社区空巢老人领悟社会支持和心理韧性及自尊状况调查及其关系分析
详细信息    查看全文 | 推荐本文 |
  • 英文篇名:Survey and Relationship Analysis of Perceived Social Support,Psychological Resilience and Self Esteem in Community-dwelling Empty Nesters
  • 作者:张少波 ; 孔艳玲
  • 英文作者:ZHANG Shaobo;KONG Yanling;Hospital of Qufu Normal University;
  • 关键词:老年人 ; 社会支持 ; 心理韧性 ; 自尊 ; 社区卫生服务
  • 英文关键词:Aged;;Social support;;Psychological toughness;;Self-esteem;;Community health services
  • 中文刊名:QKYX
  • 英文刊名:Chinese General Practice
  • 机构:曲阜师范大学医院;
  • 出版日期:2019-02-15
  • 出版单位:中国全科医学
  • 年:2019
  • 期:v.22;No.596
  • 语种:中文;
  • 页:QKYX201905023
  • 页数:6
  • CN:05
  • ISSN:13-1222/R
  • 分类号:88-93
摘要
背景随着我国人口结构的变化、现代化发展的加快,社区空巢老人问题日益严峻。调查显示,空巢老人生活质量低,存在严重的心理问题,如何改善社区空巢老人的心理问题,提高其生活质量是今后研究的重点。目的调查社区空巢老人领悟社会支持、心理韧性及自尊状况,探讨领悟社会支持、心理韧性及自尊之间的关系。方法选取2016年12月在曲阜市曲阜师范大学教工社区居住的空巢老人及非空巢老人。采用一般情况调查表、领悟社会支持量表(PSSS)、心理韧性量表(CD-RISC)、Rosenberg自尊量表(RSES)对其进行调查。采用AMOS 20.0建立结构方程模型,采用中介效应分析程序分析领悟社会支持的中介效应。结果共发放问卷434份,回收434份,有效问卷400份,问卷有效回收率为92.2%,其中200名空巢老人,200名非空巢老人。空巢老人PSSS、CD-RISC、RSES评分分别为(56.5±5.3)、(86.5±8.4)、(27.3±2.4)分,低于非空巢老人的(63.8±6.1)、(91.6±9.1)、(32.4±3.2)分(t=12.65、5.86、11.37,P<0.001)。Pearson相关分析结果显示,PSSS与CD-RISC评分呈正相关(r=0.568,P<0.01),PSSS与RSES评分呈正相关(r=0.637,P<0.01),CD-RISC与RSES评分呈正相关(r=0.625,P<0.01)。中介效应分析显示,领悟社会支持在心理韧性与自尊之间的中介效应为0.335,Bootstrap检验显示,领悟社会支持作为中介效应的95%置信区间为(0.277,0.393)。结论社区空巢老人领悟社会支持、心理韧性及自尊状况不佳,领悟社会支持在心理韧性与自尊之间具有较强的中介作用,可通过提高领悟社会支持达到增强社区空巢老人自尊水平的目的。
        Background With the change of population structure and the acceleration of modernization in China, the problem of empty nesters in community is becoming more and more serious. Previous survey studies show that empty nesters have low quality of life and serious psychological problems. How to improve the psychological problems of empty nesters in community and improve their quality of life is the focus of future research.Objective To evaluate the correlations of perceived social support,psychological resilience and self-esteem in empty nesters on the basis of a survey.Methods Empty nesters and non-empty nesters from Faculty Community of Qufu Normal University in Qufu City were recruited in December 2016.Demographic characteristics,levels of social support,psychological resilience and self-esteem were collected by a survey with the Demographic Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and Rosenberg Self Esteem Scale(RSES).Structural equation model was established by AMOS 20.0.And mediation analysis was used to analyze the mediation effect of perceived social support.Results Of the 434 recruited individuals,400(including 200 empty nesters and 200 non-empty nesters) responded to the study questionnaires,achieving a response rate of 92.2%.Empty nesters demonstrated lower mean scores of PSSS [(56.5±5.3) vs(63.8±6.1)](t=12.65,P<0.001),CD-RISC [(86.5±8.4) vs(91.6±9.1)](t=5.86,P<0.001),and RSES [(27.3±2.4) vs(32.4±3.2)](t=11.37,P<0.001) compared with non-empty nesters.Pearson correlation analysis showed that PSSS was positively correlated with CD-RISC score(r=0.568,P<0.01),PSSS was positively correlated with RSES score(r=0.637,P<0.01),CD-RISC was positively correlated with RSES score(r=0.625,P<0.01).Mediation analysis revealed that the effect size of perceived social support between psychological resilience and self-esteem was 0.335,with a 95%CI(0.277,0.393) found by the Bootstrapping.Conclusion Empty nesters have poor levels of perceived social support,psychological resilience and self-esteem.Perceived social support exerts a strong mediating effect on the relationship between psychological resilience and self-esteem.Therefore,the self-esteem of this population can be enhanced by raising the perceived social support.
