自我效能在类风湿关节炎患者社会支持和经验性回避之间的中介效应

目的 探讨自我效能在类风湿关节炎患者社会支持与经验性回避之间的中介作用.方法 本研究选取2020年11月—2021年1月在青岛市某三级甲等综合医院风湿免疫科就诊的204例类风湿关节炎患者为研究对象,采用社会支持评定量表、中文版关节炎自我效能感量表、接纳与行动问卷进行现场调查.结果 类风湿关节炎患者经验性回避、社会支持、...

Mediating Effect of Self-efficacy between Social Support and Experiential Avoidance in Patients with Rheumatoid Arthritis

Objective To To explore the mediating effect of self-efficacy between social support and experiential avoidance in patients with rheumatoid arthritis (RA). Methods From November 2020 to January 2021, 204 RA outpatients from a tertiary grade-A general hospital in Qingdao were selected as the subjects. The investigation was performed by using Social Support Rating Scale (SSRS), Arthritis Self-Efficacy Scale-8 (ASES-8) and Acceptance and Action Questionnaire-2nd Edition (AAQ-Ⅱ). Results The score of experiential avoidance, social support and self-efficacy in RA patients was 28.59±10.02, 35.49±7.35 and 6.25±1.64 respectively. Social support was negatively correlated with experiential avoidance (r=-0.316, P<0.001), and self-efficacy was negatively correlated with experiential avoidance (r=-0.554,P<0.001).The total effect of social support on experiential avoidance was -0.316(95%CI=-0.448~-0.185, P<0.001); the direct effect -0.156 (95%CI=-0.276~-0.036, P=0.011); the indirect effect -0.160 (95%CI=-0.247~-0.085), and the mediating effect accounted for 50.6%. Conclusion The level of experiential avoidance in RA patients is high while that of social support low. Social support and self-efficacy are both negative predictors of experiential avoidance. Social support can indirectly affect experiential avoidance through self-efficacy, suggesting that self-efficacy could be improved by more social support, so as to reduce the level of experiential avoidance in RA patients.