应对方式对社区居民应激感觉与焦虑调节效应

目的 了解应对方式在社区居民应激感觉与焦虑症状之间的调节作用。方法 于2011年9月应用广泛性焦虑量表(GAD-7)、简易应对方式问卷(WCQ)、应激感受量表(PSS)为研究工具,对哈尔滨市南岗保健社区3 589名居民进行调查,采用相关分析和分层回归方法来检验调节效应。结果 社区居民焦虑比例为43.94%(1 577/3 589),其中“轻度”、“中度”、“中重度”、“重度”焦虑检出率分别为32.04%(1 150/3 589)、10.14%(364/3 589)、0.97%(35/3 589)、0.47%(17/3 589);社区居民焦虑为(4.31±4.21)分,积极应对为(1.78±0.61)分,消极应对为(1.36±0.67)分,应激感觉为(22.20±4.79)分;应激感觉、积极应对、消极应对和焦虑症状之间均呈明显相关关系;交互作用项“应激感觉×积极应对”的回归系数在以焦虑症状为因变量的回归方程中显著(β=0.033,t=2.181,P=0.029)。结论 积极应对在应激感觉和焦虑症状之间起调节效应,应激感觉对积极应对低分组焦虑症状的影响更大。

Coping style as a moderator in relationship between perceived stress and anxiety symptoms among urban community residents

Objective To investigate moderating effect of coping style on the relationship between perceived stress and anxiety symptoms among urban community residents.Methods Using cluster random sampling,3 589 residents from four urban communities in a district of Harbin city were surveyed with Generalized Anxiety Disorder Scale (GAD-7),Simplified Coping Style Questionnaire (WCQ),and Perceived Stress Scale (PSS).Hierarchical multiple regression was adopted in data analyses.Results Among the participants,the detection rate of anxiety symptoms was 43.94%(577/3 589)and the detection rate of mild,moderate,moderately severe,and severe anxiety symptoms were 32.04%,10.14%,0.97%,and 0.47%,respectively.For all the participants,the mean score of GAD-7 was 4.31±4.21;the mean score for positive coping was 1.78±0.61 and that for negative coping was 1.36±0.67;and the mean score of PPS was 22.20±4.79.There were significant correlations between coping style and anxiety symptoms and between negative coping and anxiety symptoms.The regression coefficient for interactive item for positive coping and perceived stress was significant in the regression equation with anxiety symptom as the dependant variable (β=0.034,t=2.181,P=0.000).Conclusion The study reveals that positive coping moderates the relationship between perceived stress and anxiety symptoms among urban residents and the perceived stress shows a much stronger influence on anxiety symptoms among the residents with low positive coping score.