摘要
目的:探讨疾病接受度对青年HIV/AIDS患者心理痛苦的影响,并探究心理灵活性、心理痛苦耐受性和抑郁-焦虑-压力在两者关系中的链式中介作用.方法:采用疾病接受度量表、心理灵活性综合问卷、心理痛苦耐受性量表、抑郁-焦虑-压力量表、心理和生理痛苦视觉模拟量表对689例青年HIV/AIDS患者进行调查.结果:①青年HIV/AIDS患者的疾病接受度、心理灵活性、心理痛苦耐受性、抑郁-焦虑-压力、心理痛苦两两之间均存在显著相关.②心理灵活性、心理痛苦耐受性、抑郁-焦虑-压力在疾病接受度和心理痛苦之间存在复杂的中介作用,中介效应由四条路径(疾病接受度→抑郁-焦虑-压力→心理痛苦;疾病接受度→心理灵活性→心理痛苦耐受性→心理痛苦;疾病接受度→心理灵活性→ 抑郁-焦虑-压力→心理痛苦;疾病接受度→心理灵活性→心理痛苦耐受性→抑郁-焦虑-压力→心理痛苦)产生的间接效应组成,总中介效应量为62.47％.结论:疾病接受度是青年HIV/AIDS患者心理痛苦的重要影响因素,既具有直接作用,又通过心理灵活性、心理痛苦耐受性和抑郁-焦虑-压力的中介效应发挥间接作用.
Abstract
Objective:To explore the impact of illness acceptance on mental pain and the potential mediating role of psychological flexibility,tolerance for mental pain,and depression-anxiety-stress of young adults living with HIV/AIDS.Methods:689 youth HIV/AIDS patients were recruited to complete the acceptance of illness scale,comprehensive assess-ment of ACT process,tolerance for mental pain scale,depression-anxiety-stress scale-21,and the psychological and physi-cal pain visual analog scale.The PROCESS macro in SPSS was performed to analyze the mediating effects.Results:①There were significant correlations between illness acceptance,psychological flexibility,tolerance for mental pain,depres-sion-anxiety-stress,and mental pain in young HIV/AIDS patients.②The mediating effects of psychological flexibility,tol-erance for mental pain,and depression-anxiety-stress between illness acceptance and mental pain were significant,which were produced by four mediating paths(illness acceptance→depression-anxiety-stress→mental pain,illness acceptance →psychological flexibility→tolerance for mental pain→mental pain,illness acceptance→psychological flexibility→depres-sion-anxiety-stress→mental pain,illness acceptance→psychological flexibility→tolerance for mental pain→depression-anxiety-stress→mental pain),with a total intermediary effect size of 62.47％.Conclusion:Illness acceptance is an essen-tial influencing factor for mental pain in youth patients with HIV/AIDS,with both direct effects and indirect effects through the mediating effects of psychological flexibility,tolerance for mental pain,and depression-anxiety-stress.
基金项目
湖南省重点领域研发计划项目(2021SK2031)
维普
万方数据