path through reflection accounted for 47.24% and the chain mediating path through reflection-brooding accounted for 20.89%. The value of Δχ2 (Δdf ) between the structured weight model and the structural residual model was statistically significant (P<0.05). Pairwise parameter comparisons between the young adults and middle-aged adults showed a significant estimated difference of the perceived stress-reflection path (P<0.01). Conclusion Reflection and brooding play important mediating roles in the relationship between perceived stress and depression, in which reflection is a key mediator that can either directly or indirectly affect the relationship. Age has a moderating effect in the path of perceived stress-reflection.

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更新日期/Last Update: 2019-02-22