中国全科医学2017，Vol.20Issue(16)：2012-2018,7.DOI:10.3969/j.issn.1007-9572.2017.16.022
城市空巢老人心理健康的归因研究:应对方式及心理健康自助能力的中介效应
Mediating Effect of Coping Styles and Self-help Capabilities on the Factors Affecting the Mental Health of Urban Empty-nesters
摘要
Abstract
Background Many variables are associated with the mental health of empty-nesters.However,few studies have brought multiple associated variables of the mental health into the influential system at the same time,and investigated the ways by which they interacting each other.Objective To explore the mechanism of copy styles and self-help capabilities on the factors affecting the mental health of empty-nesters.Methods From January 2014 to September 2015,by multi-stage sampling,365 empty-nesters living in the urban area of Chifeng,Inner Mongolia Autonomous Region were selected and surveyed by the Chinese version of EPQ-RSC,SCSQ,Self-help Capabilities for Mental Health in the Empty-nesters Scale and Chinese Mental Health Scale(aged).Three hundred and fifty(95.89%) of them effectively responding to the survey were selected as the final participants of this study.The structural equation modeling was developed and used to analyze the internal relations and transmission mechanisms between the factors associated with the mental health of urban empty-nesters.PRODCLIN program 2 described by Mackinnon was used to verify the mediating effect of the factors.Results The effect of personality traits on the mental health partly fitted the mediation model (χ2/df=1.971,GFI=0.955,AGFI=0.911,RMSEA=0.068).Introversion and extroversion indirectly exerted obvious mediating effect by positively coping with and self-help management of the factors affecting the mental health (Z=5.675,P<0.01).When the overall indirect effects in the SEM were substantial,the indirect effect of every variable was verified.Significant individual indirect effects between two variables were identified if their 95%CI respectively were (0.127,0.364),(0.168,0.471)analyzed by the PRODCLIN program 2 described by Mackinnon.Nervosity indirectly produced significant mediating effect by positively coping with and self-help management of the factors affecting the mental health (Z=-5.353,P<0.01).The indirect effect of every variable was verified when the overall indirect effects in the SEM were significant.Notable individual indirect effects between two variables were identified if their 95%CI respectively were (0.127,0.203),(0.186,0.492)processed by the PRODCLIN program 2 described by Mackinnon.Conclusion The positive coping styles and self-help capabilities significantly mediate the relationship between personality traits and mental health among urban empty-nesters.In order to maintain good mental health of the urban empty-nesters,it is suggested that intervention methods should be developed in accordance with the relationships between the factors affecting the mental health,then,based on the personal psychological and sociological assessment results,the optimal one is selected to use.In this way,good effects can be achieved by the individualized intervention,and the intervention burden,such as the waste of manpower and material resources caused by combined intervention can be reduced.关键词
空巢老人/心理健康/结构方程模型Key words
Empty-nesters/Mental health/Structural equation model分类
医药卫生引用本文复制引用
王丽娜,曹佳颖,苏红,周郁秋..城市空巢老人心理健康的归因研究:应对方式及心理健康自助能力的中介效应[J].中国全科医学,2017,20(16):2012-2018,7.基金项目
国家社会科学基金项目(13CRK009) （13CRK009）
