精神科护士人格特征与心理困扰的关系:心理弹性的中介作用

目的 探讨精神科护士人格特征与心理困扰的关系及心理弹性的中介作用。方法 采用大五人格问卷(BFI)、心理弹性量表(CD-RISC 10)和凯斯勒10量表(K10)对192名精神科护士进行问卷调查。 结果 精神科护士K10得分为20.66±5.91,80.7%的精神科护士存在不同程度的心理困扰(K10得分≥16)。K10总分与人格特征中的N维度呈显著正相关(P<0.01),与E维度、C维度、心理弹性呈显著负相关(均P<0.01),心理弹性与E维度、C维度呈显著正相关(均P<0.01),与N维度呈显著负相关(P<0.01)。心理弹性部分中介了神经质与心理困扰的关系,中介效应占总效应的25.4%。 结论 神经质人格与心理弹性是影响精神科护士心理困扰发生的重要因素,心理弹性部分中介了神经质人格对心理困扰的影响。

Relationship between personality and psychological distress in nurses of psychiatric department: mediating effect of resilience

Objective To explore the mediating effect of resilience between psychological distress and personality in nurses of psychiatric department. Methods A total of 192 nurses from one mental health center in Shandong Province were assessed with Big Five Inventory (BFI), Connor-Davidson Resilience Scale (CD-RISC 10) and Kessler Psychological Distress Scale (K10). Results The K10 score was 20.66±5.91; 80.7% of the nurses had psychological distress (K10 score≥16). The K10 score was positively correlated with neuroticism score (P<0.01), and negatively correlated with extroversion and conscientiousness and resilience scores (P<0.01). Resilience score was positively correlated with extroversion and conscientiousness scores (P<0.01), and negatively correlated with neuroticism score (P<0.01). Resilience partially mediated the relationship between psychological distress and neurotic personality, and the mediating effect accounted for 25.4% of the total effects. Conclusion Neurotic personality and resilience have a great impact on the psychological distress in nurses of psychiatric department; resilience is a partial mediator in neuroticism affecting psychological distress.