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农村居民无法忍受不确定性与心理应激的关系——心理弹性的中介作用
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Abstract:
目的：本文主要探讨在突发公共卫生事件中农民居民的无法忍受不确定性、心理弹性与心理应激的关系。方法：应用无法忍受不确定性量表(IU-12)、心理弹性量表(CD-RISC 10)与COVID-19应激行为量表以及自编的一般情况调查表，通过入户调查和线上问卷的方式对493名农村居民进行调查，基于此，探析无法忍受不确定性、心理弹性和心理应激的关系，并确认心理弹性是否在无法忍受不确定性与心理应激中具有中介效应。结果：1) 无法忍受确定性和心理弹性与心理应激各维度均存在显著相关关系。2) 无法忍受不确定性能够负向预测其心理弹性(β = ？0.11, p < 0.05)。3) 无法忍受不确定性负向预测疫情认知性评价(β = ？0.11, p < 0.05)和防御性行为(β = ？0.12, p < 0.01)，正向预测情绪性恐慌(β = 0.48, p < 0.001)；心理弹性正向预测疫情认知性评价(β = 0.41, p < 0.001)和防御性行为(β = 0.39, p < 0.001)，负向预测情绪性恐慌(β = ？0.23, p < 0.001)。4) 心理弹性在无法忍受不确定性对认知性评价、情绪性恐慌和疫情防御性行为的影响中起到中介作用。结论：农村居民的无法忍受不确定性不仅可以直接影响心理应激，还可以通过心理弹性的中介作用影响心理应激。
Objective: This study aims to explore the relationships among intolerance of uncertainty, psycho-logical resilience, and psychological stress among rural residents during public health emergencies. Methods: The study utilized the Intolerance of Uncertainty Scale (IU-12), the Connor-Davidson Re-silience Scale (CD-RISC 10), and the COVID-19 Stress Behavior Scale, along with a self-developed general questionnaire. A total of 493 rural residents were surveyed through household interviews and online questionnaires. Based on this data, the study analyzed the relationships between intol-erance of uncertainty, psychological resilience, and psychological stress during the pandemic. Fur-thermore, the study investigated whether psychological resilience mediates the relationship be-tween the intolerance of uncertainty and psychological stress. Results: 1) The intolerance of uncer-tainty and psychological resilience were significantly correlated with various dimensions of psycho-logical stress. 2) The intolerance of uncertainty negatively predicted psychological resilience (β = ？0.11, p < 0.05). 3) The intolerance of uncertainty negatively predicted cognitive appraisal of the pandemic (β = ？0.11, p < 0.05) and defensive behaviors (β = ？0.12, p < 0.01), while positively pre-dicting emotional distress (β = 0.48, p < 0.001). Psychological resilience positively predicted cogni-tive appraisal of the pandemic (β = 0.41, p < 0.001) and defensive behaviors (β = 0.39, p < 0.001), while negatively predicting emotional distress (β = ？0.23, p < 0.001). 4) Psychological resilience mediated the impact of the intolerance of uncertainty on cognitive appraisal, emotional distress, and pandemic defensive behaviors. Conclusion: The intolerance of uncertainty among rural resi-dents not only has a direct impact on psychological stress but also influences psychological stress through the mediating role of psychological resilience.
| [1] | 白晓路, 李瑞玲, 刘昂, 韩玲玉, 刘洁, 闫冰, 张运霞(2021). 新型冠状病毒肺炎疫情对一线临床护士的冲击程度. 中国心理卫生杂志, 35(1), 85-87. |
| [2] | 丁岩, 王艳红, 李颖霞(2021). 老年慢性病患者心理压力与心理健康的关系: 心理弹性的中介作用. 中国健康心理学杂志, 29(1), 37-40. |
| [3] | 高永莉, 林涛, 曹钰, 李雪梅(2020). 新冠肺炎疫情下四川省男护士心理困扰与社会支持、心理弹性的关系. 成都医学院学报, 15(2), 178-181, 188. |
| [4] | 和青森, 刘玲霞, 高晓彩(2021). 新型冠状病毒肺炎疫情期间本科护生心理健康状况及其影响因素. 中国健康心理学杂志, 29(5), 691-695. |
| [5] | 陆潭晟, 许昌德(2020). 心理弹性对COVID-19应激行为的保护作用. ？？？？, 11(1), 279-290. |
| [6] | 吴莉娟, 王佳宁, 齐晓栋(2016). 简版无法忍受不确定性量表在中学生中应用的效度和信度. 中国心理卫生杂志, 30(9), 700-705. |
| [7] | 张持晨, 吴一波, 郑晓, 朱宏(2020). 新冠肺炎疫情下公众的认知与行为——疫情常态化防控中的自我健康管理. 科学决策, (10), 44-59. |
| [8] | 赵霞, 朱政, 余旻虹, 张琦, 应巧燕(2020). 反复入院未明确诊断患者无法忍受不确定性的质性研究. 中华护理杂志, 55(4), 488-493. |
| [9] | Ben Salah, A., DeAngelis, B. N., & al’Absi, M. (2021). Resilience and the Role of Depressed and Anxious Mood in the Relationship between Perceived Social Isolation and Perceived Sleep Quality During the COVID-19 Pandemic. International Journal of Behavioral Medicine, 28, 277-285. https://doi.org/10.1007/s12529-020-09945-x |
| [10] | Campbell-Sills, L., & Stein, M. B. (2007). Psychometric Analysis and Refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-Item Measure of Resilience. Journal of Traumatic Stress, 20, 1019-1028.
