13至18岁青少年的压力、连贯感与主观健康状况
Stress, sense of coherence and subjective health in adolescents aged 13-18 years.
作者信息
Moksnes Unni K, Espnes Geir A
机构信息
1 NTNU Center for Health Promotion Research, Norway.
2 Department of Public Health and Nursing, Norwegian University of Science and Technology, Norway.
出版信息
Scand J Public Health. 2017 Jun;45(4):397-403. doi: 10.1177/1403494817694974. Epub 2017 Mar 30.
BACKGROUND
This study investigated the relationships between sex, age, stress and sense of coherence (SOC) and each of self-rated health (SRH) and subjective health complaints (SHCs) in adolescents.
METHODS
The study was based on a cross-sectional sample of 1239 adolescents aged 13-18 years. The participants reported scores on a questionnaire, including 12 items assessing SHC, the 13-item version of the Orientation to Life Questionnaire and the 30-item Adolescent Stress Questionnaire. Data were analysed with descriptive, comparative and hierarchical multiple regression analyses.
RESULTS
Boys scored significantly higher on SRH than girls, whereas girls scored higher on SHCs. In the multivariate model, stress was significantly associated with SHCs, but not with SRH. SOC was significantly positively related to SRH and negatively related to SHC; the associations were significantly stronger for girls than for boys. A significant moderation effect (protective role) of SOC was found on the relation between stress and SHC.
CONCLUSIONS
No causal conclusion was possible, but the findings may be used as a basis for further investigation of the role of stress and SOC in longitudinal studies and intervention studies.
背景
本研究调查了青少年的性别、年龄、压力和连贯感(SOC)与自评健康(SRH)及主观健康抱怨(SHC)之间的关系。
方法
该研究基于一个包含1239名13 - 18岁青少年的横断面样本。参与者报告了一份问卷的得分,问卷包括评估SHC的12个项目、13项版的生活取向问卷以及30项青少年压力问卷。数据采用描述性、比较性和分层多元回归分析进行分析。
结果
男孩在SRH上的得分显著高于女孩,而女孩在SHC上的得分更高。在多变量模型中,压力与SHC显著相关,但与SRH无关。SOC与SRH显著正相关,与SHC显著负相关;女孩的这种关联比男孩更强。发现SOC对压力与SHC之间的关系有显著的调节作用(保护作用)。
结论
无法得出因果结论,但这些发现可作为在纵向研究和干预研究中进一步调查压力和SOC作用的基础。