首页|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

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

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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.
Mediating effect of resilience on the level of self-acceptance and hope in mood disorders
Objective To explore the mediating effect of resilience on the level of self-acceptance and hope in mood disor-ders.Methods A total of 89 patients with mood disorders received by the Affiliated Brain Hospital of Nanjing Medical Uni-versity 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-im-provement(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 cor-related 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 corre-lated with positive attitudes toward reality and the future(r=-0.608,-0.618,-0.579,P<0.01).The mediating effect of psy-chological 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 in-directly 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.

Mood disorderMental toughnessSelf-acceptanceHope level

张雯雯、赵悠

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南京医科大学附属脑科医院医学心理科,江苏南京 210029

心境障碍 心理韧性 自我接纳 希望水平

江苏省重点研发计划

BE2021616

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(12)
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