应对方式在心血管病患者人格类型与精神障碍关系中的中介作用：伊朗的一项横断面研究。

Mediating role of coping styles on the relationship between personality types and mental disorders in cardiovascular patients: a cross-sectional study in Iran.

机构信息

Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran.

出版信息

BMC Psychiatry. 2023 Apr 7;23(1):236. doi: 10.1186/s12888-023-04742-8.

DOI:10.1186/s12888-023-04742-8

PMID:37029344

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10080519/

Abstract

BACKGROUND

Many mental problems lead to the occurrence of physical diseases, causing worse consequences of diseases. Despite many studies in the field of personality types and types of mental disorders, this relationship and the mediating role of coping styles in cardiovascular patients are still not well known. Therefore, the present study was conducted to investigate the mediating role of coping styles in the relationship between personality types and mental disorders in cardiovascular patients.

METHOD

The present study is a cross-sectional study that was conducted on 114 cardiovascular patients at the heart center in Bushehr, Iran. The sampling method is simple random sampling. Demographic information form, MCMI-III questionnaire, NEO-FFI questionnaire, and Lazarus and Folkman coping styles questionnaire were used to collect data. Data were analyzed using SPSS 22 and Amos 24 software. Descriptive statistics methods (mean, variance and percentage), Pearson correlation, and structural equation model (SEM) were applied to analyze the data.

RESULTS

The findings showed that the two variables of personality types and problem-oriented explain 15.2% of the variable of mental disorders, of which 10.7% is related to the variable of personality types and 4.5% is related to the intermediate variable of problem-oriented. Among the personality types, the neurotic personality type has the biggest role (0.632) and has a direct and significant effect on mental disorders. Also, the personality types of extroversion (-0.460), agreeableness (-0.312), and responsibility (-0.986) exert inverse and significant effects on mental disorders.

CONCLUSION

The results of the present study showed the frequency of personality disorders and other mental disorders among heart patients. Problem-oriented coping style plays a mediating role between personality types and mental disorders.

摘要

背景

许多心理问题会导致身体疾病的发生，从而导致疾病的后果更严重。尽管在人格类型和精神障碍类型领域有许多研究，但这种关系以及应对方式在心血管患者中的中介作用仍不为人知。因此，本研究旨在调查应对方式在心血管患者人格类型与精神障碍之间的关系中的中介作用。

方法

本研究是一项横断面研究，在伊朗布什尔心脏中心对 114 名心血管患者进行了研究。抽样方法为简单随机抽样。使用人口统计学信息表、MCMI-III 问卷、NEO-FFI 问卷和 Lazarus 和 Folkman 应对方式问卷收集数据。使用 SPSS 22 和 Amos 24 软件分析数据。应用描述性统计方法（均值、方差和百分比）、Pearson 相关和结构方程模型（SEM）分析数据。

结果

研究结果表明，人格类型和问题导向这两个变量解释了精神障碍变量的 15.2%，其中 10.7%与人格类型变量有关，4.5%与问题导向的中间变量有关。在人格类型中，神经质人格类型的作用最大（0.632），对精神障碍有直接而显著的影响。此外，外向型人格类型（-0.460）、宜人性人格类型（-0.312）和责任感人格类型（-0.986）对精神障碍有反向显著影响。