心理复原力在社区老年慢性病患者抑郁与领悟社会支持间的中介效应

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摘要 目的：了解社区老年慢性病患者抑郁现状,探讨心理复原力在领悟社会支持与抑郁之间的中介效应。方法：采用便利抽样法和简单随机抽样法,通过一般资料调查表、Zung抑郁自评量表、领悟社会支持量表、心理复原力量表对社区276名老年慢性病患者进行调查,应用SPSS 25.0分析数据、AMOS 24.0构建结构方程模型并检验中介效应。结果：社区老年慢性病患者抑郁、领悟社会支持、心理复原力总分依次为（37.05±7.18）分、（57.78±12.09）分、（51.35±8.51）分;抑郁与领悟社会支持、心理复原力均呈显著负相关;多重线性回归结果表明自理能力、居住方式、疾病急性加重次数、领悟社会支持、心理复原力是抑郁的重要影响因素;心理复原力在领悟社会支持与抑郁之间发挥部分中介作用,中介贡献率为48.59%。结论：社区老年慢性病患者抑郁状况不容乐观,心理复原力在领悟社会支持与抑郁之间发挥中介作用。

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	文静
	刘莉娟
	吴樱
	黄文卓
	王卫红
	丛丽

关键词 ：慢性病, 抑郁, 老年人, 领悟社会支持, 心理复原力

Abstract：Objective To investigate the status of depression in older adults with chronic diseases in community and explore the mediating effect of resilience between depression and perceived social support. Methods Convenience sampling and simple random sampling were used to investigate 276 older adults with chronic diseases in community by socio-demographic characteristics questionnaire, Zung self-rating depression scale, perceived social support scale and Connor-Davidson resilience scale. SPSS 25.0 was used to analyze the data and AMOS 24.0 was used to construct the structural equation model and test the mediation effect. Results The total scores of depression, perceived social support and resilience were (37.05±7.18), (57.78±12.09) and (51.35±8.51), respectively. Depression was negatively correlated with perceived social support and resilience scores. Multiple linear regression results showed that self-care ability, living style, times of acute exacerbations, perceived social support and resilience were important factors affecting depression. Resilience played a partial mediating role between perceived social support and depression, with a mediating contribution rate of 48.59%. Conclusion The level of depression in older adults with chronic diseases in community is not optimistic. Resilience plays an intermediary role in perceived social support and depression.

收稿日期: 2023-01-05

中图分类号:

R473

基金资助:湖南师范大学医学院开放基金项目（KF2021039）

通讯作者: 丛丽,E-mail：congli@hunnu.edu.cn

引用本文:

文静, 刘莉娟, 吴樱, 黄文卓, 王卫红, 丛丽. 心理复原力在社区老年慢性病患者抑郁与领悟社会支持间的中介效应[J]. journal1, 2023, 20(2): 163-169. WEN Jing, LIU Lijuan, WU Ying, HUANG Wenzhuo, WANG Weihong, CONG Li. The mediating effect of resilience between perceived social support and depression among the older adults with chronic diseases in community. journal1, 2023, 20(2): 163-169.

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http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2023/V20/I2/163

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