引文
[1]王丽娜,周郁秋,李秀君,等.城乡空巢老人希望水平与主观幸福感的关系研究[J].中华护理杂志,2015,50(7):785-789.DOI:10.3761/j.issn.0254-1769.2015.07.004.WANG L N,ZHOU Y Q,LI X J,et al.The mediating effects of coping style in relationship between hope levels and subjective wellbeing in rural and urban empty nest elderly[J].Chinese Journal of Nursing,2015,50(7):785-789.DOI:10.3761/j.issn.0254-1769.2015.07.004.
    [2]张翔,苏少贞,谢芳,等.农村空巢中老年人社会支持、孤独感与主观幸福感及相关性[J].中国老年学杂志,2017,37(1):191-194.DOI:10.3969/j.issn.1005-9202.2017.01.086.ZHANG X,SU S Z,XIE F,et al.The relationship between social support loneliness and subjective well-being in rural empty nesters[J].Chinese Journal of Gerontology,2017,37(1):191-194.DOI:10.3969/j.issn.1005-9202.2017.01.086.
    [3]李艳伟,周乐山.空巢老人孤独状况及干预对策研究进展[J].中国老年学杂志,2016,36(11):2809-2811.DOI:10.3969/j.issn.1005-9202.2016.11.113.LI Y W,ZHOU L S.Research progress on loneliness of empty nesters and their countermeasures[J].Chinese Journal of Gerontology,2016,36(11):2809-2811.DOI:10.3969/j.issn.1005-9202.2016.11.113.
    [4]郭燕青,郑晓,潘晓洁,等.空巢老人心理健康状况及影响因素[J].中国老年学杂志,2017,37(4):967-970.DOI:10.3969/j.issn.1005-9202.2017.04.082.GUO Y Q,ZHENG X,PAN X J,et al.Research on the mental health and related influencing factors of the empty-nest elderlyexampled by Taiyuan City of Shanxi Province[J].Chinese Journal of Gerontology,2017,37(4):967-970.DOI:10.3969/j.issn.1005-9202.2017.04.082.
    [5]汪娟.城市空巢老人的生活质量和心理健康分析[J].赤峰学院学报(自然科学版),2017,33(2):150-151.WANG J.Quality of life and mental health analysis of urban emptynesters[J].Journal of Chifeng University(Natural Science Edition),2017,33(2):150-151.
    [6]王培培,王雪丹,孙健,等.邯郸市空巢老人心理现状及对策[J].中国老年学杂志,2016,36(1):178-180.DOI:10.3969/j.issn.1005-9202.2016.01.085.WANG P P,WANG X D,SUN J,et al.Psychological status and countermeasures of empty nesters in Handan City[J].Chinese Journal of Gerontology,2016,36(1):178-180.DOI:10.3969/j.issn.1005-9202.2016.01.085.
    [7]姚若松,蔡晓惠,蒋海鹰.社会支持、自尊对老年人心理弹性和健康的影响[J].心理学探新,2016,36(3):239-244.YAO R S,CAI X H,JIANG H Y.The impact of social support and self-esteem on the resilience and health of elderly people[J].Psychological Exploration,2016,36(3):239-244.
    [8]丁月萍,施春华.心理韧性理论在成功老龄化研究中的应用[J].中国老年学杂志,2015,35(1):259-261.DOI:10.3969/j.issn.1005-9202.2015.01.132.DING Y P,SHI C H.The application of mental toughness theory in successful aging research[J].Chinese Journal of Gerontology,2015,35(1):259-261.DOI:10.3969/j.issn.1005-9202.2015.01.132.
    [9]孙静,李伟.心理韧性在社区老年人抑郁与社会支持关系间的中介效应研究[J].中国全科医学,2015,18(7):827-830.DOI:10.3969/j.issn.1007-9572.2015.07.023.SUN J,LI W.Mediating effect of psychological resilience between depression in the elderly in communities and social support[J].Chinese General Practice,2015,18(7):827-830.DOI:10.3969/j.issn.1007-9572.2015.07.023.
    [10]潘运,杨桂芳.国外心理韧性的研究述评[J].贵州师范大学学报(社会科学版),2013,54(2):7-12.PAN Y,YANG G F.A review of the resilience at abroad[J].Journal of Guizhou Normal University(Social Science Edition),2013,54(2):7-12.
    [11]冯文明,周守珍.经济困难大学生心理韧性模型的构建[J].四川教育学院学报,2010,26(12):16-19.FENG W M,ZHOU S Z.The construction of resilient model on impoverished undergraduates[J].Journal of Sichuan College of Education,2010,26(12):16-19.
