Symister Petra, Friend Ronald
Department of Psychology,State University of New York at Stony Brook, 11794-2500, USA.
Health Psychol. 2003 Mar;22(2):123-9. doi: 10.1037//0278-6133.22.2.123.
The present study focused on the mechanism through which social and problematic support affects psychological adjustment in chronic illness. The authors hypothesized that self-esteem would mediate the relations between social and problematic support and adjustment. Eighty-six end-stage renal disease patients were assessed twice for social support problematic support, and self-esteem. Adjustment was assessed twice by depression and optimism. Mediational analyses indicated that social support operated through self-esteem to influence optimism cross-sectionally and prospectively and depression cross-sectionally. Social support was associated with high self-esteem, which in turn increased optimism and was related to decreased depression. Problematic support was unrelated to self-esteem obviating mediational analysis. Disaggregating social support into subscales showed that belonging support predicted decreases in depression, and both tangible and belonging support predicted increases in optimism.
本研究聚焦于社会支持和不良支持影响慢性病患者心理调适的机制。作者假设自尊会在社会支持、不良支持与调适之间起中介作用。对86名终末期肾病患者进行了两次评估，分别涉及社会支持、不良支持和自尊。通过抑郁和乐观程度对调适进行了两次评估。中介分析表明，社会支持通过自尊对乐观产生横断面和前瞻性影响，并对抑郁产生横断面影响。社会支持与高自尊相关，进而增加乐观情绪，并与抑郁减轻有关。不良支持与自尊无关，无需进行中介分析。将社会支持细分为子量表后发现，归属感支持可预测抑郁程度降低，实际支持和归属感支持均可预测乐观情绪增加。
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