初入高原工作的医务人员不同应对方式与焦虑抑郁的关系以及心理弹性的中介作用

目的 探索赴高原执行任务的医务人员的不同应对方式、心理弹性和焦虑抑郁之间的关系以及心理弹性的中介效应。方法 使用一般调查问卷、简易应对方式问卷(SCSQ)、心理弹性量表(CD-RISC)、医院焦虑抑郁量表(HADS)对2021年9—11月某医院赴高原执行任务的113名医务人员进行问卷调查。结果 (1)经分析，性别、学历和收入在焦虑水平上；婚姻状态、收入水平在抑郁水平上；学历和收入在应对方式上；婚姻状态和收入在心理弹性得分上比较差异有统计学意义(均P<0.05)。(2)应对方式与心理弹性之间呈正相关(r=0.390,P<0.01),与焦虑抑郁之间呈正相关(r=0.371,P<0.01);心理弹性与焦虑抑郁之间呈正相关(r=0.206,P<0.05)。其中，焦虑与消极呈正相关(r=0.550,P<0.01),与积极、力量、坚韧呈负相关(r=-0.221,0.257,-0.221;均P<0.05);抑郁与积极、乐观、力量、坚韧呈正相关(r=0.425,0.560,0.696,0.694;均P<0.01)。验证心理弹性在应对方式与焦虑抑郁之间存在中介效...

The relationship between coping style and anxiety and depression and the mediating effect of psychological elasticity in medical staff aiding at high altitude in the primary stage

  Objective  To explore the coping style, the relationship between psychological resilience and anxiety and depression, and the mediating effect of psychological resilience among medical staff who perform tasks at plateau area.  Methods  A questionnaire survey was conducted among 113 medical staff who went to plateau areas to perform tasks, using general questionnaires, simple coping style questionnaire (SCSQ), connor-davidson resilience scale (CD-RISC) and hospital anxiety and depression scale (HADS).  Results  (1) There were differences in anxiety level among gender, educational background and income; There were differences in marital status and income level in depression level; There are differences in coping styles between education and income; There were significant differences in the scores of psychological elasticity between marital status and income (all P < 0.05).(2) There was a positive correlation between coping style and psychological elasticity (r=0.390, P < 0.01).There was a positive correlation between coping style and anxiety and depression (r=0.371, P < 0.01).There was a positive correlation between psychological elasticity and anxiety and depression (r=0.206, P < 0.05).Among them, anxiety was positively correlated with negativity (r=0.550, P < 0.01), and negatively correlated with positivity, strength and tenacity (r=-0.221, 0.257, -0.221, all P < 0.05).Depression was positively correlated with positivity, optimism, strength and tenacity (r=0.425, 0.560, 0.696, 0.694, all P < 0.01).It was proved that psychological resilience had a mediating effect between coping style and anxiety and depression (P=0.001, R2=0.142).Among them, psychological resilience had a complete mediating effect between positive coping and depression.Strength and tenacity had some mediating effects in the level of positive coping and anxiety.  Conclusion  There are anxiety and depression in medical staff who work at plateau area for the first time.There is a correlation between coping style, psychological elasticity and anxiety and depression; and psychological resilience has a mediating effect between coping style and anxiety and depression.