    [12]李晶晶,蔡翥,刘旺发.团体辅导对大学生领悟社会支持的干预效果[J].中国健康心理学杂志,2014,22(2):210-212.DOI:10.13342/j.cnki.cjhp.2014.02.023.LI J J,CAI Z,LIU W F.The effects of group counseling on the perceived social support of college students-based on positive psychology[J].China Journal of Health Psychology,2014,22(2):210-212.DOI:10.13342/j.cnki.cjhp.2014.02.023.
    [13]叶俊杰.领悟社会支持、实际社会支持与大学生抑郁[J].心理科学,2006,29(5):1141-1143.DOI:10.16719/j.cnki.1671-6981.2006.05.027.YE J J.Perceived social support,enacted social support and depression in a sample of college students[J].Psychological Science,2006,29(5):1141-1143.DOI:10.16719/j.cnki.1671-6981.2006.05.027.
    [14]顾红霞.空巢老人生活质量和心理及社会支持[J].中国健康心理学杂志,2015,23(8):1218-1222.DOI:10.13342/j.cnki.cjhp.2015.08.028.GU H X.The empty nesters'life quality,mentality and social support[J].China Journal of Health Psychology,2015,23(8):1218-1222.DOI:10.13342/j.cnki.cjhp.2015.08.028.
    [15]邓云龙,阳中华,陈向一.社会支持和家庭功能与老年人主观幸福感的相关性[J].中国老年学杂志,2012,32(8):3501-3503.DOI:10.3969/j.issn.1005-9202.2012.16.072.DENG Y L,YANG Z H,CHEN X Y.Correlation between social support and family function and subjective well-being[J].Chinese Journal of Gerontology,2012,32(8):3501-3503.DOI:10.3969/j.issn.1005-9202.2012.16.072.
    [16]杨媛媛,刘夏阳,连涌杰,等.积极心理学在临床医学中的实践[J].解放军医院管理杂志,2016,23(5):479-481.YANG Y Y,LIU X Y,LIAN Y J,et al.Practice of positive psychology in clinical medicine[J].Hospital Administration Journal of Chinese People's Liberation Army,2016,23(5):479-481.
    [17]蒋怀滨,曾少奇,杨玮莹,等.羞耻感、自尊与手机依赖的关系研究[J].贵州师范大学学报(社会科学版),2018,36(6):117-119.DOI:10.16614/j.gznuj.xrb.2018.06.020.JIANGHB,ZENGSQ,YANGWY,etal.Studyon the relationship between shame,self-esteem and cell phone dependence[J].Journal of Guizhou Normal University(Social Science Edition),2018,36(6):117-119.DOI:10.16614/j.gznuj.xrb.2018.06.020.
    [18]丛晓波,田录梅,张向葵.自尊:心理健康的核心—兼谈自尊的教育意境[J].东北师大学报(哲学社会科学版),2005,55(1):144.DOI:10.16164/j.cnki.22-1062/c.2005.01.025.CONG X B,TIAN L M,ZHANG X K.Self-esteem:the core of mental health[J].Journal of Northeast Normal University(Social Science),2005,55(1):144.DOI:10.16164/j.cnki.22-1062/c.2005.01.025.
    [19]刘肖岑,桑标,窦东徽.自我提升的利与弊:理论、实证及应用[J].心理科学进展,2011,19(6):883-895.LIUXC,SANGB,DOUDH.Prosandconsofselfenhancement:theory,empirical research,and application[J].Advances in Psychological Science,2011,19(6):883-895.
    [20]李海江,杨娟,袁祥勇,等.低自尊个体对拒绝性信息的注意偏向[J].心理科学进展,2012,20(10):1604-1613.LI H J,YANG J,YUAN X Y,et al.Attentional bias for rejection among individuals with low self-esteem[J].Advances in Psychological Science,2012,20(10):1604-1613.
    [21]吴捷,李洪琴,徐晟.孤独感、领悟社会支持对老人心理健康的影响[J].中国健康心理学杂志,2017,25(12):1837-1840.DOI:10.13342/j.cnki.cjhp.2017.12.023.WU J,LI H Q,XU S.The influence of loneliness and social support for the elderly mental health[J].China Journal of Health Psychology,2017,25(12):1837-1840.DOI:10.13342/j.cnki.cjhp.2017.12.023.
    [22]黄文兰,曾天德,朱淑英.新生代农民工社会支持、心理健康与主观幸福感的关系研究[J].漳州师范学院学报(自然科学版),2012,30(4):127-132.HUANG W L,ZENG T D,ZHU S Y.Relations between social support,mental healthy and subjective well-being of new generation of migrant workers[J].Journal of Zhangzhou Normal University(Natural Science Edition),2012,30(4):127-132.
