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新冠疫情背景下压力与心理健康的纵向关联:心理灵活性和情绪图式的中介作用

Longitudinal association of stress with mental health in the context of COVID-19: The mediating role of psychological flexibility and emotional schemas.

作者信息

Sebastião Rita, Neto David Dias

机构信息

School of Psychology, ISPA-Instituto Universitário, Lisbon, Portugal.

APPsyCI - Applied Psychology Research Center Capabilities & Inclusion, Lisbon, Portugal.

出版信息

Appl Psychol Health Well Being. 2025 Feb 25;17(1):e12614. doi: 10.1111/aphw.12614. Epub 2024 Nov 3.

Abstract

Stress is a known contributor to psychosocial pathological conditions and reduction of well-being. The literature has highlighted the role of emotional schemas and psychological flexibility as psychological processes underlying this relationship in the short term. This two-wave longitudinal study analyses the mediating role of psychological flexibility and emotional schemas in the relationship between stress responses to COVID-19-related events and mental health 6 months later. Two hundred and seventy-six individuals were included in this study, completing measures of stress responses, emotional schemas, psychological flexibility and positive and negative mental health. Negative evaluation of emotions was a significant mediator in the longitudinal relationship between stress responses and negative mental health. Valued action and openness to experience mediate the longitudinal relationship between stress responses and positive mental health. This study underscores the importance of the different dimensions of psychological processes, suggesting that over time, more maladaptive psychological processes play a significant role in elucidating the relationship between stress responses and negative mental health. Similarly, it suggests that more adaptive processes may help explain the relationship between stress responses and positive mental health. This contributes to a better understanding of the stability of these processes, which is important for determining which intervention targets should be prioritised.

摘要

压力是导致心理社会病理状况和幸福感降低的一个已知因素。文献强调了情绪图式和心理灵活性在短期内作为这种关系背后心理过程的作用。这项两阶段纵向研究分析了心理灵活性和情绪图式在对与新冠疫情相关事件的应激反应和6个月后的心理健康之间关系中的中介作用。本研究纳入了276名个体,他们完成了应激反应、情绪图式、心理灵活性以及积极和消极心理健康的测量。情绪的消极评价是应激反应与消极心理健康纵向关系中的一个显著中介因素。重视行动和对经验的开放性中介了应激反应与积极心理健康之间的纵向关系。本研究强调了心理过程不同维度的重要性,表明随着时间的推移,更多适应不良的心理过程在阐明应激反应与消极心理健康之间的关系中发挥着重要作用。同样,这表明更多适应性过程可能有助于解释应激反应与积极心理健康之间的关系。这有助于更好地理解这些过程的稳定性,这对于确定应优先考虑哪些干预目标很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e22/11652121/f1d15188b9bf/APHW-17-0-g001.jpg

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