心理资本在不孕不育夫妇中男性正念与心理困扰间的中介作用
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摘要
目的了解不孕不育夫妇中男性的心理困扰状况,分析正念、心理资本与心理困扰的关系,并探讨心理资本在正念和心理困扰之间的中介作用。方法采用方便抽样的方法选取山东省某三甲医院生殖中心的不孕不育夫妇中的男性300名为被试,使用正念注意觉知量表(MAAS)、积极心理资本问卷(PPQ)、Kessler10量表(K10)进行测查,采用Bootstrap进行中介效应检验。结果不孕不育夫妇中男性的K10平均得分为(20. 20±6. 70),其中73. 3%的男性存在心理困扰。分层回归分析表明,控制了单变量分析中有意义的人口社会学变量后,不孕不育夫妇中男性的K10得分与正念(β=-0. 341,P <0. 001)及心理资本(β=-0. 326,P <0. 001)的得分均呈负相关,其中心理资本在正念与心理困扰间起部分中介作用。Bootstrap检验结果显示,中介效应显著。结论不孕不育夫妇中男性的心理困扰发生率较高,关注个体正念、心理资本可能是改善心理困扰的一个有效途径。
Objective To evaluate the level of psychological distress among men in infertile couples,analyze the relationship among mindfulness,psychological capital and psychological distress,and investigate the mediating effect of psychological capital on mindfulness and psychological distress. Methods A total of 300 men in infertile couples were surveyed with Mindful Attention Awareness Scale( MAAS),Positive Psychological Capital Questionnaire( PPQ) and 10-item Kessler Psychological Distress Scale( K10). The mediating effect of psychological capital was tested with Bootstrap. Results The mean score of K10 was( 20. 20 ± 6. 70),and 73. 3% of the subjects had psychological distress. Hierarchical regression analysis revealed that the K10 scores were negatively correlated with the scores of MAAS( β =-0. 341,P < 0.001) and PPQ( β =-0. 326,P < 0. 001) after significant demographic variables were controlled,and psychological capital had a mediating effect on the correlation between mindfulness and psychological distress. Bootstrap test indicated that the mediating effect was significant. Conclusion The incidence of psychological distress is high among men in infertile couples. Focus on individual mindfulness and psychological capital may be an effective way to improve psychological distress.
Objective To evaluate the level of psychological distress among men in infertile couples,analyze the relationship among mindfulness,psychological capital and psychological distress,and investigate the mediating effect of psychological capital on mindfulness and psychological distress. Methods A total of 300 men in infertile couples were surveyed with Mindful Attention Awareness Scale( MAAS),Positive Psychological Capital Questionnaire( PPQ) and 10-item Kessler Psychological Distress Scale( K10). The mediating effect of psychological capital was tested with Bootstrap. Results The mean score of K10 was( 20. 20 ± 6. 70),and 73. 3% of the subjects had psychological distress. Hierarchical regression analysis revealed that the K10 scores were negatively correlated with the scores of MAAS( β =-0. 341,P < 0.001) and PPQ( β =-0. 326,P < 0. 001) after significant demographic variables were controlled,and psychological capital had a mediating effect on the correlation between mindfulness and psychological distress. Bootstrap test indicated that the mediating effect was significant. Conclusion The incidence of psychological distress is high among men in infertile couples. Focus on individual mindfulness and psychological capital may be an effective way to improve psychological distress.
引文
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[18]Luthans F,Avolio BJ,Avey JB,et al. Positive psychologicalcapital:measurement and relationship with performance andsatisfaction[J]. Personnel Psychology,2007,60(3):541-572.
[19]周成超,楚洁,王婷,等.简易心理状况评定量表Kessler10中文版的信度和效度评价[J].中国临床心理学杂志,2008,16(6):627-629.ZHOU Chengchao,CHU Jie,WANG Ting,et al. Relia-bility and validity of 10-item Kessler Scale(K10)chineseversion in evaluation of mental health status of Chinesepopulation[J]. Chinese Journal of Clinical Psychology,2008,16(6):627-629.
