摘要
目的:分析反刍性沉思在艾滋病患者心理痛苦与创伤后成长(PTG)间的中介效应。方法:选取2018年1月至2022年6月该院收治的130例艾滋病患者进行前瞻性研究。采用事件相关反刍性沉思量表(ERRI)、心理痛苦温度计(DT)、创伤后成长评定量表(PTGI)评估艾滋病患者反刍性沉思、心理痛苦PTG评分,并分析反刍性沉思在艾滋病患者心理痛苦与PTG间的中介效应。结果:共发放ERRI、DT及PTGI问卷各130份,最终回收115份有效问卷。115例艾滋病患者目的性/侵入性反刍性沉思平均评分分别为(16.85±3.64)分、(19.21±3.91)分,DT平均评分为(5.62±1.86)分,PTGI平均评分为(61.25±6.72)分。经Pearson相关性分析结果显示,目的性反刍性沉思评分与DT评分呈负相关(r<0,P<0.05),与PTGI评分呈正相关(r>0,P<0.05);侵入性反刍性沉思评分与DT评分呈正相关(r>0,P<0.05),与PTGI评分呈负相关(r<0,P<0.05);DT评分与PTGI评分呈负相关(r<0,P<0.05);方程Y=cX+e1的回归效应显著(c=-2.146,P<0.05);目的性:方程M=AX+e2的回归效应显著(A=-0.528,P<0.05);侵入性:方程M=AX+e2的回归效应显著(A=1.137,P<0.05);经中介效应检验,目的性反刍性沉思、侵入性反刍性沉思在艾滋病患者心理痛苦与PTG间呈部分中介效应。结论:反刍性沉思在艾滋病患者心理痛苦与PTG间可发挥部分中介效应。
Objective:To analyze mediating effects of ruminant contemplation between psychological distress and posttraumatic growth(PTG)in AIDS patients.Methods:A prospective study was conducted on 130 AIDS patients admitted to the hospital from January 2018 to June 2022.The event-related rumination inventory(ERRI),the distress thermometer(DT)and the posttraumatic growth inventory(PTGI)were used to evaluate the levels of ruminant contemplation,psychological distress and PTG in the AIDS patients.The mediating effects of ruminant contemplation between psychological distress and PTG in the AIDS patients were analyzed.Results:In this study,130 ERRI,130 DT and 130 PTGI questionnaires were distributed,and 115 valid questionnaires were finally recovered.The average scores of deliberate/invasive ruminant contemplation in the 115 AIDS patients were(16.85±3.64)and(19.21±3.91),respectively.The average score of DT was(5.62±1.86),and the average score of PTGI was(61.25±6.72).Pearson correlation analysis showed that the score of deliberate ruminant contemplation was negatively correlated with the DT score(r<0,P<0.05),positively correlated with the PTGI score(r>0,P<0.05),and negatively correlated with PTGI score(r<0,P<0.05).The score of invasive rumination meditation was positively correlated with the DT score(r>0,P<0.05),and negatively correlated with the PTGI score(r<0,P<0.05);There was a negative correlation between the DT score and the PTGI score(r<0,P<0.05).The regression effect of equation Y=cX+e1 was significant(c=-2.146,P<0.05).Deliberation:The regression effect of equation M=AX+e2 was significant(A=-0.528,P<0.05);Invasiveness:The regression effect of equation M=AX+e2 was significant(A=1.137,P<0.05).The mediating effect test showed that deliberate ruminant meditation and invasive ruminant meditation had a partial mediating effect between psychological pain and PTG of the AIDS patients.Conclusions:Ruminant contemplation can play a partial mediating effect between psychological distress and PTG of the AIDS patients.
作者
陈东丽
CHEN Dongli(Department of Infection of Shangqiu Third People’s Hospital,Shangqiu 476000 Henan,China)
出处
《中国民康医学》
2023年第22期146-149,共4页
Medical Journal of Chinese People’s Health
关键词
艾滋病
反刍性沉思
心理痛苦
创伤后成长
中介效应
AIDS
Ruminant contemplation
Psychological distress
Posttraumatic growth
Mediating effect
