Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia, Sabah, Kota Kinabalu, Malaysia.
Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Perspect Psychiatr Care. 2020 Jul;56(3):649-656. doi: 10.1111/ppc.12481. Epub 2020 Feb 3.
Psychological mindedness (PM) can partly explain depressive symptoms in caregivers of autism spectrum disorder (ASD). This cross-sectional study examines PM in mediating the relationship between dysfunctional coping styles and depressive symptoms.
One hundred fifty-five adult ASD caregivers completed the Malay version of Brief COPE, the Patient Health Questionnaire-9, and the Balanced Index of PM.
Direct paths between dysfunctional coping style and depressive symptoms, between insight and depressive symptoms, and between dysfunctional coping style and all PM variables (insight and interest) were obtained. Multiple regression analyses revealed that insight, but not interest, significantly mediates the relationship between dysfunctional coping and depressive symptoms.
PM can be enhanced via psychological interventions.
心理意识（PM）可以部分解释自闭症谱系障碍（ASD）照顾者的抑郁症状。本横断面研究检验了 PM 在中介功能失调应对方式与抑郁症状之间关系中的作用。
155 名成年 ASD 照顾者完成了马来语版Brief COPE、患者健康问卷-9 和平衡 PM 指数。
获得了功能失调应对方式与抑郁症状、洞察力与抑郁症状以及功能失调应对方式与所有 PM 变量（洞察力和兴趣）之间的直接路径。多元回归分析显示，洞察力而非兴趣显著中介了功能失调应对与抑郁症状之间的关系。
可以通过心理干预来增强 PM。
