新冠疫情期间学生心理应激反应与非自杀性自伤行为：有调节的中介模型

韦臻; 王若彤; 胡燕; 阮中强; 何婷昕; 周子涵

doi:10.6054/j.jscnun.2021000

新冠疫情期间学生心理应激反应与非自杀性自伤行为：有调节的中介模型

doi: 10.6054/j.jscnun.2021000

韦臻^{1, 2, ,},
王若彤²,
胡燕²,
阮中强²,
何婷昕²,
周子涵²

1.
南方医科大学附属深圳妇幼保健院儿童心理与康复科，深圳 518028
2.
华南师范大学心理学院//心理应用研究中心，广州 510631

基金项目:

国家自然科学基金项目 31900770

详细信息

通讯作者:
韦臻，Email：guilinweizhen@126.com

中图分类号: B845.67
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- 文章访问数: 277
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- PDF下载量: 31
- 被引次数: 0
出版历程
- 收稿日期: 2020-03-25
- 网络出版日期: 2021-07-06
- 刊出日期: 2021-06-25

The Impact of Psychological Stress Response on Non-suicidal Self-injury Behaviors in Adolescents during COVID-19

1.
Department of Children Psychiatry and Rehabilitation, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518028, China
2.
School of Psychology//Center for Studies of Psychological Application, South China Normal University, Guangzhou 510631, China

摘要

摘要: 为了探究在新冠疫情期间学生群体的心理应激反应和非自杀性自伤行为的关系，以及消极应对方式的中介作用和情绪管理能力的调节作用，以线上问卷的形式，采用心理应激反应筛查问卷、简易应对方式问卷、情绪管理能力量表、非自杀性自伤行为功能评估工具，在疫情期间对国内1 955名学生进行调查. 结果显示：疫情期间学生的心理应激反应和自伤行为呈显著正相关；消极应对方式在心理应激反应和非自杀性自伤行为之间起部分中介作用；消极应对方式和非自杀性自伤行为的关系(中介效应的后半段路径)受到情绪管理能力的调节：情绪管理能力越强，消极应对方式对非自杀性自伤行为的正向预测作用越弱. 研究表明：心理应激反应和非自杀性自伤行为之间存在着有调节的中介效应，消极应对方式是其中的中介变量，情绪管理能力是其中的调节变量，后者能够降低前者对非自杀性自伤的影响.
- 新冠疫情 /
- 非自杀性自伤行为 /
- 心理应激反应 /
- 应对方式 /
- 情绪管理能力
Abstract: To study the relationship between psychology stress response and non-suicidal self-injury behaviors, the mediating effect of negative coping style and the moderating effect of emotional management ability among students during the COVID-19 epidemic, the Psychological Stress Reaction Questionnaire, the Non-suicide Behavioral Assessment Tool, the Simplified Coping Style Questionnaire and the Emotion Management Questionnaire were employed to investigate the mental health of 1 955 students. The results showed that psychology stress response was significantly positively correlated to non-suicidal self-injury behaviors; negative coping style played a partial mediating role between psychology stress response and non-suicidal self-injury behaviors and the mediating effect was affected by emotional management ability. The relationship between negative coping style and non-suicidal self-injury behaviors (the second half of the mediation effect) was moderated by emotional management ability; the higher the emotional management ability of the subjects, the weaker effects of negative coping style on the positive prediction of non-suicidal self-injury behaviors. The research suggested that the relationship between psychology stress response and non-suicide self-injury behaviors was mediated, negative coping style played a partial mediating role between them, and emotional management ability can buffer the impact of negative coping style on non-suicide self-injury behaviors.
- COVID-19 /
- non-suicidal self-injury behavior /
- psychology stress response /
- coping style /
- emotional management ability

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图 1 应对方式的中介效应与情绪管理能力的调节效应模型假设图

注：PSR为心理应激反应；CS为应对方式；NSSI为非自杀性自伤行为；EMA为情绪管理能力.