[20]Slade T,Grove R,Burgess P. Kessler psychological dis-tress scale:normative data from the 2007 Australian na-tional survey of mental health and wellbeing[J]. Aust NZ J Psychiatry,2011,45(4):308-316.
[21]温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.WEN Zhonglin,YE Baojuan. Mediating effect analysis:method and model development[J]. Advances in Psycho-logical Science,2014,22(5):731-745.
[22]甘怡群.中介效应研究的新趋势———研究设计和数据统计方法[J].中国心理卫生杂志,2014,28(8):584-585.GAN Yiqun. New trends in mediating effect research———research design and data statistics methods[J]. ChineseMental Health Journal,2014,28(8):584-585.
[23]康晓菲,方跃艳,赵迪,等.不孕女性患者知觉压力在正念水平与心理困扰间的中介作用[J].山东大学学报(医学版),2017,55(9):105-109.KANG Xiaofei,FANG Yueyan,ZHAO Di,et al. Media-ting role of perceived stress on the relationship betweenmindfulness level and psychological distress among infer-tile women[J]. Journal of Shandong University(HealthSciences),2017,55(9):105-109.
[24]蔡占魁.男性青年军人性自慰态度与心理健康关系的初步探讨[D].上海:第二军医大学,2012.
[25]Rayan A,Ahmad M. Psychological distress in jordanianparents of children with autism spectrum disorder:Therole of trait mindfulness[J]. Perspect Psychiatr Care,2018,54(1):11-18.
[2]Van den Broeck U,D'Hooghe T,Enzlin P,et al. Predictorsof psychological distress in patients starting IVF treatment:infertility-specific versus general psychological characteris-tics[J]. Hum Reprod,2010,25(6):1471-1480.
[3]Gana K,Jakubowska S. Relationship between infertility-re-lated stress and emotional distress and marital satisfaction[J]. J Health Psychol,2016,21(6):1043-1054.
[4]周飞京,董悦芝.初诊不孕不育夫妇中男性的性压力现况调查[J].中华护理杂志,2016,51(4):499-501.ZHOU Feijing,DONG Yuezhi. Sexual stress of men in pre-liminary diagnostic infertile couples[J]. Chinese Journal ofNursing,2016,51(4):499-501.
[5]孔令华.不孕不育夫妇情绪困扰及其影响因素的二元交互模型构建[D].济南:山东大学,2017.
[6]徐慰,符仲芳,王玉正,等.日常生活中压力对愤怒情绪的动态影响:特质正念的调节作用[J].中国临床心理学杂志,2017,25(3):485-488.XU Wei,FU Zhongfang,WANG Yuzheng,et al. Impact ofdaily stress on daily anger:moderating role of dispositionalmindfulness[J]. Chinese Journal of Clinical Psychology,2017,25(3):485-488.
[7]Harnett PH,Reid N,Loxton NJ,et al. The relationship be-tween trait mindfulness,personality and psychological dis-tress:a revised reinforcement sensitivity theory perspective[J]. Personality&Individual Differences,2016,99:100-105. doi:10. 1016/j. paid. 2016. 04. 085.
[8]Chambers SK,Foley E,Clutton S,et al. The role of mind-fulness in distress and quality of life for men with advancedprostate cancer[J]. Qual Life Res,2016,25(12):3027-3035.
[9]Luthans F,Youssef CM,Avolio BJ. Introduction to psy-chological capital[M]. London:Oxford University Press,2007:107-108.
[10]Roche M,Haar JM,Luthans F. The role of mindfulnessand psychological capital on the well-being of leaders[J].J Occup Health Psychol,2014,19(4):476-489.
[11]May Barry K,Woods M,Martin A,et al. A randomizedcontrolled trial of the effects of mindfulness practice ondoctoral candidate psychological status[J]. Journal of A-merican College Health, 2018:1-9. doi:10. 1080/07448481. 2018. 1515760.
