人格特质及情绪调节自我效能感对房颤患者焦虑的影响研究：心理灵活性的调节效应

目的：探讨情绪调节自我效能感在房颤患者人格特质与焦虑的中介作用以及心理灵活性对中介效应的调节作用。方法：采用大五人格量表、情绪调节自我效能感量表、心理灵活性综合评估量表以及焦虑自评量表对天津市某三甲综合医院心律失常门诊的309名房颤患者进行调查。通过Pearson相关分析确定变量间的关联，并通过PROCESS V3.0对中介效应以及调节效应进行检验。结果：在控制性别的情况下，开放性人格特质对焦虑情绪具有正向预测作用；情绪调节自我效能感在开放性人格特质与焦虑情绪的关系中起部分中介作用，中介效应占总效应的71.2%；情绪调节自我效能感对焦虑情绪的中介作用受到心理灵活性水平的调节。结论：开放性人格特质可通过改变情绪调节自我效能感进而影响房颤患者焦虑情绪发展，提高心理灵活性可以加强情绪调节自我效能感对焦虑的中介作用。

Study on influence of personality traits and self-efficacy of regulatory emotional on anxiety in patients with atrial fibrillation: moderating effect of psychological flexibility

Objective: To investigate the mediating effect of emotional regulation self-efficacy on personality traits and anxiety in patients with atrial fibrillation，and to explore the moderating role of psychological flexibility in mediating effect. Methods: 309 patients with atrial fibrillation were investigated with the big five personality inventory，the regulatory emotional self-efficacy scale，the comprehensive assessment of acceptance and commitment therapy processes and the self-rating anxiety scale. Associations between variables were determined by Pearson correlation analysis and tested for mediating as well as moderating effects by PROCESS V3.0. Results: When controlling for gender，the open personality trait had a significant positive predictive effect on anxiety，the self-efficacy of emotion regulation played a partial mediating role in the relationship between the open personality trait and anxiety，and the mediating effect accounted for 71.2% of the total effect; the mediating effect was mediated by the level of psychological flexibility. Conclusion: The open personality trait can influence the development of anxiety in patients with atrial fibrillation by changing the self-efficacy of regulatory emotional. Improving psychological flexibility can strengthen the mediating effect of regulatory emotional self-efficacy on anxiety.