Department of Rehabilitation, Social Work and Addictions, University of North Texas, Denton, TX 76203, USA.
Rehabil Psychol. 2011 Aug;56(3):200-11. doi: 10.1037/a0024571.
To translate the theoretical constructs from a model of resilience into a structural equation model and evaluate relationships among the model's theoretical constructs associated with resilience and the occurrence of depressive symptoms.
Quantitative descriptive research design using structural equation modeling (SEM).
Two-hundred and fifty-five individuals with SCI recruited from the Canadian Paraplegic Association (CPA).
Outcome was measured by the Center for Epidemiologic Studies-Depression Scale.
The resilience model fit the data relatively well: χ² (200, N = 255) = 451.57, p < .001; χ²/df = 2.26; CFI = .92, RMSEA = 0.070 (90% CI: 0.062-0.079), explaining 77% of the variance in depressive symptomatology. Severity of SCI-related stressors significantly influenced perceived stress (β = .60) and perceived stress, in turn, affected depressive symptoms (β = .66), characteristics of resilience (β = -.43), and social support (β = -.26). The resilience characteristics had an inverse relationship with depressive symptoms (β = -.29). No direct relationship was found between severity of SCI-related stressors and depressive symptoms.
Findings provide support for the resilience model and suggests characteristics of resilience "buffer" the perceptions of stress on depressive symptoms. The resilience model may be useful to guide clinical interventions designed to improve the mental health of individuals with SCI.
将韧性模型中的理论结构转化为结构方程模型，并评估与韧性相关的模型理论结构与抑郁症状发生之间的关系。
使用结构方程建模（SEM）的定量描述性研究设计。
从加拿大截瘫协会（CPA）招募的 255 名 SCI 患者。
使用流行病学研究中心抑郁量表进行评估。
韧性模型与数据拟合较好：χ²（200，N=255）=451.57，p<.001；χ²/df=2.26；CFI=0.92，RMSEA=0.070（90%CI：0.062-0.079），解释了抑郁症状的 77%。SCI 相关应激源的严重程度显著影响感知压力（β=0.60），而感知压力反过来又影响抑郁症状（β=0.66）、韧性特征（β=-0.43）和社会支持（β=-0.26）。韧性特征与抑郁症状呈负相关（β=-0.29）。SCI 相关应激源的严重程度与抑郁症状之间没有直接关系。
研究结果支持韧性模型，并表明韧性特征“缓冲”了压力对抑郁症状的感知。韧性模型可能有助于指导旨在改善 SCI 患者心理健康的临床干预措施。
