Yang Yahui, Chen Kaichao, Liang Kaiwen, Du Wanyi, Guo Jiamei, Du Lian
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Health Management Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Psychol. 2024 Mar 7;15:1330581. doi: 10.3389/fpsyg.2024.1330581. eCollection 2024.
To determine the relationships between attachment style, social support, and mental health states, as well as the mediation mechanism within this relationship, we conducted a survey among healthcare workers during the coronavirus disease 2019 (COVID-19) epidemic quarantine.
The survey assessed their mental health states, adult attachment style, social support, and some other relevant information. Mental health states were represented by the overall state of sleep, physical and emotional assessment. A multiple mediator model was used to explain how social support could mediate the relationship between attachment and mental health states during COVID-19 quarantine.
Our findings revealed that 33.3% of the participants experienced emotional issues, 8.5% had sleep problems, and 24.9% reported physical discomfort. The direct effect of adult attachment styles on mental health states during COVID-19 quarantine was significant (c' = -0.3172; < 0.01). The total indirect effect also showed statistical significance (ab = -0.1857; < 0.01). Moreover, the total effect of adult attachment styles on mental health states was -0.5029 (c = -0.5029; < 0.01). Subjective social support and utilization of social support play mediating roles in the relationship between attachment style and mental health states, respectively (ab = -0.1287, 95% CI: -0.9120 to -0.3341, ab = 0.0570, 95% CI: -0.4635 to -0.1132).
These findings highlight social support played a mediation role between attachment style and mental health states. Thus, offering social support during a crisis might be useful for those individuals with an insecure attachment.
为了确定依恋风格、社会支持和心理健康状态之间的关系，以及这种关系中的中介机制，我们在2019年冠状病毒病（COVID-19）疫情隔离期间对医护人员进行了一项调查。
该调查评估了他们的心理健康状态、成人依恋风格、社会支持以及其他一些相关信息。心理健康状态由睡眠总体状况、身体和情绪评估来表示。采用多重中介模型来解释在COVID-19隔离期间社会支持如何中介依恋与心理健康状态之间的关系。
我们的研究结果显示，33.3%的参与者存在情绪问题，8.5%有睡眠问题，24.9%报告有身体不适。在COVID-19隔离期间，成人依恋风格对心理健康状态的直接效应显著（c' = -0.3172；<0.01）。总间接效应也具有统计学意义（ab = -0.1857；<0.01）。此外，成人依恋风格对心理健康状态的总效应为-0.5029（c = -0.5029；<0.01）。主观社会支持和社会支持的利用分别在依恋风格与心理健康状态之间的关系中起中介作用（ab = -0.1287，95%CI：-0.9120至-0.3341，ab = 0.0570，95%CI：-0.4635至-0.1132）。
这些发现突出了社会支持在依恋风格和心理健康状态之间起中介作用。因此，在危机期间提供社会支持可能对那些有不安全依恋的个体有用。
