连贯感作为敌意与健康之间的中介因素：对女性员工的七年前瞻性研究。
Sense of coherence as a mediator between hostility and health: seven-year prospective study on female employees.
作者信息
Kivimäki Mika, Elovainio Marko, Vahtera Jussi, Nurmi Jari-Erik, Feldt Taru, Keltikangas-Järvinen Liisa, Pentti Jaana
机构信息
Department of Psychology, University of Helsinki, PO Box 13, 00014, Finland.
出版信息
J Psychosom Res. 2002 Apr;52(4):239-47. doi: 10.1016/s0022-3999(01)00305-1.
OBJECTIVE
We proposed and tested a model in which low sense of coherence (SOC) was hypothesized to underlie the association between hostility and health problems.
METHODS
Structural equation modeling was based on cross-lagged 7-year follow-up data, relating to five measurement points in 433 female municipal employees.
RESULTS
The mediated model fitted well with the data. After adjustment for baseline characteristics, hostility was associated with increased risk of health problems, as indicated by records of sickness absences and poor self-rated health. Incorporating SOC into the model attenuated this association by 33-50%, depending on the indicator of health. The mediated effect of SOC was stronger than that of an alternative mediator, depressive symptoms.
CONCLUSION
Low SOC may be a psychological background factor partially underlying the adverse effect of hostility on ill health.
目的
我们提出并测试了一个模型，其中低连贯感（SOC）被假设为敌意与健康问题之间关联的潜在因素。
方法
结构方程模型基于对433名女性市政雇员五个测量点的7年交叉滞后随访数据。
结果
中介模型与数据拟合良好。在对基线特征进行调整后，如病假记录和自我健康评价差所示，敌意与健康问题风险增加相关。将SOC纳入模型后，根据健康指标，这种关联减弱了33%至50%。SOC的中介效应比另一个替代中介因素抑郁症状的效应更强。
结论
低SOC可能是敌意对健康产生不利影响的部分心理背景因素。
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