Cai Han, Song Hongtao, Yang Yating, Xiao Zihe, Zhang Xianlong, Jiang Feng, Liu Huanzhong, Tang Yi-Lang
Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.
Department of Psychogeriatrics, The Fourth People's Hospital of Wuhu, Wuhu, China.
Front Psychiatry. 2024 Nov 29;15:1460888. doi: 10.3389/fpsyt.2024.1460888. eCollection 2024.
Depression is a major global public health concern, with research indicating a correlation between personality traits and depression. This study aimed to explore the potential mediating roles of self-efficacy and walking in the relationship between personality traits and depression among Chinese residents.
A cross-sectional questionnaire survey was conducted from July 10 to September 15, 2021, involving 11,031 Chinese residents across 23 provinces, 5 autonomous regions, and 4 municipalities Participants provided data on demographics, personality traits (using the Ten-Item Personality Inventory), self-efficacy (using the New General Self-Efficacy Scale), chronic disease self-management (using the Chronic Disease Self-Management Study Measures), and depression (using the Patient Health Questionnaire-9). After screening, data from 8,499 participants were analyzed. Sequential mediation models were employed, with the Big Five personality traits as predictors, depression as the outcome, and self-efficacy and walking as the mediators.
Extraversion, agreeableness, conscientiousness, and emotional stability were negatively correlated with depression, with self-efficacy and walking as positive mediators in these relationships. Conversely, openness was positively associated with depression, and the self-efficacy-walking chain did not mediate this relationship but rather masked the effect of openness on depression.
Our findings suggest that self-efficacy and walking are significant mediators in the relationship between personality traits and depression, potentially mitigating the risk of depressive episodes.
抑郁症是全球主要的公共卫生问题，研究表明人格特质与抑郁症之间存在关联。本研究旨在探讨自我效能感和步行在中国居民人格特质与抑郁症关系中的潜在中介作用。
于2021年7月10日至9月15日进行了一项横断面问卷调查，涉及23个省、5个自治区和4个直辖市的11,031名中国居民。参与者提供了有关人口统计学、人格特质（使用十项人格量表）、自我效能感（使用新版一般自我效能感量表）、慢性病自我管理（使用慢性病自我管理研究量表）和抑郁症（使用患者健康问卷-9）的数据。经过筛选，对8,499名参与者的数据进行了分析。采用序列中介模型，以大五人格特质作为预测变量，抑郁症作为结果变量，自我效能感和步行作为中介变量。
外向性、宜人性、尽责性和情绪稳定性与抑郁症呈负相关，自我效能感和步行在这些关系中起正向中介作用。相反，开放性与抑郁症呈正相关，自我效能感-步行链并未介导这种关系，反而掩盖了开放性对抑郁症的影响。
我们的研究结果表明，自我效能感和步行在人格特质与抑郁症的关系中是重要的中介因素，可能会降低抑郁发作的风险。
