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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

韦臻, 王若彤, 胡燕, 阮中强, 何婷昕, 周子涵. 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[J]. 华南师范大学学报(自然科学版), 2021, 53(3): 122-128. doi: 10.6054/j.jscnun.2021000
引用本文: 韦臻, 王若彤, 胡燕, 阮中强, 何婷昕, 周子涵. 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[J]. 华南师范大学学报(自然科学版), 2021, 53(3): 122-128. doi: 10.6054/j.jscnun.2021000
WEI Zhen, WANG Ruotong, HU Yan, RUAN Zhongqiang, HE Tingxin, ZHOU Zihan. The Impact of Psychological Stress Response on Non-suicidal Self-injury Behaviors in Adolescents during COVID-19[J]. Journal of South China normal University (Natural Science Edition), 2021, 53(3): 122-128. doi: 10.6054/j.jscnun.2021000
Citation: WEI Zhen, WANG Ruotong, HU Yan, RUAN Zhongqiang, HE Tingxin, ZHOU Zihan. The Impact of Psychological Stress Response on Non-suicidal Self-injury Behaviors in Adolescents during COVID-19[J]. Journal of South China normal University (Natural Science Edition), 2021, 53(3): 122-128. 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
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

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

  • 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.
  • 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

    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

    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 1 005 259 0.92
    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.
    下载: 导出CSV

    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。
    下载: 导出CSV

    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)
    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***
    下载: 导出CSV

    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/%
    下限 上限
    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
    下载: 导出CSV

    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)
    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***
    下载: 导出CSV

    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)
    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
    下载: 导出CSV
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  • 收稿日期:  2020-03-25
  • 网络出版日期:  2021-07-06
  • 刊出日期:  2021-06-25

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