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| Mediating effect of coping style and self-concealment on the relationship between type D personality on social isolation among elderly patients with coronary heart disease |
| LIU Mengqi1, HE Pingping2, WANG Ping3, TIAN Dandan1, LIU Yating1, ZHANG yingqun1 |
1. School of Nursing, University of South China, Hengyang 421000;
2. School of Medicine, Hunan Normal University, Changsha 410013;
3. Wuling District Center for Disease Prevention and Control, Changde 415000 |
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Abstract Objective To explore the relationship between type D personality, social isolation, coping style and self-concealment among elderly patients with coronary heart disease. Methods A total of 322 elderly patients with coronary heart disease in three grade A tertiary general hospital in Hunan were selected as subjects. Patient were surveyed using the General Alienation Scale (GAS), the Type D personality scale (DS-14), the Medical Coping Modes Questionnaire (MCMQ) and the Self‐Concealment Scale (SCS). Results The sample scored (39.69±11.20) on social isolation, (24.17±9.49) on type D personality, (15.76±5.81) on confrontation coping, (16.02±6.42) on avoidance coping, (10.74±3.81) on submission coping and (34.80±10.26) on self-concealment. There was positively correlation between social isolation, type D personality, avoidance coping, submission coping and self-concealment, while confrontation coping was negatively correlated with any of the other variables. The results of the mediating test showed that the type D personality in elderly patients with coronary heart disease directly and positively predict the social isolation, and indirectly affect separately through confrontation coping, avoidance coping, submission coping as well as self-concealment. Social isolation also could indirectly influenced type D personality through the chain mediating effect of avoidance coping and self-concealment. The total mediating effect accounted for 60.67% of the total effect. Conclusion Social isolation in elderly patients with coronary heart disease was in moderately high levels. Coping style and self-concealment play a partial mediating role between type D personality and social isolation. Medical staffs can improve the level of social isolation in elderly patients with coronary heart disease through the perspectives of changing patients' type D personality, guiding patients to adopt positive coping styles, and reducing patients' self-concealment.
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Received: 02 October 2023
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| Cite this article: |
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LIU Mengqi,HE Pingping,WANG Ping等. Mediating effect of coping style and self-concealment on the relationship between type D personality on social isolation among elderly patients with coronary heart disease[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(6): 157-162.
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| URL: |
| http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2023/V20/I6/157 |
[1] 中国心血管健康与疾病报告2021概要[J]. 中国循环杂志, 2022, 37(06): 553-578.
[2] BIORDI D.Social lsolation[M]. Boston: MA: Jones and Bartlett, 2005.
[3] CENÉ C W, BECKIE T M, SIMS M, et al.Effects of Objective and Perceived Social Isolation on Cardiovascular and Brain Health: A Scientific Statement From the American Heart Association[J]. J Am Heart Assoc, 2022, 11(16): e026493.
[4] LIANG Y Y, CHEN Y, FENG H, et al.Association of Social Isolation and Loneliness With Incident Heart Failure in a Population-Based Cohort Study[J]. JACC Heart Fail, 2023, 11(3): 334-344.
[5] TORGERSEN K S, SVERRE E C B, Weedon-Fekjær H, et al. Risk of recurrent cardiovascular events in coronary artery disease patients with Type D personality[J]. Front Psychol, 2023, 14: 1119146.
[6] LEE E H, LEE Y W, CHAE D, et al.Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation[J]. Nurs Open, 2023, 10(5): 3347-3355.
[7] 姜乾金, 黄丽, 卢抗生, 等. 心理应激: 应对的分类与心身健康[J]. 中国心理卫生杂志, 1993(04): 145-147+190.
[8] LV H, TAO H, WANG Y, et al.Impact of type D personality on major adverse cardiac events in patients undergoing percutaneous coronary intervention: The mediating role of cognitive appraisal and coping style[J]. J Psychosom Res, 2020, 136: 110192.
[9] CHEN L, ALSTON M, GUO W.The influence of social support on loneliness and depression among older elderly people in China: Coping styles as mediators[J]. J Community Psychol, 2019, 47(5): 1235-1245.
[10] 余苗梓, 李董平, 王才康, 等. 大学生孤独感与自我隐瞒、自我表露、应对方式和社会支持的关系[J]. 中国心理卫生杂志, 2007(11): 747-750+794.
[11] 陈冬冬, 康婵娟, 郑好, 等. 烧伤康复期病人自我隐瞒现状及其影响因素研究[J]. 护理研究, 2022, 36(04): 630-634.