    [23]陈钰煌.论大学生积极心理品质与主观幸福感—以社会支持为中介变量[J].闽南师范大学学报(哲学社会科学版),2015,29(4):177-180.DOI:10.3969/j.issn.1004-468X.2015.04.032.CHEN Y H.On the positive psychological quality and subjective well-being of college students—take social support as the mediating variable[J].Journal of Minnan Normal University(Philosophy and Social Sciences),2015,29(4):177-180.DOI:10.3969/j.issn.1004-468X.2015.04.032.
    [24]李玲,刘亚.大学生自尊与幸福感的关系:社会支持的中介作用[J].中国健康心理学杂志,2013,21(4):628-629.LI L,LIU Y.The relationship between self-esteem and well-being of undergraduates:the mediating effect of social support[J].China Journal of Health Psychology,2013,21(4):628-629.
    [25]刘杨,李泽,林丹华.歧视与新生代农民工主观幸福感:社会支持与自尊的中介作用[J].中国临床心理学杂志,2013,21(6):1013-1016,1021.DOI:10.16128/j.cnki.1005-3611.2013.06.014.LIU Y,LI Z,LIN D H.Discrimination and new generation migrant workers'subjective well-being:the mediation effect of social support and self-esteem[J].Chinese Journal of Clinical Psychology,2013,21(6):1013-1016,1021.DOI:10.16128/j.cnki.1005-3611.2013.06.014.
    [26]汪向东,王希林,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999:131-134,284-286.
    [27]CONNORKM,DAVIDSONJR.Developmentofanew resilience scale:the Connor-Davidson Resilience Scale(CDRISC)[J].Depress Anxiety,2003,18(2):76-82.DOI:10.1002/da.10113.
    [28]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2014:251-253.
    [29]ROSENBERG M.Society and the adolescent self-image[M].Princeton:Priceton University Press,1965.
    [30]方杰,温忠麟.基于结构方程模型的有调节的中介效应分析[J].心理科学,2018,41(2):453-458.DOI:10.16719/j.cnki.1671-6981.20180231.FANGJ,WENZL.Theanalysesofmoderatedmediation effects based on structural equation modeling[J].Journal of Psychological Science,2018,41(2):453-458.DOI:10.16719/j.cnki.1671-6981.20180231.
    [31]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.DOI:10.3969/j.issn.1000-6729.2014.08.005.GAN Y Q.New trends in the study of mediating effects—research design and statistical methods[J].Chinese Mental Health Journal,2014,28(8):584-585.DOI:10.3969/j.issn.1000-6729.2014.08.005.
    [32]王玲风.城市空巢老人心理健康状况的调查[J].中国老年学杂志,2009,29(22):2932-2935.DOI:10.3969/j.issn.1005-9202.2009.22.042.WANG L F.Investigation of mental health status of urban emptynesters[J].Chinese Journal of Gerontology,2009,29(22):2932-2935.DOI:10.3969/j.issn.1005-9202.2009.22.042.
    [33]张海苗,张永爱,周小兰,等.影响城市空巢老人心理坚韧性的预测因素[J].公共卫生与预防医学,2018,29(3):141-144.DOI:10.3969/j.issn.1006-2483.2018.03.038.ZHANG H M,ZHANG Y A,ZHOU X L,et al.Predictive factors of resilience among urban empty-nest elderly[J].Journal of Public Health and Preventive Medicine,2018,29(3):141-144.DOI:10.3969/j.issn.1006-2483.2018.03.038.
    [34]秦春莉.认知行为治疗对老年抑郁症患者的心理弹性及生活质量的影响[J].中国实用神经疾病杂志,2015,18(6):12-14.QIN C L.Impact on the resilience and quality of life for geriatric depression treated with cognitive behavioral therapy[J].Chinese Journal of Practical Nervous Diseases,2015,18(6):12-14.
    [35]张妍,谢瑞宁,程福源,等.济宁市空巢老人生活质量及社会支持状况调查[J].济宁医学院学报,2015,38(1):43-46.DOI:10.3969/j.issn.1000-9760.2015.01.012.ZHANG Y,XIE R N,CHENG F Y,et al.An investigation about the quality of life and social support status of empty nester in Jining City[J].Journal of Jining Medical University,2015,38(1):43-46.DOI:10.3969/j.issn.1000-9760.2015.01.012.
    [36]胡美娟,彭文波,杨允,等.当代农民工感知社会支持自尊和主观幸福感的关系[J].心理科学,2011,34(6):1414-1421.DOI:10.16719/j.cnki.1671-6981.2011.06.034.HU M J,PENG W B,YANG Y,et al.The relationship among the perceived social support,self-esteem and subjective wellbeing of contemporary rural migrant workers[J].Journal of Psychological Science,2011,34(6):1414-1421.DOI:10.16719/j.cnki.1671-6981.2011.06.034.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700