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城市空巢老人心理健康的归因研究:应对方式及心理健康自助能力的中介效应
  • ISSN号:1007-9572
  • 期刊名称:《中国全科医学》
  • 时间:0
  • 分类:R395.6[医药卫生—医学心理学;哲学宗教—心理学;医药卫生—基础医学]
  • 作者机构:[1]湖州师范学院医学院·护理学院,浙江省湖州市313000, [2]内蒙古赤峰市松山区振兴街道办事处,024005, [3]哈尔滨医科大学大庆校区护理学院,黑龙江省大庆市163319
  • 相关基金:国家社会科学基金项目(13CRK009)
中文摘要:

背景空巢老人心理健康受诸多因素影响,但少有研究从整体归因出发,将多个发挥作用的心理学变量同时纳入影响体系、探讨各因素间的作用路径。目的探讨应对方式、心理健康自助能力在城市空巢老人心理健康归因中的作用机制。方法于2014年1月—2015年9月,采用多阶段抽样的方法选取内蒙古赤峰地区的空巢老人。采用艾森克人格问卷简式量表中国版、简易应对方式问卷(SCSQ)、空巢老人心理健康自助能力量表及中国心理健康量表(老年版)进行调查,共发放问卷365份,回收有效问卷350份,问卷有效回收率为95.89%。构建结构方程模型分析影响空巢老人心理健康的变量间的内在关系和传递机制;采用Mackinnon PRODCLIN2技术对中介效果进行验证。结果人格特征对空巢老人心理健康的影响符合部分中介模型[卡方/自由度(χ~2/df)=1.971、适配度指数(GFI)=0.955、调整后适配度指数(AGFI)=0.911、渐进残差均方和平方根(RMSEA)=0.068]。人格特征(内外倾)对城市空巢老人心理健康的间接效果,即积极应对、心理健康自助行为能力的中介效应显著(Z=5.675,P〈0.01)。在模型总间接效果显著的基础上,分别对各个中介变量的间接效果进行检定,结果显示两变量Mackinnon PRODCLIN295%CI分别为(0.127,0.364)、(0.168,0.471),可以认定两中介变量的单独间接效果均显著。人格特征(神经质)对城市空巢老人心理健康的间接效果,即积极应对、心理健康自助行为能力的中介效应显著(Z=-5.353,P〈0.01)。在模型总间接效果显著的基础上,分别对各个中介变量的间接效果进行检定,结果显示两变量Mackinnon PRODCLIN2 95%CI分别为(0.127,0.203)、(0.186,0.492),可以认定两中介变量的单独间接效果均显著。结论积极应对、心理健康自助行为能力在人格特征对空巢老人心理健康影响中的中介效应显?

英文摘要:

Background Many variables are associated with the mental health of empty-nesters.However,few studies have brought multiple associated variables of the mental health into the influential system at the same time,and investigated the ways by which they interacting each other.Objective To explore the mechanism of copy styles and self-help capabilities on the factors affecting the mental health of empty-nesters.Methods From January 2014 to September 2015,by multi-stage sampling,365 empty-nesters living in the urban area of Chifeng,Inner Mongolia Autonomous Region were selected and surveyed by the Chinese version of EPQ-RSC,SCSQ,Self-help Capabilities for Mental Health in the Empty-nesters Scale and Chinese Mental Health Scale(aged).Three hundred and fifty(95.89%) of them effectively responding to the survey were selected as the final participants of this study.The structural equation modeling was developed and used to analyze the internal relations and transmission mechanisms between the factors associated with the mental health of urban empty-nesters.PRODCLIN program 2 described by Mackinnon was used to verify the mediating effect of the factors.Results The effect of personality traits on the mental health partly fitted the mediation model (χ2/df=1.971,GFI=0.955,AGFI=0.911,RMSEA=0.068).Introversion and extroversion indirectly exerted obvious mediating effect by positively coping with and self-help management of the factors affecting the mental health (Z=5.675,P〈0.01).When the overall indirect effects in the SEM were substantial,the indirect effect of every variable was verified.Significant individual indirect effects between two variables were identified if their 95%CI respectively were (0.127,0.364),(0.168,0.471)analyzed by the PRODCLIN program 2 described by Mackinnon.Nervosity indirectly produced significant mediating effect by positively coping with and self-help management of the factors affecting the mental health (Z=-5.353,P〈0.01).The indirect effect of every variable was verif

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期刊信息
  • 《中国全科医学》
  • 北大核心期刊(2011版)
  • 主管单位:中华人民共和国国家卫生和计划生育委员会
  • 主办单位:中国医院协会 中国全科医学杂志社
  • 主编:韩建军
  • 地址:北京市西城区广义街5号广益大厦A座907
  • 邮编:100053
  • 邮箱:zgqkyx@chinagp.net.cn
  • 电话:010-63052088 83525550
  • 国际标准刊号:ISSN:1007-9572
  • 国内统一刊号:ISSN:13-1222/R
  • 邮发代号:80-258
  • 获奖情况:
  • 获2000-2001年度河北省优秀期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),波兰哥白尼索引,中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:91748