Wu Yan, Shao Jing, Zhang Dawei, Wang Yongna, Wang Shufen, Wang Zhiren, Qu Yanhua, Gu Jianing
Beijing HuiLongGuan Hospital, Peking University, Beijing, China.
Front Psychiatry. 2022 Sep 2;13:976386. doi: 10.3389/fpsyt.2022.976386. eCollection 2022.
The prevalence of adolescent depression in China during the COVID-19 pandemic is increasing. Self-disclosing depressive emotions could help release stress. Self-disclosure, which is a prerequisite for self-efficacy, can directly contribute to people's psychological health, and depression and the choice of coping strategy are determined by the level of self-efficacy perceived.
We aimed to discuss the relationship between self-efficacy, self-disclosure, and medical coping strategy. Further, we explore the mediation effect of self-efficacy on the influence of self-disclosure on medical coping strategies in adolescents with depression.
A total of 585 patients aged 11-24 years with moderate and major depression were recruited. All the assessments were completed on the second day after admission, including the General Self-Efficacy Scale (GSE), Distress Disclosure Index (DDI), and Medical Coping Modes Questionnaire (MCMQ). Pearson correlation was performed to explore the relationships of these variables. The bootstrap analysis was used to conduct to assess the mediation effects.
Both direct and indirect effects of self-disclosure on medical coping strategy were found. As predicted, self-efficacy partially mediated the relationship between self-disclosure and medical coping strategy ( = 0.0385, 95% CI: 0.0244-0.0538 for ; = -0.0466, 95%CI: -0.0651 to -0.0296 for ), respectively. The effect size for and was 0.2659 and 0.2485, respectively.
Self-efficacy played a partial mediating role in the effect of self-disclosure on medical coping strategies for adolescent depression during the COVID-19 pandemic, and the use of a positive self-disclosure mechanism may be anticipated to promote improved self-efficacy and the use of active coping strategies.
在新冠疫情期间，中国青少年抑郁症的患病率呈上升趋势。自我表露抑郁情绪有助于释放压力。自我表露是自我效能感的前提条件，能够直接促进人们的心理健康，而抑郁以及应对策略的选择则由所感知到的自我效能感水平决定。
我们旨在探讨自我效能感、自我表露与医疗应对策略之间的关系。此外，我们还探究自我效能感在自我表露对抑郁症青少年医疗应对策略的影响中所起的中介作用。
共招募了585名年龄在11至24岁之间的中度和重度抑郁症患者。所有评估均在入院后第二天完成，包括一般自我效能感量表（GSE）、苦恼表露指数（DDI）和医疗应对方式问卷（MCMQ）。采用Pearson相关性分析来探究这些变量之间的关系。使用Bootstrap分析来评估中介效应。
发现了自我表露对医疗应对策略的直接和间接效应。正如预期的那样，自我效能感部分中介了自我表露与医疗应对策略之间的关系（分别为β = 0.0385，95%CI：0.0244 - 0.0538；β = -0.0466，95%CI：-0.0651至-0.0296）。β1和β2的效应量分别为0.2659和0.2485。
在新冠疫情期间，自我效能感在自我表露对青少年抑郁症医疗应对策略的影响中起部分中介作用，预期采用积极的自我表露机制可能会促进自我效能感的提高以及积极应对策略的使用。
