首页|反刍思维在早孕药流患者的社会支持与抑郁情绪间的中介作用

反刍思维在早孕药流患者的社会支持与抑郁情绪间的中介作用

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目的:探究早孕药流患者的反刍思维在社会支持和抑郁间的中介作用.方法:2020 年5 月~2023 年5 月使用患者健康问卷抑郁量表(PHQ-9)、反刍思维量表(RRS)、社会支持量表(SSRS)对芜湖市第一人民医院城北院区妇产科计划药物流产的329 例早孕女性进行调查.结果:早孕药流患者抑郁与社会支持呈负相关(r=-0.261,P<0.01),与反刍思维呈正相关(r=0.425,P<0.01),社会支持与反刍思维呈负相关(r=-0.201,P<0.01);早孕药流患者的社会支持可以负向预测抑郁(β=-0.183,P<0.05),早孕药流患者的反刍思维可以正向预测抑郁(β=0.388,P<0.05);反刍思维在早孕药流患者的社会支持和抑郁间中介效应占总效应的28.3%.结论:社会支持不仅可以直接负向影响早孕药流患者的抑郁情绪,也可以通过反刍思维的中介作用负向影响早孕药流患者的抑郁情绪.
Mediating role of rumination thinking between social support and depression in early pregnant undergone drug-induced abortion
Objective:To investigate the mediating role of rumination thinking between social support and depression in women of early pregnancy undergone drug-induced abortion.Methods:A survey was conducted from May 2020 to May 2023 in the 329 early pregnant women with planned drug-induced abortion in the Obstetrics and Gynecology Department of our hospital located at the norther area of Wuhu City by using the Patient Health Questionnaire-9(PHQ-9),Ruminative Responses Scale(RRS),and Social Support Rating Scale(SSRS).Results:Depression was negatively correlated with social support(r=-0.261,P<0.01),and positively with rumination thinking(r=0.425,P<0.01),yet social support was in negative correlation with rumination thinking(r=-0.201,P<0.01)in the early pregnant women undergone drug-induced abortion.Social support can negatively predict depression(β=-0.252,P<0.05),whereas rumination thinking can positively predict depression(β=0.235,P<0.05).Rumination thinkingaccounted for 28.3%of the total effect in mediating effect between social support and depression in early pregnant women with planned drug-induced abortion.Conclusion:Social support can not only directly and negatively affect the depressive mood of the early pregnant women undergone drug-induced abortion,but also negatively affect the depressive mood of the patients through the mediation of rumination thinking

early pregnancydrug-induced abortiondepressionsocial supportrumination thinking

张晓婷、戎伟、乔李、张文艳

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芜湖市第一人民医院 妇产科,安徽 芜湖 241000

芜湖市第二人民医院 心理科,安徽 芜湖 241000

早孕 药流患者 抑郁 社会支持 反刍思维

国家社会科学基金重大招标项目

17ZDA327

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(3)