摘要
目的:探讨4种情绪调节策略(重新评价、表达抑制、反刍和正念)与不孕症患者抑郁和焦虑症状的相关性的相对大小,并检验性别对其关系的调节作用。方法:选取740名不孕症患者,采用病人健康问卷抑郁模块(PHQ-9)、广泛性焦虑量表(GAD-7)评估抑郁和焦虑症状,情绪调节量表(ERQ)、反刍思维量表(RRS)和简版正念能力量表(SIM-C)评估4种情绪调节策略。采用优势分析比较情绪调节策略与PHQ-9、GAD-7得分的相关大小。结果:优势分析显示,反刍、正念和重新评价分别解释抑郁症状56.0%、39.6%和4.4%的方差,解释焦虑症状73.1%、19.6%和7.3%的方差;回归分析显示,RRS得分与性别的交互作用与PHQ-9、GAD-7得分正向相关(β=0.06、0.10)。简单斜率检验表明,RRS得分与女性PHQ-9、GAD-7得分的相关程度(β=0.28、0.27)大于RRS得分与男性PHQ-9、GAD-7得分的相关程度(β=0.22、0.21)。结论:反刍是与不孕症患者抑郁和焦虑症状明显相关的因素。反刍对抑郁和焦虑症状的影响与性别有关,女性更强。
Objective:To examine the relative magnitude of the correlation between 4 emotion regulation strategies(cognitive reappraisal,expressive suppression,rumination and mindfulness)and depression and anxiety symptoms in infertile patients and the moderating role of gender in the relationship.Methods:Totally 740 infertile patients were recruited.The Patient Health Questionnaire-9(PHQ-9)and Generalized Anxiety Disorder-7(GAD-7)were used to evaluate depressive and anxiety symptoms,respectively.The Emotion Regulation Questionnaire(ERQ),Ruminative Responses Scale(RRS),and Short Inventory of Mindfulness Capability(SIM-C)were used to evaluate 4 emotion regulation strategies.Dominance analysis was used to compare the correlation between emotion regulation strategies andthe scores of PHQ-9 and GAD-7.Results:The dominance analysis showed that rumination,mindfulness and cognitive reappraisal could explain 56.0%,39.6%and 4.4%variance of depressive symptoms.Rumination,mindfulness and cognitive reappraisal could explain 73.1%,19.6%and 7.3%variance of anxiety symptoms.Regression analysis showed that the interaction between the RRS scores and gender was positively correlated thescores of PHQ-9 and GAD-7(β=0.06,0.10).The simple slope test showed that the correlations between the RRS scores and the scores of PHQ-9 and GAD-7 in females(β=0.28,0.27)were higher than that between the RRS scores and the scores of PHQ-9 and GAD-7 in males(β=0.22,0.21).Conclusion:Rumination is a significant factor associated with depression and anxiety in infertile patients.The effect of rumination on depression and anxiety symptoms is gender dependent,and the effect is stronger in females than in males.
作者
马丹丹
白彩锋
毛芳香
曹枫林
MA Dandan;BAI Caifeng;MAO Fangxiang;CAO Fenglin(School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;School of Nursing,Ningxia Medical University,Yinchuan 750004,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2023年第8期662-671,共10页
Chinese Mental Health Journal
基金
国家社科基金——“全面两孩”政策下女性围产期心理健康状况的发展轨迹、预测模型及干预研究(17BSH054)。
关键词
不孕症
情绪调节策略
抑郁
焦虑
优势分析
infertility
emotion regulation strategy
depression
anxiety
dominance analysis
