Bovier Patrick A, Chamot Eric, Perneger Thomas V
Department of Community Medicine, Quality of Care Unit, Geneva University Hospitals, Geneva, Switzerland.
Qual Life Res. 2004 Feb;13(1):161-70. doi: 10.1023/B:QURE.0000015288.43768.e4.
Mental health is a central determinant of quality of life. While psychiatric morbidity of populations has been studied extensively, the role of perceived stress, social support, and internal resources as determinant of health is still poorly understood.
We surveyed 2000 randomly selected university students. Perceived stress was measured by the Brief Encounter Psychosocial Instrument, social support by the Duke-UNC Functional Social Support Questionnaire, internal resources (mastery and self-esteem) by a brief version of the Pearlin coping questionnaire. Linear regression models were used to explore the relationships between these variables and mental health, based on the SF-12 health survey.
After two reminders, 1257 students answered the questionnaire. In bivariate analysis, mental health was negatively associated with stress and positively associated with internal resources and social support (all p-values < 0.001). In multiple regression analysis, internal resources were positively associated with mental health, and buffered the negative impact of stress on mental health. Internal resources and stress mediated the positive impact of social support on mental health.
Our data confirm that perceived stress is an important risk factor for low mental health and suggest that mastery and self-esteem are important protective factors of mental health among young adults.
心理健康是生活质量的核心决定因素。虽然对人群的精神疾病发病率已进行了广泛研究，但对感知压力、社会支持和内部资源作为健康决定因素的作用仍知之甚少。
我们对随机抽取的2000名大学生进行了调查。使用简易心理社会调查问卷测量感知压力，使用杜克大学-北卡罗来纳大学功能性社会支持问卷测量社会支持，使用皮尔林应对问卷简版测量内部资源（掌控感和自尊）。基于SF-12健康调查，使用线性回归模型探讨这些变量与心理健康之间的关系。
经过两次提醒后，1257名学生回答了问卷。在双变量分析中，心理健康与压力呈负相关，与内部资源和社会支持呈正相关（所有p值<0.001）。在多元回归分析中，内部资源与心理健康呈正相关，并缓冲了压力对心理健康的负面影响。内部资源和压力介导了社会支持对心理健康的积极影响。
我们的数据证实，感知压力是心理健康水平低的一个重要风险因素，并表明掌控感和自尊是年轻人心理健康的重要保护因素。
