Wang Jing, Wang Xintian, Li Yuyang, Yao Xin, Shen Yuanyuan, Song Ziling, Zhang Peihua, Huang Xiaoqiong
School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, 325027, People's Republic of China.
National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, 325027, People's Republic of China.
Psychol Res Behav Manag. 2024 Nov 23;17:4021-4033. doi: 10.2147/PRBM.S486036. eCollection 2024.
Exploring the mechanisms of fear of negative evaluation (FNE) and self-esteem between family functioning and social avoidance and distress (SAD) to inform the promotion of social functioning in people with strabismus.
Convenience sampling was used to select 249 strabismus patients attending a tertiary-level ophthalmology hospital in Wenzhou City from July 2023 to February 2024. The Social Avoidance and Distress Scale, Rosenberg Self-Esteem Scale, Brief Fear of Negative Evaluation Scale, and Family APGAR Index Questionnaire were utilized to assess levels of social avoidance and distress, self-esteem, fear of negative evaluation, and family functioning. Structural equation modeling (SEM) was employed to explore the sequential mediating role of FNE and self-esteem in the relationship between family functioning and SAD.
Family functioning negatively predicted SAD directly (β=-0.14, P<0.01). Additionally, family functioning predicted FNE (β=-0.19, P<0.01) and self-esteem (β=0.41, P<0.01). FNE positively predicted SAD (β=-0.38, P<0.01) and negatively predicted self-esteem (β=-0.22, P<0.01). Moreover, self-esteem negatively predicted SAD (β=-0.33, P<0.01). FNE and self-esteem mediated the relationship between family functioning and SAD, with a combined mediating effect of -0.249, explaining 63.52% of the total variance.
This study examined how FNE and self-esteem affect the link between family functioning and SAD in patients with strabismus. These findings complement our understanding of SAD mechanisms in strabismus patients, encompassing familial, cognitive, and emotional perspectives, and offer theoretical insights for enhancing social functioning in this population.
探讨家庭功能与社交回避及苦恼（SAD）之间的消极评价恐惧（FNE）和自尊的机制，为促进斜视患者的社交功能提供依据。
采用便利抽样法，选取2023年7月至2024年2月在温州市某三级眼科医院就诊的249例斜视患者。使用社交回避及苦恼量表、罗森伯格自尊量表、消极评价恐惧简表和家庭APGAR指数问卷来评估社交回避及苦恼水平、自尊、消极评价恐惧和家庭功能。采用结构方程模型（SEM）探讨FNE和自尊在家庭功能与SAD关系中的顺序中介作用。
家庭功能直接对SAD产生负向预测作用（β=-0.14，P<0.01）。此外，家庭功能对FNE（β=-0.19，P<0.01）和自尊（β=0.41，P<0.01）具有预测作用。FNE对SAD产生正向预测作用（β=-0.38，P<0.01），对自尊产生负向预测作用（β=-0.22，P<0.01）。此外，自尊对SAD产生负向预测作用（β=-0.33，P<0.01）。FNE和自尊介导了家庭功能与SAD之间的关系，联合中介效应为-0.249，解释了总变异的63.52%。
本研究探讨了FNE和自尊如何影响斜视患者家庭功能与SAD之间的联系。这些发现补充了我们对斜视患者SAD机制的理解，涵盖了家庭、认知和情感层面，并为改善该人群的社交功能提供了理论见解。