[12]徐远超.正念训练:大学生心理资本水平提升实证研究[J].长沙大学学报,2017,31(6):132-136.XU Yuanchao. Mindfulness training:empirical researchon improvement of college students'psychological capital[J]. Journal of Changsha University,2017,31(6):132-136.
[13]Zhou H,Peng J,Wang D,et al. Mediating effect of cop-ing styles on the association between psychological capitaland psychological distress among Chinese nurses:a cross-sectional study[J]. J Psychiatr Ment Health Nurs,2017,24(2-3):114-122.
[14]钟耕坤,卢庆华,邹桂元,等.精神科护士组织支持与心理困扰关系:心理资本的中介作用[J].中国护理管理,2018,18(1):68-72.ZHONG Gengkun,LU Qinghua,ZOU Guiyuan,et al.The mediating effect of psychological capital for psycholog-ical distress and perceived organizational support amongpsychiatric nurses[J]. Chinese Nursing Management,2018,18(1):68-72.
[15]陈思佚,崔红,周仁来,等.正念注意觉知量表(MAAS)的修订及信效度检验[J].中国临床心理学杂志,2012,20(2):148-151.CHEN Siyi,CUI Hong,ZHOU Renlai,et al. Revision ofmindful attention awareness scale(MAAS)[J]. ChineseJournal of Clinical Psychology,2012,20(2):148-151.
[16] Brown KW,Ryan RM. The benefits of being present:mindfulness and its role in psychological well-being[J].J Pers Soc Psychol,2003,84(4):822-848.
[17]张阔,张赛,董颖红.积极心理资本:测量及其与心理健康的关系[J].心理与行为研究,2010,8(1):58-64.ZHANG Kuo,ZHANG Sai,DONG Yinghong. Positivepsychological capital:measurement and relationship withmental health[J]. Studies of Psychology and Behavior,2010,8(1):58-64.
[18]Luthans F,Avolio BJ,Avey JB,et al. Positive psychologicalcapital:measurement and relationship with performance andsatisfaction[J]. Personnel Psychology,2007,60(3):541-572.
[19]周成超,楚洁,王婷,等.简易心理状况评定量表Kessler10中文版的信度和效度评价[J].中国临床心理学杂志,2008,16(6):627-629.ZHOU Chengchao,CHU Jie,WANG Ting,et al. Relia-bility and validity of 10-item Kessler Scale(K10)chineseversion in evaluation of mental health status of Chinesepopulation[J]. Chinese Journal of Clinical Psychology,2008,16(6):627-629.
[20]Slade T,Grove R,Burgess P. Kessler psychological dis-tress scale:normative data from the 2007 Australian na-tional survey of mental health and wellbeing[J]. Aust NZ J Psychiatry,2011,45(4):308-316.
[21]温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.WEN Zhonglin,YE Baojuan. Mediating effect analysis:method and model development[J]. Advances in Psycho-logical Science,2014,22(5):731-745.
[22]甘怡群.中介效应研究的新趋势———研究设计和数据统计方法[J].中国心理卫生杂志,2014,28(8):584-585.GAN Yiqun. New trends in mediating effect research———research design and data statistics methods[J]. ChineseMental Health Journal,2014,28(8):584-585.
[23]康晓菲,方跃艳,赵迪,等.不孕女性患者知觉压力在正念水平与心理困扰间的中介作用[J].山东大学学报(医学版),2017,55(9):105-109.KANG Xiaofei,FANG Yueyan,ZHAO Di,et al. Media-ting role of perceived stress on the relationship betweenmindfulness level and psychological distress among infer-tile women[J]. Journal of Shandong University(HealthSciences),2017,55(9):105-109.
[24]蔡占魁.男性青年军人性自慰态度与心理健康关系的初步探讨[D].上海:第二军医大学,2012.
[25]Rayan A,Ahmad M. Psychological distress in jordanianparents of children with autism spectrum disorder:Therole of trait mindfulness[J]. Perspect Psychiatr Care,2018,54(1):11-18.