[12] 葛均波, 徐永健, 王辰. 内科学(第9版)[M]. 北京: 人民卫生出版社, 2018: 280-310.
[13] 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(04): 378-380.
[14] 吴明隆. 结构方程模型: AMOS的操作与应用 (第2版) [M]. 重庆: 重庆大学出版社, 2010: 52-53.
[15] JESSOR R, JESSOR L.Problem behavior and psychosocial devel opment: a longitudinal study of youth[M]. New York: Academic Press, 1977.
[16] 吴霜, 李彦章, 赵小淋, 等. 一般疏离感量表在老年人中的信度和效度分析[J]. 成都医学院学报, 2015: 751-754.
[17] DENOLLET J.DS14: standard assessment of negative affectivity, social inhibition, and Type D personality[J]. Psychosom Med, 2005, 67(1): 89-97.
[18] 于肖楠, 张建新. D型人格量表(DS14) 在中国两所大学生样本中的试用[J]. 中国心理卫生杂志, 2006(05): 313-316.
[19] FEUFEL H, STRACK S, NAGY V T.Coping strategies and associated features of medically ill patients[J]. Psychosomatic medicine, 1987, 49(6).
[20] 沈晓红, 姜乾金. 医学应对方式问卷中文版701例测试报告[J]. 中国行为医学科学, 2000(01): 22-24.
[21] 王才康. 中学生自我隐瞒倾向: 因素结构与发展特点[J]. 应用心理学, 2002(02): 15-17+7.
[22] 臧玉洁, 吴娜, 高星星, 等. 老年冠心病行冠脉搭桥术后患者社会疏离现状及影响因素[J]. 河南医学研究, 2022, 31(23): 4275-4278.
[23] 罗秋湖, 陈务贤, 王灿, 等. D型人格对住院冠心病病人睡眠质量的影响[J]. 护理研究, 2022: 2058-2060.
[24] MASAFI S, SAADAT S H, TEHRANCHI K, et al.Effect of Stress, Depression and Type D Personality on Immune System in the Incidence of Coronary Artery Disease[J]. Open Access Maced J Med Sci, 2018, 6(8): 1533-1544.
[25] LEU H B, YIN W H, TSENG W K, et al.Impact of type D personality on clinical outcomes in Asian patients with stable coronary artery disease[J]. J Formos Med Assoc, 2019, 118(3): 721-729.
[26] 邢洋. 中青年冠心病患者PCI术后健康促进生活方式现状及其影响因素[D]. 唐山: 华北理工大学, 2022.
[27] 许丽娴, 陈诗琪, 刘思文, 等.2型糖尿病患者自我隐瞒及影响因素研究[J]. 中华护理教育, 2020, 17(10): 932-936.
[28] 郝丽敏, 韩文萍, 韩慧琴, 等. 卵巢癌术后化疗病人社会疏离现状及影响因素研究[J]. 护理研究, 2023, 37(10): 1713-1718.
[29] 姜乾金. 医学心理学[M]. 北京: 人民卫生出版社, 2002.
[30] PEDERSEN S S, DENOLLET J.Validity of the Type D personality construct in Danish post-MI patients and healthy controls[J]. J Psychosom Res, 2004, 57(3): 265-272.
[31] 杨蕾, 尤瑾. 在自我调节的视角下看人格特质的发展和改变[J]. 中国临床心理学杂志, 2018, 26(04): 814-820.
[32] 王硕, 刘培培, 吕利明. 乳腺癌患者社会疏离现状及其影响因素的研究[J]. 解放军护理杂志, 2020, 37(12): 5-9.
[33] 王艳, 杨富国, 王淑云, 等. 自我隐瞒和自尊在结肠造口患者病耻感与社交回避及苦恼间的中介效应[J]. 护理学杂志, 2017, 32(12): 76-78.
[34] NILES A N, BYRNE HALTOM K E, LIEBERMAN M D, et al. Writing content predicts benefit from written expressive disclosure: Evidence for repeated exposure and self-affirmation[J]. Cogn Emot, 2016, 30(2): 258-274.
[35] MARIAM S, ISHU K, KATHERINE W, et al.A systematic review of the evidence on peer education programmes for promoting the sexual and reproductive health of young people in India[J]. Sex Reprod Health Matters, 2020, 28(1): 1741494.
[36] WEN M, LIANG Y, SHEN Q, et al.Effects of Teaching Resourcefulness in Patients with Coronary Heart Disease[J]. West J Nurs Res, 2022, 44(9): 874-885. |
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2023, Vol. 20 
