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功能限制与抑郁症状学:在压力与应对框架内考量感知到的耻辱感和歧视

FUNCTIONAL LIMITATION AND DEPRESSIVE SYMPTOMATOLOGY: CONSIDERING PERCEIVED STIGMA AND DISCRIMINATION WITHIN A STRESS AND COPING FRAMEWORK.

作者信息

Brown Robyn Lewis

机构信息

University of Kentucky.

出版信息

Stigma Health. 2017 May;2(2):98-109. doi: 10.1037/sah0000042. Epub 2016 Jul 7.

Abstract

This study examines whether perceived stigma and discrimination moderate the associations between functional limitation, psychosocial coping resources, and depressive symptoms among people with physical disabilities. Using two waves of data from a large community study including a representative sample of persons with physical disabilities (N=417), an SEM-based moderated mediation analysis was performed. Mediation tests demonstrate that mastery significantly mediates the association between functional limitation and depressive symptoms over the study period. Moderated mediation tests reveal that the linkage between functional limitation and mastery varies as a function of perceived stigma and experiences of major discrimination and day-to-day discrimination, however. The implications of these findings are discussed in the context of the stress and coping literature.

摘要

本研究探讨了感知到的耻辱感和歧视是否会调节身体残疾者的功能限制、心理社会应对资源与抑郁症状之间的关联。利用来自一项大型社区研究的两波数据,该研究包括身体残疾者的代表性样本(N = 417),进行了基于结构方程模型的调节中介分析。中介检验表明,在研究期间,掌控感显著中介了功能限制与抑郁症状之间的关联。然而,调节中介检验显示,功能限制与掌控感之间的联系会因感知到的耻辱感以及主要歧视和日常歧视经历而有所不同。这些研究结果的意义将在压力与应对文献的背景下进行讨论。

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