Ke Pan, Ke Li, Liu Bing, Liu Xiang
School of Public Health (SPH), Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, 430040, People's Republic of China.
School of Nursing, Hubei University of Medicine, Shiyan, 442000, People's Republic of China.
Psychol Res Behav Manag. 2021 Mar 9;14:299-306. doi: 10.2147/PRBM.S297416. eCollection 2021.
South-North Water Diversion Project (SNWDP) migrants were vulnerable to developing mental health problems due to post-migration stresses and lack of social support. However, the evidence on the mental health, psychosocial stress and social support of SNWDP migrants and their interrelationships are limited and inconclusive. We aimed to explore the mechanism of influence of social support on the relationship between mental health and social psychosocial stress of SNWDP migrants.
We performed a cross-sectional analysis of the data of 983 SNWDP migrants. The mental health status, psychosocial stress and social support of the participants were evaluated by Symptom Checklist-90-Revised (SCL-90-R), Psychosocial Stress Survey for Groups (PSSG) and Social Support Rating Scale (SSRS). Multiple stepwise regression model was used to analyze the data.
Among the 983 individuals, the average SCL-90-R score was 1.47, the PSSG score was 30.50, and the SSRS score was 40.30. The SCL-90-R was positively correlated with PSSG (=0.483, <0.001) and negatively correlated with SSRS (=-0.257, <0.001), PSSG was negatively correlated with SSRS (=-0.516, <0.001). Multiple regression analysis showed that PSSG and SSRS had significant effects on SCL-90-R prediction and that SSRS played a partial intermediary role in SCL-90-R and PSSG (46.87%).
The SNWDP migrants performed a strong correlation between social support, mental health and psychosocial stress. Social support plays a part role in mediating mental health and psychosocial stress.
南水北调工程移民因迁移后压力和缺乏社会支持，易出现心理健康问题。然而，关于南水北调工程移民心理健康、心理社会压力及社会支持及其相互关系的证据有限且尚无定论。我们旨在探讨社会支持对南水北调工程移民心理健康与心理社会压力关系的影响机制。
我们对983名南水北调工程移民的数据进行了横断面分析。采用症状自评量表（SCL-90-R）、团体心理社会压力调查问卷（PSSG）和社会支持评定量表（SSRS）对参与者的心理健康状况、心理社会压力和社会支持进行评估。使用多元逐步回归模型分析数据。
在983名个体中，SCL-90-R平均得分为1.47，PSSG得分为30.50，SSRS得分为40.30。SCL-90-R与PSSG呈正相关（r = 0.483，P < 0.001），与SSRS呈负相关（r = -0.257，P < 0.001），PSSG与SSRS呈负相关（r = -0.516，P < 0.001）。多元回归分析显示，PSSG和SSRS对SCL-90-R预测有显著影响，且SSRS在SCL-90-R和PSSG之间起部分中介作用（46.87%）。
南水北调工程移民的社会支持、心理健康和心理社会压力之间存在较强相关性。社会支持在调节心理健康和心理社会压力方面起部分作用。
