College of Nursing, Kosin University, Busan, South Korea.
College of Nursing, Mo-Im Kim Research Institute, Yonsei University, Seoul, South Korea.
Nurs Health Sci. 2021 Jun;23(2):456-465. doi: 10.1111/nhs.12830. Epub 2021 Mar 31.
This study examined the mediating effects of social support on the association between disaster distress and mental health outcomes. We analyzed the data of 1006 participants with either direct or indirect exposure to one or more disasters. Disaster distress, social support, depression, and anxiety were significantly correlated. Multiple regression and mediation analyses with bootstrapping showed that social support was a partial mediator between disaster distress and depression, and between disaster distress and trait anxiety. It was a complete mediator between disaster distress and state anxiety. The results suggest that enhancing social support may reduce the negative effects of disaster distress on depression and anxiety. Therefore, comprehensive interventions incorporating disaster distress management and enhanced social support are essential in national disaster management policies and psychiatric and mental health nursing services for individuals who have experienced disasters.
本研究考察了社会支持在灾难困扰与心理健康结果之间的关联中的中介作用。我们分析了 1006 名直接或间接经历过一次或多次灾难的参与者的数据。灾难困扰、社会支持、抑郁和焦虑呈显著相关。采用 bootstrap 法的多元回归和中介分析显示，社会支持在灾难困扰与抑郁之间，以及在灾难困扰与特质焦虑之间存在部分中介作用。在灾难困扰与状态焦虑之间则存在完全中介作用。结果表明，增强社会支持可能会减轻灾难困扰对抑郁和焦虑的负面影响。因此，在国家灾难管理政策和灾难经历者的精神科和心理健康护理服务中，纳入灾难困扰管理和增强社会支持的综合干预措施至关重要。
