气郁质得分与健康相关生命质量:运动的中介效应
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摘要
[目的]探讨运动在气郁质得分与健康相关生命质量(HRQOL)间的中介效应。[方法]采用横断面现场调查法,于2015年3月—2016年12月在北京、河北获得2 113例有效样本数据。运动水平由自我报告获得;气郁质得分采用中医体质量表气郁质亚量表计算;HRQOL评价采用简明健康状况调查问卷SF-36,获得生理领域(PCS)、心理领域(MCS)及其总体HRQOL得分。在相关分析的基础上,进一步应用分层多元线性回归模型探讨运动的中介效应。[结果] 1)气郁质得分与PCS(r=-0.461,P<0.01)、MCS(r=-0.564,P<0.01)以及总体HRQOL(r=-0.573,P<0.01)呈负相关;运动水平与气郁质得分(r=-0.108,P<0.01)呈负相关,与PCS(r=0.115,P<0.01)、MCS(r=0.100,P<0.01)以及总体HRQOL(r=0.111,P<0.01)呈正相关。2)运动在气郁质得分与PCS、MCS和总体HRQOL间的中介效应分析具有统计学意义,中介效应量分别为0.93%、0.53%和0.69%。[结论]运动在气郁质对健康相关生命质量的负向影响中具有中介效应,但中介效应量较小,仅占不到1%。
[Objective] To evaluate the effect of exercise on the relationship between qi depression constitution and health-related quality of life(HRQOL). [Methods] From March 2015 to December 2016,2113 valid sample data were obtained in Beijing and Hebei. The classification of exercise level is obtained from self-report;the score of qi depression constitution is calculated by the traditional Chinese medicine(TCM) qi depression subscale;using SF-36 evaluates health-related quality of life(HRQOL) that acquires scores of Physical Component Summary(PCS),Mental Component Summary(MCS) and overall HRQOL. On the basis of correlation analysis,applying the Hierarchical Multiple Linear Regression Model to explore the mediating effect of exercise. [Results] 1) The negative correlation between qi depression constitution and Physical Component Summary(PCS,r=-0.461,P<0.01) and Mental Component Summary(MCS,r=-0.564,P<0.01) and overall HRQOL(r=-0.573,P<0.01) were significant.The negative correlation between exercise and qi depression constitution(r=-0.108,P<0.01) was significant. The positive correlation between exercise and PCS(r=0.115,P<0.01),MCS(r=0.100,P<0.01),and overall HRQOL(r=0.111,P<0.01) were significant. 2)The mediation effects of exercise on the relationship between qi depression constitution and PCS,MCS and overall HRQOL were significant,and the mediating effect were 0.93%,0.53% and 0.69%.[Conclusion] Exercise has a mediating effect on the negative influence of qi depression constitution on health-related quality of life.However,the mediating effect is small,accounting for less than 1%.
[Objective] To evaluate the effect of exercise on the relationship between qi depression constitution and health-related quality of life(HRQOL). [Methods] From March 2015 to December 2016,2113 valid sample data were obtained in Beijing and Hebei. The classification of exercise level is obtained from self-report;the score of qi depression constitution is calculated by the traditional Chinese medicine(TCM) qi depression subscale;using SF-36 evaluates health-related quality of life(HRQOL) that acquires scores of Physical Component Summary(PCS),Mental Component Summary(MCS) and overall HRQOL. On the basis of correlation analysis,applying the Hierarchical Multiple Linear Regression Model to explore the mediating effect of exercise. [Results] 1) The negative correlation between qi depression constitution and Physical Component Summary(PCS,r=-0.461,P<0.01) and Mental Component Summary(MCS,r=-0.564,P<0.01) and overall HRQOL(r=-0.573,P<0.01) were significant.The negative correlation between exercise and qi depression constitution(r=-0.108,P<0.01) was significant. The positive correlation between exercise and PCS(r=0.115,P<0.01),MCS(r=0.100,P<0.01),and overall HRQOL(r=0.111,P<0.01) were significant. 2)The mediation effects of exercise on the relationship between qi depression constitution and PCS,MCS and overall HRQOL were significant,and the mediating effect were 0.93%,0.53% and 0.69%.[Conclusion] Exercise has a mediating effect on the negative influence of qi depression constitution on health-related quality of life.However,the mediating effect is small,accounting for less than 1%.
引文
[1]李雁楠,李镒冲,张梅,等.健康相关生命质量的研究进展[J].中华流行病学杂志,2016,37(9):1311-1317.
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[10]刘艳霞.休闲体育对提高生命质量的价值分析[J].重庆科技学院学报(社会科学版),2011,13(17):144-146.
[11]乔佳,吴永慧,李登月,等.农村居民生命质量与体适能关联因素的回归分析[J].山东体育学院学报,2010,26(11):47-53.
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[13]高兴桂,刘志民.老年人运动行为、就诊次数与生命质量的关系[J].体育科研,2014,35(6):17-22.
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[16]朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中华行为医学与脑科学杂志,2007,16(7):651-654.
[17]Severo M,Santos AC,Lopes C,et al.Reliability and validity in measuring physical and mental health construct of the Portuguese version of MOS SF-36[J].Acta Medica Portuguesa,2006,19(4):281-287.
[18]Motamed N,Ayatollahi AR,Zare N,et al.Validity and reliability of the Persian translation of the SF-36 version 2 questionnaire[J].Eastern Mediterranean health journal,2005,11(3):349-357.
[19]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):38-42.
[20]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.
