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自我接纳在勃起功能障碍患者病耻感与抑郁症状间的中介作用

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目的:探讨自我接纳在勃起功能障碍(ED)患者病耻感与抑郁症状间的中介作用.方法:采用便利抽样法选取 2022 年 1-12 月于赣州市人民医院就诊的 76 例ED患者为研究对象,选取 80 例健康者作为健康组.使用一般资料调查表、自我接纳问卷(SAQ)、社会影响量表(SIS)和患者健康问卷(PHQ-9)调查评估研究对象自我接纳程度、病耻感程度、抑郁症状程度.并用采用分层回归法分析、检验患者自我接纳、病耻感与抑郁症状程度之间的关系和中介效应.结果:本次调查的ED患者SAQ总分(37.04±6.50)分,SIS总分(56.04±6.56)分,PHQ-9 总分(8.53±2.98)分;ED组SAQ总分显著低于健康组,SIS总分和PHQ-9 总分均显著高于健康组,差异均有统计学意义(P<0.05).Pearson检验显示,ED患者自我接纳程度与病耻感程度、抑郁症状严重程度均为负相关(P<0.05),病耻感程度与抑郁症状严重程度为正相关(P<0.05);中介效应检验显示,ED患者的自我接纳在患者病耻感与抑郁症状严重程度间起部分中介作用,占总效应的 14.95%.结论:ED患者病耻感通过自我接纳的中介作用影响抑郁症状严重程度.
The Mediating Effect of Self Acceptance between Stigma and Depressive Symptoms in Patients with Erectile Dysfunction
Objective:To explore the mediating effect of self acceptance between stigma and depressive symptoms in patients with erectile dysfunction(ED).Method:A total of 76 patients with ED treated in Ganzhou People's Hospital from January to December 2022 were selected as the study objects according to convenience sampling method,80 healthy subjects were selected as the healthy group.The general information questionnaire,self acceptance questionnaire(SAQ),social impact scale(SIS)and patient health questionnaire-9(PHQ-9)were used to investigate and evaluate the degree of self acceptance,stigma and depressive symptoms of the subjects.Hierarchical regression method was used to analyze and examine the relationship and mediating effect between self acceptance,stigma and the degree of depressive symptoms.Result:The total score of SAQ,SIS and PHQ-9 in ED patients respectively was(37.04±6.50)scores,(56.04±6.56)scores and(8.53±2.98)scores.The total score of SAQ in ED group was significantly lower than those in healthy group,and the total score of SIS and PHQ-9 in ED group were significantly higher than those in healthy group,the differences were statistically significant(P<0.05).Pearson test showed that the degree of self acceptance was negatively correlated with the degree of stigma and the severity of depressive symptoms in ED patients(P<0.05),and the degree of stigma was positively correlated with the severity of depressive symptoms(P<0.05).The mediating effect test showed that the self acceptance of ED patients played a partial mediating effect in the relationship between stigma and the severity of depressive symptoms,accounting for 14.95%of the total effect.Conclusion:The stigma of ED patients influences the severity of depressive symptoms through the mediating effect of self acceptance.

Erectile dysfunctionSelf acceptanceStigmaDepressionMediating effect

廖晓红、吴金华、曾秋萍、何燕妃、汪林芳

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赣州市人民医院男性医学科 江西 赣州 341000

勃起功能障碍 自我接纳 病耻感 抑郁 中介作用

江西省中医药局科技项目

2022B620

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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