Figure 1. The diagram of the hypothetical model of the mediating effect of coping style and the moderating effect of emotional management ability

下载: 全尺寸图片幻灯片

图 2 消极应对方式的中介效应与情绪管理能力的调节效应模型图

注：PSR：心理应激反应；NCS：消极应对方式；NSSI：非自杀性自伤行为；EMA：情绪管理能力

Figure 2. The mediating effect of negative coping style and the moderating effect of emotion management ability

下载: 全尺寸图片幻灯片

表 1 自伤发生率的不同人口学因素差异

Table 1. The different demographic factors in the incidence of self-injury

组别		人数	NSSI人数	χ²
性别	男	1 005	259	0.92
	女	950	227
地区	疫情高发区	347	131	37.54^***
	疫情低发区	1 680	355
户口所在地	城镇	1 164	280	0.99
	乡村	791	206
目前状态	医疗机构隔离	26	11	22.17^***
	在家或特定地点强制隔离	148	55
	居家学习	1 572	383
	恢复正常学习	209	37
独生子女情况	独生子女	1 030	222	12.74^***
	非独生子女	925	264
家庭结构	小家庭	1 446	328	8.22^*
	大家庭	467	145
	单亲或重组家庭	42	13
注：* * 表示P＜0.001，表示P＜0.01，表示P＜0.05. 下表同.

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表 2 主要变量描述性统计相关关系

Table 2. The descriptive statistical correlation of main variables

变量	PSR	EMA	NSSI	PCS	NCS	M	SD
PSR	1					3.36	4.59
EMA	-0.63^**	1				11.85	2.86
NSSI	0.49^**	-0.39^**	1			0.58	1.27
PCS	-0.16^**	0.21^**	-0.12^**	1		30.58	8.93
NCS	0.11^**	-0.03	0.11^**	0.65^**	1	16.59	6.84
注：M为平均值；SD为标准差；PSR为心理应激反应；EMA为情绪管理能力；NCS为消极应对方式；PCS为积极应对方式；NSSI为非自杀性自伤行为，下同。

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表 3 中介模型分析

Table 3. The mediation model analysis

变量	模型1(NSSI)		模型2(NCS)		模型3(有中介的NSSI)
变量	β	t	β	t	β	t
PSR	0.43	20.81^***	0.16	2.97^**	1.12	20.63^***
NCS	—	—	—	—	0.05	2.42^**
R²	0.21		0.05		0.21
F	130.76^***		28.32^***		106.04^***

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表 4 中介效应检验

Table 4. The mediating effect test

效应类型	效应值	Boot标准误(SE)	Boot 95%的置信区间(CI)		相对效应/%
效应类型	效应值	Boot标准误(SE)	下限	上限	相对效应/%
总效应	1.12	0.05	1.02	1.23	—
直接效应	1.11	0.05	1.01	1.22	92.50
间接效应	0.01	0.01	0.00	0.02	7.50

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表 5 有调节的中介模型分析

Table 5. The moderated mediation model analysis

变量	模型1(NSSI)		模型2(NCS)		模型3(有调节的中介的NSSI)
变量	β	t	β	t	β	t
PSR	0.59	7.71^***	0.17	2.97^**	0.57	7.79^***
NCS	—	—	—	—	0.07	3.39^***
EMA	-0.17	-6.61^***	—	—	-0.16	-6.34^***
PSR*EMA	-0.30	-5.37^***	—	—	-0.28	-4.93^***
NCS*EMA	—	—	—	—	-0.07	-4.09^***
R²	0.26		0.05		0.27
F	114.67^***		28.32^***		89.86^***

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表 6 在情绪管理能力不同水平上的中介效应

Table 6. The mediating effect of emotional management ability on different levels

中介变量	调节变量	间接效应值(β)	Boot标准误(SE)	Boot95%的置信区间(CI)
中介变量	调节变量	间接效应值(β)	Boot标准误(SE)	下限	上限
NCS	M-SD	0.03	0.01	0.01	0.05
	M	0.01	0.01	0.00	0.03
	M+SD	-0.00	0.00	-0.01	0.01

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