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在 COVID-19 大流行期间,考察心理灵活性、正念、身心功能与焦虑之间的关联:路径分析。

Examining the Associations between Psychological Flexibility, Mindfulness, Psychosomatic Functioning, and Anxiety during the COVID-19 Pandemic: A Path Analysis.

机构信息

The Education of Research and Development Center, Babinski Clinical Hospital, 30-393 Cracow, Poland.

Department of Psychiatry, Rydygier Specialist Hospital, 31-826 Cracow, Poland.

出版信息

Int J Environ Res Public Health. 2020 Nov 25;17(23):8764. doi: 10.3390/ijerph17238764.

Abstract

Social distancing plays a leading role in controlling the spread of coronavirus. However, prolonged lockdown can lead to negative consequences in terms of mental health. The goal of the research is to examine the relationship between anxiety and general psychosomatic functioning during the COVID-19 pandemic; the impact of psychological flexibility and mindfulness is also considered. Variables were measured with self-report questionnaires and symptom checklists. The sample included 170 people (M = 27.79, SD = 8.16). Pearson's correlation, stepwise regression, and path analysis were conducted. The results showed a significant positive relationship between state anxiety and somatic and psychological responses to the pandemic. Path analysis revealed that mindfulness had a direct negative impact on and decreased the level of state anxiety (b = -0.22, = 0.002), whereas psychological flexibility influenced the variable indirectly (b = 0.23, = 0.002) by enhancing psychosomatic functioning (b = -0.64, < 0.001). Psychological flexibility and mindfulness may mediate the development of mental disorders and facilitate achieving overall wellbeing. The study points to the usefulness of mindfulness practice as a form of self-help with anxiety symptoms; this is crucial during the pandemic because contact with clients is restricted.

摘要

社交隔离在控制冠状病毒传播方面发挥着主导作用。然而,长时间的封锁会对心理健康产生负面影响。本研究的目的是探讨在 COVID-19 大流行期间焦虑与一般身心功能之间的关系;还考虑了心理灵活性和正念的影响。使用自我报告问卷和症状检查表来测量变量。样本包括 170 人(M = 27.79,SD = 8.16)。进行了 Pearson 相关、逐步回归和路径分析。结果表明,状态焦虑与对大流行的躯体和心理反应呈显著正相关。路径分析表明,正念对状态焦虑有直接的负向影响,降低了状态焦虑的水平(b = -0.22, = 0.002),而心理灵活性则通过增强身心功能间接地影响该变量(b = 0.23, = 0.002)(b = -0.64,<0.001)。心理灵活性和正念可能会调节精神障碍的发展,促进整体健康。该研究表明,正念练习作为一种缓解焦虑症状的自助方式是有用的;这在大流行期间至关重要,因为与客户的接触受到限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da2/7728363/5837add0059d/ijerph-17-08764-g001.jpg

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