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从配偶和亲子角度探讨不确定性不耐受与对医生信任之间的关系。

Exploring the Relationship Between Intolerance of Uncertainty and Trust in Physicians from Spousal and Parent-Child Perspectives.

作者信息

Gao Peng, Wu Hanwei, Fan Zhiguang, Tao Min

机构信息

Department of Chinese Medicine, Changchun University of Chinese Medicine, Changchun, Jilin, People's Republic of China.

Department of Foreign Studies, Hunan Normal University, Changsha, Hunan, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2023 Jun 13;16:2173-2186. doi: 10.2147/PRBM.S413821. eCollection 2023.

Abstract

OBJECTIVE

The present study aimed to probe the intergenerational transmission of intolerance of uncertainty (IU) and trust in physicians. Besides, through the actor-partner interdependence model (APIM), the predictive effect of parents' IU on their own and their spouses' trust in physicians was examined. A mediation model was further constructed to probe the mechanisms by which parents' IU affects children's trust in physicians.

METHODS

The Intolerance of Uncertainty Scale-12 (IUS-12) and the Wake Forest Physician Trust Scale (WFPTS) were employed to conduct the questionnaire survey among 384 families (each family with a father, mother, and one child).

RESULTS

IU and trust in physicians were found to be intergenerationally transmitted. The results of the APIM analyses showed that fathers' total IUS-12 scores negatively predicted their own ( = -0.419, < 0.01) and mothers' ( = -0.235, < 0.01) total WFPTS scores. Mothers' total IUS-12 scores negatively predicted their own ( = -0.353, < 0.01) and fathers' ( = -0.138, = 0.017) total WFPTS scores. The results of mediation analyses indicated that parents' total WFPTS scores and children's total IUS-12 scores mediated the effect of parents' total IUS-12 scores on children's total WFPTS scores.

CONCLUSION

The public's IU is a crucial influencing factor of their trust in physicians. Besides, the IU between couples and between parents and children could be mutually affected. On the one hand, husbands' IU could affect their own and their wives' trust in physicians, and vice versa. On the other hand, parents' IU and trust in physicians could affect their children's IU and trust in physicians, respectively.

摘要

目的

本研究旨在探究不确定性不耐受(IU)和对医生的信任的代际传递。此外,通过行为者-伙伴相互依赖模型(APIM),考察父母的IU对其自身以及配偶对医生信任的预测作用。进一步构建中介模型,以探究父母的IU影响子女对医生信任的机制。

方法

采用不确定性不耐受量表-12(IUS-12)和维克森林医生信任量表(WFPTS),对384个家庭(每个家庭有父亲、母亲和一个孩子)进行问卷调查。

结果

发现IU和对医生的信任存在代际传递。APIM分析结果显示,父亲的IUS-12总分对其自身(β = -0.419,p < 0.01)和母亲的(β = -0.235,p < 0.01)WFPTS总分具有负向预测作用。母亲的IUS-12总分对其自身(β = -0.353,p < 0.01)和父亲的(β = -0.138,p = 0.017)WFPTS总分具有负向预测作用。中介分析结果表明,父母的WFPTS总分和子女的IUS-12总分中介了父母的IUS-12总分对子女的WFPTS总分的影响。

结论

公众的IU是其对医生信任的关键影响因素。此外,夫妻之间以及父母与子女之间的IU可能相互影响。一方面,丈夫的IU会影响其自身以及妻子对医生的信任,反之亦然。另一方面,父母的IU和对医生的信任分别会影响子女的IU和对医生的信任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e9/10276597/faf9e45eaaed/PRBM-16-2173-g0001.jpg

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