摘要
目的探究心理安全感在青少年抑郁障碍患者家庭抗逆力与自我效能感间的中介效应。方法纳入2024年10月—2025年5月百色市第二人民医院门诊及病房收治的225名青少年抑郁障碍患者为研究对象,采用一般资料调查问卷、一般自我效能感量表(GSES)、安全感量表(SQ)和中文版家族坚韧性量表(FHI)进行调查。采用SPSS 29.0软件和PROCESS 4.2宏程序进行单因素分析、相关分析和基于Bootstrap法的中介作用分析。结果青少年抑郁障碍患者心理安全感得分为(33.71±12.71)分,家庭抗逆力得分为(45.37±8.86)分,自我效能感得分为(1.78±0.58)分。Pearson相关分析表明,家庭抗逆力与自我效能感呈正相关(r=0.505),心理安全感与家庭抗逆力(r=0.394)和自我效能感(r=0.537)均呈正相关(均P<0.01)。Bootstrap检验结果显示,总效应值为0.333(95%CI=0.258~0.408),家庭抗逆力对自我效能感的直接效应显著(β=0.229,95%CI=0.155~0.303,P<0.001),心理安全感在青少年抑郁障碍患者家庭抗逆力与自我效能感间起部分中介效应(β=0.104,95%CI=0.043~0.183,P<0.001),中介效应占总效应的31.23%(0.104/0.333)。结论家庭抗逆力可通过心理安全感影响青少年抑郁障碍患者的自我效能感。
Objective To explore the mediating effect of psychological security between family resilience and self-efficacy in adolescents with depressive disorder.Methods A total of 225 adolescents with depressive disorder who were admitted as outpatients and inpatients to the Second People's Hospital of Baise from October 2024 to May 2025 were enrolled as the study subjects.General information questionnaire,general self-efficacy scale(GSES),security questionnaire(SQ),and the Chinese version of family hardiness index(FHI)were employed for data collection.Univariate analysis,correlation analysis,and Bootstrap-based mediating effect analysis were conducted using SPSS 29.0 software and the PROCESS 4.2 macro program.Results The scores of psychological security,family resilience and self-efficacy in adolescents with depressive disorders were(33.71±12.71),(45.37±8.86),and(1.78±0.58),respectively.Pearson correlation analysis revealed that family resilience was positively correlated with self-efficacy(r=0.505),and psychological security was positively correlated with both family resilience(r=0.394)and self-efficacy(r=0.537)(all P<0.01).Bootstrap analysis showed a total effect size of 0.333(95%CI=0.258-0.408),with family resilience significantly directly affecting self-efficacy(β=0.229,95%CI=0.155-0.303,P<0.001).Psychological security partially mediated the relationship between family resilience and self-efficacy(β=0.104,95%CI=0.043-0.183,P<0.001),accounting for 31.23%(0.104/0.333)of the total effect.Conclusion Family resilience can influence the self-efficacy of adolescents with depressive disorders through psychological security.
作者
汪龙玉
杨博文
贾毅卿
陈红
廖春霏
刘西芳
Wang Longyu;Yang Bowen;Jia Yiqing;Chen Hong;Liao Chunfei;Liu Xifang(Nursing School,Youjiang Medical University for Nationalities,Baise 533000,China;Glandular Surgery,Baise City People's Hospital,Baise 533000,China;Department of Psychology,the Second People's Hospital of Baise,Baise 533000,China)
出处
《中华行为医学与脑科学杂志》
北大核心
2026年第2期159-163,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
广西自然科学基金(2025GXNSFHA069157)
广西教育科学"十四五"规划课题(2025C553)
右江民族医学院高层次人才科研项目(yy2024rcsk005)。
关键词
抑郁障碍
心理安全感
自我效能感
家庭抗逆力
中介效应
青少年
Depressive disorder
Psychological security
Self-efficacy
Family resilience
Mediating effect
Adolescent
