压力对大学生抑郁的影响机制:领悟社会支持与应对方式的中介作用

基于心理应激理论、素质-压力三模式以及社会支持主效果模型考察领悟社会支持、积极应对方式和消极应对方式在压力与抑郁关系中的链式中介效应,使用压力量表、领悟社会支持量表、应对方式量表和抑郁量表对抽取的641名大学生进行调查。研究显示:(1)领悟社会支持中介了压力对大学生抑郁的影响;(2)积极应对方式、消极应对方式中介了领悟社会支持对大学生抑郁的影响。因此,领悟社会支持以及应对方式在压力与大学生抑郁之间起链式中介作用。     

Emotions,positive self-regulation and resilience. Development and validation of alternative theoretical models and its assessment instrument / Emociones,autorregulación positiva y resiliencia. Desarrollo y validación de modelos teóricos alternativos y su instrumento de evaluación

Abstract

The objective of this study was to examine the organization of emotion coping strategies that reflect positive emotional self-regulation through the contrast of four theoretical models, as well as the relationship between such strategies and resilience. With this aim, the Positive Emotional Self-regulation Questionnaire (PEMSR-Q) for adolescents was developed. A total of 336 secondary school students formed the sample. In order to analyse model fit, four confirmatory factor analyses were realized (a one-factor model/a-three factors model/a hierarchical model/a bifactor model), as well as correlation and regression analyses to determine its concurrent validity. Results have shown that the bi-factor model has the best fit. Besides, the combination of positive self-regulation strategies and problem-focused strategies is associated with better resilience. These results underlie the importance of helping adolescents to develop and use positive self-regulation strategies to increase their resilience.     

Dyadic coping mediates the relationship between parents’ grief and dyadic adjustment following the loss of a child

Background and Objectives: This study aimed to examine forms of dyadic coping (DC) as mediators of the association between parents’ grief response and dyadic adjustment and to determine whether these indirect effects were moderated by the child’s type of death, timing of death, and age.

Design: The study design was cross-sectional.

Method: The sample consisted of 197 bereaved parents. Participants completed the Prolonged Grief Disorder Scale, Revised Dyadic Adjustment Scale, and Dyadic Coping Inventory.

Results: Significant indirect effects of parents’ grief response on dyadic adjustment were found through stress communication by oneself and by the partner, positive and negative DC by the partner, and joint DC. The timing of death moderated the association between grief response and dyadic adjustment and between joint DC and dyadic adjustment. Grief response was negatively associated with dyadic adjustment only when the death occurred after birth. Grief response was negatively associated with joint DC, which, in turn, was positively associated with dyadic adjustment, when the death occurred both before and after birth. However, the association was stronger in the latter.

Conclusions: Specific forms of DC might be mechanisms through which grief response is associated with dyadic adjustment and should be promoted in clinical practice.     

Workplace Violence Toward Hospital Staff and Volunteers: A Survey of an Italian Sample

Interest in the phenomenon of workplace violence has increased in recent years because such violence is evident in the healthcare sector. The prevalence and consequences of victimization among healthcare professionals have been well-investigated but not in volunteers who have direct and prolonged contact with patients and visitors. The aim of this study was to investigate the prevalence of physical and psychological workplace violence, the psychological and emotional consequences for hospital staff and volunteers, and the coping strategies that they adopted. In the current study, both of these groups worked with patients suffering from chronic diseases in a hospital in northern Italy. The participants included 108 hospital staff and 96 volunteers in cardiology and oncology units. The results revealed that for the staff victims of physical or psychological violence, the increase in depressive and anxiety symptoms (both state and trait) corresponded to a greater use of coping strategies to avoid facing the event. For the volunteer victims of physical violence, an increase in state anxiety was associated with an attempt to cope with the discharge of emotion, whereas trait anxiety was associated with a coping strategy that represents a positive interpretation of life events. A worrisome finding was the number of staff and volunteer victims of physical and psychological violence who did not report these occurrences: only one third of staff and volunteers reported these events to management or to the police.     

