抑郁症患者心理韧性在述情障碍与情绪自我效能感间的中介效应

目的 探讨抑郁症患者心理韧性在述情障碍与情绪自我效能感间的中介效应。方法 选择2018年3月—2020年6月本院收治的130例抑郁症患者，其中123例患者符合研究要求。应用心理韧性量表、述情障碍量表及情绪自我效能感量表分别评估患者心理韧性、述情障碍及情绪自我效能感等。应用Pearson法分析心理韧性、述情障碍和情绪自我效能感的相关性；应用AMOS 21.0软件构成以心理韧性为中介变量的拟合模型，采用最大似然比法修正并拟合模型，并通过Boostrap法验证心理韧性的中介效应。结果 123例抑郁症患者心理韧性评分、述情障碍及情绪自我效能感分别为(58.37±6.54)、(54.91±8.99)和(28.17±4.08)分。心理韧性和情感自我效能呈现正相关(r=0.478, P<0.001)，心理韧性和情感自我效能感与述情障碍呈负相关(r=-0.56、-0.424, P<0.001)。抑郁症患者情绪自我效能感对述情障碍的直接效应为-0.645，情绪自我效能感对心理韧性的直接效应为0.741，心理韧性对述情障碍的直接效应为-0.235，且情绪自我效能感通过心理韧性对述情障碍产生的间...

Mediating effect of psychological resilience between alexithymia and emotional self-efficacy in patients with depression

Objective To explore the mediating effect of psychological resilience between alexithymia and emotional self-efficacy in patients with depression. Methods In total 130 patients with depression treated in our hospital from March 2018 to June 2020 were selected, of which 123 met the requirements of the study. Psychological resilience scale, alexithymia scale, and emotional self-efficacy scale were used to evaluate patients’ psychological resilience, alexithymia, and emotional self-efficacy. Pearson method was used to analyze the correlation among psychological resilience, alexithymia, and emotional self-efficacy. A fitting model with psychological resilience as mediating variable was constructed by AMOS21.0 software, and the model was modified and fitted by maximum likelihood ratio method. The mediating effect of psychological resilience was verified by Boostrap method. Results The scores of psychological resilience, alexithymia, and emotional self-efficacy in 123 patients with depression were (58.37±6.54), (54.91 ±8.99), and (28.17 ±4.08), respectively. Psychological resilience was positively correlated with emotional self-efficacy (r=0.478, P<0.001), while psychological resilience and emotional self-efficacy were negatively correlated with alexithymia (r=-0.56 and -0.424, respectively, P<0.001). The direct effect of emotional self-efficacy on alexithymia in patients with depression was -0.645, the direct effect of emotional self-efficacy on psychological resilience was 0.741, and the direct effect of psychological resilience on alexithymia was -0.235. The indirect effect of emotional self-efficacy on alexithymia through psychological resilience was -0.174, the total effect value was -0.819, and the intermediary effect accounted for 21.25% of the total effect. The Bootstrap method was used to test the mediating variables, and the results showed that the indirect effect of emotional self-efficacy on alexithymia (95%CI) was -0.390 to -0.159, and the direct effect was -0.380 to -0.012. The model had a certain mediating effect. Conclusion Patients with depression have lower levels of psychological resilience and emotional self-efficacy and more severe alexithymia. Resilience, alexithymia, and emotional self-efficacy are related to each other. In order to reduce alexithymia and enhance emotional self-efficacy in patients with depression, we should attach importance to psychological resilience intervention.