[21]张涵,康飞.基于bootstrap的多重中介效应分析方法[J].统计与决策,2016,32(5):75-78.
[22]王琦,朱燕波.中国一般人群中医体质流行病学调查---基于全国9省市21 948例流行病学调查数据[J].中华中医药杂志,2009,24(1):7-12.
[23]姚实林.气郁质个性特征研究[J].安徽中医学院学报,2008,27(1):23-25.
[24]苏丽雅,,戴红芳,张文玉,等.气郁体质与自主神经功能、焦虑/抑郁情绪的相关性研究[J].中华中医药学刊,2014,32(3):553-555.
[25]王建君,杨光.老年人抑郁情绪差异下的运动能力比较研究[J].体育成人教育学刊,2015,31(3):40-43.
[26]陈威.八段锦对城市社区老年人心理健康的影响[J].中国老年学杂志,2013,33(14):3472-3473.
[27]沈鹤军,曹彦俊,裴悦,等.不同中医运动治未病锻炼对大学生睡眠质量、抑郁与焦虑水平的影响[J].中国中医药信息杂志,2018,25(2):15-19.
[28]王飞英,倪钰飞,胡鹏.运动干预对258例中老年患者焦虑抑郁情绪改善的影响分析[J].中国处方药,2018,16(12):159-160.
[29]张文哲.运动对老年人抑郁的影响研究——心理弹性的中介作用[J].广州体育学院学报,2018,38(5):99-102.
[2]史会梅,朱燕波,成杰辉,等.健康相关生命质量高分组和低分组生活习惯和中医体质量表转换分比较[J].安徽中医药大学学报,2016,35(6):6-9.
[3]王琦,朱燕波,吴承玉,等.中医体质与健康相关生命质量的相关性[J].中国组织工程研究与临床康复,2007,11(49):9946-9950.
[4]陈柯帆.9省市一般人群健康相关生命质量的中医体质因素研究[D].北京:北京中医药大学,2009.
[5]王琦.中医体质学[M].北京:人民卫生出版社,2005:2.
[6]王丹.抑郁症患者中医体质与HPA轴及HAMD的相关性研究[D].贵阳:贵阳中医学院,2013.
[7]Azevedo DSM,Singh-Manoux A,Brunner EJ,et al.Bidirectional association between physical activity and symptoms of anxiety and depression:the Whitehall II study[J].European Journal of Epidemiology,2012,27(7):537-546.
[8]高月霞,徐红,肖静,等.南通市老年人抑郁状况及其影响因素分析[J].中国老年学杂志,2012,32(1):115-117.
[9]马江涛,于显洋,李树旺,等.中国居民参与体育锻炼影响因素的序次逻辑回归分析[J].成都体育学院学报,2014,40(9):12-18.
[10]刘艳霞.休闲体育对提高生命质量的价值分析[J].重庆科技学院学报(社会科学版),2011,13(17):144-146.
[11]乔佳,吴永慧,李登月,等.农村居民生命质量与体适能关联因素的回归分析[J].山东体育学院学报,2010,26(11):47-53.
[12]崔冬雪,刘希佳.体育锻炼对老年人情绪和认知功能的影响[J].中国组织工程研究,2003,7(18):2637.
[13]高兴桂,刘志民.老年人运动行为、就诊次数与生命质量的关系[J].体育科研,2014,35(6):17-22.
[14]王琦,朱燕波,薛禾生,等.中医体质量表的初步编制[J].中国临床康复,2006,10(3):12-14.
[15]朱燕波,王琦,薛禾生,等.中医体质量表性能的初步评价[J].中国临床康复,2006,10(3):15-17.
[16]朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中华行为医学与脑科学杂志,2007,16(7):651-654.
[17]Severo M,Santos AC,Lopes C,et al.Reliability and validity in measuring physical and mental health construct of the Portuguese version of MOS SF-36[J].Acta Medica Portuguesa,2006,19(4):281-287.
[18]Motamed N,Ayatollahi AR,Zare N,et al.Validity and reliability of the Persian translation of the SF-36 version 2 questionnaire[J].Eastern Mediterranean health journal,2005,11(3):349-357.
[19]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):38-42.
[20]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.
[21]张涵,康飞.基于bootstrap的多重中介效应分析方法[J].统计与决策,2016,32(5):75-78.
[22]王琦,朱燕波.中国一般人群中医体质流行病学调查---基于全国9省市21 948例流行病学调查数据[J].中华中医药杂志,2009,24(1):7-12.
[23]姚实林.气郁质个性特征研究[J].安徽中医学院学报,2008,27(1):23-25.
[24]苏丽雅,,戴红芳,张文玉,等.气郁体质与自主神经功能、焦虑/抑郁情绪的相关性研究[J].中华中医药学刊,2014,32(3):553-555.
[25]王建君,杨光.老年人抑郁情绪差异下的运动能力比较研究[J].体育成人教育学刊,2015,31(3):40-43.
[26]陈威.八段锦对城市社区老年人心理健康的影响[J].中国老年学杂志,2013,33(14):3472-3473.
[27]沈鹤军,曹彦俊,裴悦,等.不同中医运动治未病锻炼对大学生睡眠质量、抑郁与焦虑水平的影响[J].中国中医药信息杂志,2018,25(2):15-19.
[28]王飞英,倪钰飞,胡鹏.运动干预对258例中老年患者焦虑抑郁情绪改善的影响分析[J].中国处方药,2018,16(12):159-160.
[29]张文哲.运动对老年人抑郁的影响研究——心理弹性的中介作用[J].广州体育学院学报,2018,38(5):99-102.