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肢体缺失患者中影响与残疾相关抑郁的因素:一种中介模型。

Factors Affecting Disability-Related Depression in Patients with Lost Limbs: A Mediational Model.

作者信息

Batool Syeda Shahida, Nawaz Samina

机构信息

Department of Psychology, GC University Lahore, 192 B1 Johar Town, Lahore, Pakistan.

出版信息

J Relig Health. 2016 Aug;55(4):1381-93. doi: 10.1007/s10943-015-0098-2.

Abstract

The objective of the present study was to determine the mediating role of self-efficacy between religiosity, social support, and depression in patients with lost limbs. We sampled 67 male and 33 female disabled patients who had lost limbs in accidents or amputations from four public hospitals in Lahore, Pakistan, and used Religiosity Index (Farooq and Imam, in The effect of religiosity on locus of control. Department of Psychology, Govt College University, Lahore, 1997), General Self-efficacy Scales (Tabassum et al., in Urdu adaptation of the general self-efficacy scale. Retrieved from http://userpage.fu-berlin.de/~health/urdu.htm , 2003), Berlin Social Support Scale (Schwarzer and Schulz, in Berlin Social Support Scales. Retrieved online from http://userpage.fuberlin.de/~gesund/skalen/Language_Selection/Turkish/BerlinSocialSupportScales/berlin_social_support_scales.htm , 2000), and Siddiqui-Shah Depression Scale (Siddiqui and Shah, in Pychol Dev Soc 9(2):245-262, 1997), and used a correlation matrix and mediational analyses along with other inferential statistics to develop a model that suggested self-efficacy mediated between religiosity, social support, and depression with negative correlations that partially mediated this relationship. The findings suggest that low level of religiosity, social support, and self-efficacy may play a role in the onset and continuation of depression or its symptoms. We found no significant differences in gender, education, and cause of disability in patients with lost limbs. Results have implications for clinical psychologists, counselors, and health psychologists to develop a treatment plan for such patients with depression focusing on the factors implicated above.

摘要

本研究的目的是确定自我效能感在肢体残缺患者的宗教信仰、社会支持与抑郁之间的中介作用。我们从巴基斯坦拉合尔的四家公立医院抽取了67名男性和33名女性肢体残缺的残疾患者,这些患者因事故或截肢而失去肢体。我们使用了宗教信仰指数(Farooq和Imam,《宗教信仰对控制点的影响》,政府学院大学心理学系,拉合尔,1997年)、一般自我效能量表(Tabassum等人,《一般自我效能量表的乌尔都语改编版》,取自http://userpage.fu-berlin.de/~health/urdu.htm,2003年)、柏林社会支持量表(Schwarzer和Schulz,《柏林社会支持量表》,从网上http://userpage.fuberlin.de/~gesund/skalen/Language_Selection/Turkish/BerlinSocialSupportScales/berlin_social_support_scales.htm获取,2000年)以及西迪基 - 沙阿抑郁量表(Siddiqui和Shah,《心理学发展与社会》9(2):245 - 262,1997年),并使用相关矩阵和中介分析以及其他推断统计方法来建立一个模型,该模型表明自我效能感在宗教信仰、社会支持与抑郁之间起中介作用,且负相关部分中介了这种关系。研究结果表明,宗教信仰、社会支持和自我效能感水平较低可能在抑郁或其症状的发作和持续中起作用。我们发现肢体残缺患者在性别、教育程度和残疾原因方面没有显著差异。研究结果对临床心理学家、咨询师和健康心理学家为这类抑郁患者制定治疗计划具有启示意义,该治疗计划应关注上述相关因素。

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