https://doi.org/10.1002/jts.20271 |
| [11] | Carleton, R. N., Norton, M. A., & Asmundson, G. J. (2007). Fearing the Un-known: A Short Version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21, 105-117. https://doi.org/10.1016/j.janxdis.2006.03.014 |
| [12] | Christopher, D. H., Bridget, Y., Catrin, T. S., & Peter, L. F. (2020). Uncertainty and Test Anxiety: Psychometric Properties of the Intolerance of Uncertainty Scale-12 (IUS-12) among Univer-sity Students. International Journal of Educational Research, 104, Article ID: 101672. https://doi.org/10.1016/j.ijer.2020.101672 |
| [13] | Connor, K. M., & Davidson, J. R. (2003). Development of a New Re-silience Scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76-82. https://doi.org/10.1002/da.10113 |
| [14] | Hou, W. K., Tong, H., Liang, L., Li, T. W., Liu, H., Ben-Ezra, M., Goodwin, R., & Lee, T. M. (2021). Probable Anxiety and Components of Psychological Resilience amid COVID-19: A Population-Based Study. Journal of Affective Disorders, 282, 594-601. https://doi.org/10.1016/j.jad.2020.12.127 |
| [15] | Li, Q., Luo, R., Zhang, X., Meng, G., Dai, B., & Liu, X. (2021). Intolerance of COVID-19-Related Uncertainty and Negative Emotions among Chinese Adolescents: A Moderated Mediation Model of Risk Perception, Social Exclusion and Perceived Efficacy. International Journal of Environmental Research and Public Health, 18, Article 2864.
https://doi.org/10.3390/ijerph18062864 |
| [16] | McKay, D., Minaya, C., & Storch, E. A. (2020). Conducting Exposure and Response Prevention Treatment for Contamination Fears during COVID-19: The Behavioral Immune System Impact on Clinician Approaches to Treatment. Journal of Anxiety Disorders, 74, Article ID: 102270. https://doi.org/10.1016/j.janxdis.2020.102270 |
| [17] | Riehm, K. E., Brenneke, S. G., Adams, L. B., Gilan, D., Lieb, K., Kunzler, A. M., Smail, E. J., Holingue, C., Stuart, E. A., Kalb, L. G., & Thrul, J. (2021). Association between Psychological Resilience and Changes in Mental Distress during the COVID-19 Pandemic. Journal of Affective Disorders, 282, 381-385. https://doi.org/10.1016/j.jad.2020.12.071 |
| [18] | Shapiro, M. O., Short, N. A., Morabito, D., & Schmidt, N. B. (2020). Prospective Associations between Intolerance of Uncertainty and Psychopathology. Personality and Individual Differences, 166, Article ID: 110210.
https://doi.org/10.1016/j.paid.2020.110210 |
| [19] | Wheaton, M. G., Messner, G. R., & Marks, J. B. (2021). Intolerance of Uncertainty as a Factor Linking Obsessive-Compulsive Symptoms, Health Anxiety and Concerns about the Spread of the Novel Coronavirus (COVID-19) in the United States. Journal of Obsessive-Compulsive and Related Disorders, 28, Article ID: 100605.
https://doi.org/10.1016/j.jocrd.2020.100605 |
| [20] | Wilson, E. J., Stapinski, L., Dueber, D. M., Rapee, R. M., Burton, A. L., & Abbott, M. J. (2020). Psychometric Properties of the Intolerance of Uncertainty Scale-12 in Generalized Anxiety Dis-order: Assessment of Factor Structure, Measurement Properties and Clinical Utility. Journal of Anxiety Disorders, 76, Arti-cle ID: 102309.
https://doi.org/10.1016/j.janxdis.2020.102309 |
| [21] | Zhuo, L., Wu, Q., Le, H., Li, H., Zheng, L., Ma, G., & Tao, H. (2021). COVID-19-Related Intolerance of Uncertainty and Mental Health among Back-to-School Students in Wuhan: The Moderation Effect of Social Support. International Journal of Environmental Research and Public Health, 18, Article 981. https://doi.org/10.3390/ijerph18030981 |
