Wang Qi, Liu Hongjian, Ren Zheng, Xiong Wenjing, He Minfu, Li Nan, Fan Xinwen, Guo Xia, Li Xiangrong, Shi Hong, Zha Shuang, Zhang Xiumin
Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China.
Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China.
Psychiatry Investig. 2020 Apr;17(4):356-365. doi: 10.30773/pi.2019.0204. Epub 2020 Apr 8.
This study aims to explore the relationships of family functioning, general well-being, and exercise with psychological distress. Furthermore, we investigated the special roles of general well-being and exercise on the association between family functioning and psychological distress.
Of 769 end-stage renal disease (ESRD) patients participated in the cross-sectional study which consisted of the 12-item General Health Questionnaire (GHQ-12), the Family APGAR Scales, and the General Well-Being Schedule. The collected data were analyzed using multiple linear regression analysis and path analysis.
The prevalence of psychological distress was 72.3%. Family functioning, general well-being and exercise were associated factors of psychological distress (p<0.05). The indirect effect of family functioning on psychological distress was partially mediated by general well-being (Effect=-0.08, 95% CI=-0.11, -0.04). In addition, the effect of family functioning on general well-being was moderated by exercise (Index=-0.092, SE=0.033, 95% CI=-0.159, -0.029).
The prevalence of psychological distress among ESRD patients was high. Family functioning, general well-being and exercise were associated with psychological distress. Family functioning could affect psychological distress partially by affecting general well-being. Furthermore, exercise had a significant moderating effect on the relationship between family functioning and general well-being.
本研究旨在探讨家庭功能、总体幸福感和运动与心理困扰之间的关系。此外，我们还研究了总体幸福感和运动在家庭功能与心理困扰之间关联中的特殊作用。
769名终末期肾病（ESRD）患者参与了这项横断面研究，该研究包括12项一般健康问卷（GHQ - 12）、家庭APGAR量表和总体幸福感量表。使用多元线性回归分析和路径分析对收集到的数据进行分析。
心理困扰的患病率为72.3%。家庭功能、总体幸福感和运动是心理困扰的相关因素（p<0.05）。家庭功能对心理困扰的间接效应部分由总体幸福感介导（效应=-0.08，95%置信区间=-0.11，-0.04）。此外，运动调节了家庭功能对总体幸福感的影响（指数=-0.092，标准误=0.033，95%置信区间=-0.159，-0.029）。
ESRD患者中心理困扰的患病率较高。家庭功能、总体幸福感和运动与心理困扰相关。家庭功能可通过影响总体幸福感部分影响心理困扰。此外，运动对家庭功能与总体幸福感之间的关系有显著的调节作用。