Assessing gender differences in the relationship between religious coping responses and alcohol consumption

The purpose of this study is to see if the use of religious coping responses is associated with alcohol intake. In addition, tests are conducted to see if the relationship between religion and alcohol use varies by gender. Data from a recent nationwide survey (N?=?2173) indicate that greater use of religious coping responses is associated with less alcohol consumption. The findings further reveal that even though women use religious coping responses more often than men, the relationship between the use of religious coping responses and alcohol consumption is stronger for men than for women. This suggests that, with respect to alcohol consumption, men may benefit more from using religious coping responses than women. The theoretical implications of these results are discussed.     

年轻男同性恋者自我概念清晰性与生命意义感的关系及作用机制

通过网络抽样法对405名年轻男同性恋者进行问卷调查,考察年轻男同性恋者自我概念清晰性与生命意义感的关系,并探讨内化同性恋嫌恶和应对自我效能感在其间的作用机制。结果表明：（1）年轻男同性恋者自我概念清晰性与生命意义感呈显著正相关。（2）内化同性恋嫌恶、应对自我效能感在自我概念清晰性与生命意义感间起链式中介作用。（3）应对自我效能感在自我概念清晰性与生命意义感间起中介作用。     

心理干预对急性冠脉综合征伴抑郁患者应对方式的影响

为了解心理干预对急性冠脉综合征（ACS）伴抑郁患者应对方式的影响,对42名ACS伴抑郁患者随机分为干预组和对照组,在入组时、入组3月后和6月后分别进行HAD（d）、MCMQ测评。结果显示入组3月后和6月后,干预组HAD（d）总分、回避因子分、屈服因子分较对照组降低,面对因子分较对照组升高,与入组时相比干预组HAD（d）...     

高血压患者应激反应特点及行为人格的关系研究

为了解高血压患者心血管反应的特征及与健康人群的差异,使用实验和问卷调查的方法对高血压患者和健康居民进行研究。结果显示,两组在任务期和恢复期的心血管反应差异显著（P〈0．05）;病例组的健康实践行为和消极应对方式水平较高,积极应对方式有待提升;健康实践行为和恢复期舒张压呈负相关,积极应对方式和任务期收缩压呈正相关（P〈0...     

The relationship between therapeutic engagement,cognitive errors,and coping action patterns: An exploratory study

Aim: This exploratory study examined the relationship between clients’ involvement in therapy and their cognitive errors (CE) and coping action patterns (CAP). Method: Therapy sessions from N = 26 clients were rated for CE and CP using the CE and CAP methods. Client involvement was measured with the Positive and Negative Affect Schedule, as well as the . Results: The CEs’ ‘magnification of the negative or minimisation of the positive’ and ‘labelling’ were associated with measures of affective therapeutic engagement. The coping styles ‘negotiation’, ‘opposition’, ‘submission’, ‘isolation’, ‘support seeking’, ‘information seeking’, ‘delegation’, and ‘escape’ were found to be associated with affective and behavioural dimensions of therapeutic involvement. Conclusions: These findings provide preliminary supporting evidence that CE and CP are related to the extent to which clients engage in the work of therapy. Implications for researchers and therapists are discussed.     

Another dragon in the kitchen: Psychological experiences of hepatitis C treatment among HIV‐hepatitis C co‐infected gay men

Background: Increasing numbers of HIV‐infected gay men acquire hepatitis C virus (HCV) co‐infection, which causes serious medical consequences. Treatment for HCV is associated with many severe side effects, in some cases psychological, and many patients subsequently fail to adhere, even when psychological services are utilised, to improve treatment adherence. Objective: This qualitative study aimed to explore the experiences of HIV‐infected gay men undergoing treatment for HCV in order to inform psychological services to better meet specific treatment needs of this population. Methods: Thirteen HIV‐infected gay men who had undergone HCV treatment were interviewed and a qualitative analysis was conducted. Participants described HCV and its treatments in the context of their relationships and lifestyles. Findings: Four domains emerged: HCV diagnosis and treatment; HCV treatment education; change in sense of self; and sexual risk‐taking. Adhering to treatment was a significant challenge for all participants and emerged across all domains. Discussion: Psychological services for this population of co‐infected gay men should assist this clinical population not only with adherence to hepatitis C treatment but should also be available at an earlier stage in the process to help patients make informed choices about whether or not to begin a course of treatment. Assessing factors such as coping strategies, treatment readiness and knowledge, self‐awareness, and level of risk‐taking, can guide clinicians in tailoring treatment and adherence planning for HIV/HCV‐co‐infected gay men.