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中国西部女性性工作者的消极信任和抑郁:归属感受挫的中介作用。

Negative trust and depression among female sex workers in Western China: The mediating role of thwarted belongingness.

机构信息

Key Laboratory of Cognition and Personality (Ministry of Education), Southwest University, Chongqing 400715, China; School of Psychology, Southwest University, Chongqing 400715, China.

Department of Psychology, Shanghai Normal University, Shanghai 200234, China.

出版信息

Psychiatry Res. 2017 Oct;256:448-452. doi: 10.1016/j.psychres.2017.06.031. Epub 2017 Jun 12.

DOI:10.1016/j.psychres.2017.06.031
PMID:28709059
Abstract

Female sex workers are at high risk for depression in China but they are understudied and underserved. Based on cognitive models of depression, dysfunctional beliefs about oneself and others may act as vulnerability factors for depression. However, the association between negative trust and depression is still under debate. The present study aimed to test the hypothesis that negative trust positively relates to depression through thwarted belongingness among female sex workers. Four hundred and fifty-seven participants completed measures of negative trust, thwarted belongingness, and depression. Stepwise multiple linear regression analyses showed that both negative trust and thwarted belongingness significantly positively predicted depression, and thwarted belongingness was positively predicted by negative trust. The results from the mediation analysis suggest that thwarted belongingness might be an underlying mechanism linking negative trust and depression. Psychological interventions could focus on helping female sex workers form and strengthen meaningful social connectedness (the behavioral/observable indicators of the constructs of thwarted belongingness).

摘要

在中国,性工作者患抑郁症的风险很高,但针对她们的研究和服务却很少。基于抑郁症的认知模型,对自己和他人的不良信念可能是导致抑郁症的脆弱因素。然而,消极信任与抑郁症之间的关联仍存在争议。本研究旨在检验以下假设:消极信任通过性工作者的归属感缺失与抑郁呈正相关。457 名参与者完成了消极信任、归属感缺失和抑郁的测量。逐步多元线性回归分析表明,消极信任和归属感缺失均显著正向预测抑郁,归属感缺失也被消极信任正向预测。中介分析结果表明,归属感缺失可能是消极信任和抑郁之间的潜在机制。心理干预可以集中帮助性工作者形成和加强有意义的社会联系(归属感缺失的行为/可观察指标)。

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