Wang Qi, Liu Hongjian, Ren Zheng, Xiong Wenjing, He Minfu, Fan Xinwen, Guo Xia, Li Xiangrong, Shi Hong, Zha Shuang, Qiao Shuyin, Zhao Hanfang, Li Nan, 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.
PeerJ. 2020 Mar 26;8:e8713. doi: 10.7717/peerj.8713. eCollection 2020.
The study aimed to explore the association of coping styles and social support with psychological distress among patients with end-stage renal disease (ESRD) as well as gender differences in these associations.
A cross-sectional study of 769 ESRD patients was conducted at 25 hospitals in Qiqihar City, China. All information was collected using structured questionnaires that were self-administered by the patients. Patients' psychological health status, coping styles and perceived social support were measured using the 12-item General Health Questionnaire, the Medical Coping Modes Questionnaire and the Multidimensional Scale of Perceived Social Support. Student's test, analysis of variance (ANOVA) and binary logistic regression analysis were used for data analysis.
A total of 72.3% of participants reported psychological distress, and the prevalence of distress was higher in females (77.0%) than in males (68.8%). The usage of the acceptance-resignation coping style was positively related to psychological distress (B = 0.459, < 0.001). Social support level was negatively associated with psychological distress (B = -0.049, < 0.001). The use of the confrontation style was negatively related to psychological distress in females (OR = 0.87, 95% CI [0.78-0.96]) but not in males (OR = 0.98, 95% CI [0.91-1.06]) ( for interaction term = 0.007).
Greater use of the acceptance-resignation style and lower social support are related to a higher risk of psychological distress. Greater use of the confrontation style is related to a lower risk of psychological distress in females but not in males.
本研究旨在探讨终末期肾病（ESRD）患者应对方式和社会支持与心理困扰之间的关联，以及这些关联中的性别差异。
在中国齐齐哈尔市的25家医院对769例ESRD患者进行了横断面研究。所有信息均通过患者自行填写的结构化问卷收集。使用12项一般健康问卷、医学应对方式问卷和领悟社会支持多维量表来测量患者的心理健康状况、应对方式和领悟到的社会支持。采用学生t检验、方差分析（ANOVA）和二元逻辑回归分析进行数据分析。
共有72.3%的参与者报告有心理困扰，女性的困扰患病率（77.0%）高于男性（68.8%）。采用屈服-放弃应对方式与心理困扰呈正相关（B = 0.459，<0.001）。社会支持水平与心理困扰呈负相关（B = -0.049，<0.001）。采用面对方式与女性心理困扰呈负相关（OR = 0.87，95%CI[0.78 - 0.96]），但与男性无关（OR = 0.98，95%CI[0.91 - 1.06]）（交互项的P = 0.007）。
更多地采用屈服-放弃方式和较低的社会支持与心理困扰风险较高有关。更多地采用面对方式与女性心理困扰风险较低有关，但与男性无关。
