社会支持与应对策略的链式中介作用：中国慢性阻塞性肺疾病患者的D型人格与心理困扰
The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients.
作者信息
Wang Chunyu, Liao Dandan, Yang Xiangjun, Fu Tingting, Yan Jin, Ma Chenjuan
机构信息
School of Nursing, University of California, Los Angeles, CA, USA.
The Third Xiangya Hospital of Central South University, Department of Nursing, Changsha, Hunan, PR China.
出版信息
Geriatr Nurs. 2025 Mar-Apr;62(Pt A):1-6. doi: 10.1016/j.gerinurse.2024.12.036. Epub 2025 Jan 10.
This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.
本研究探讨应对策略和社会支持如何在慢性阻塞性肺疾病（COPD）患者中调节D型人格与心理困扰之间的关系。351名患者的样本完成了关于人口统计学、心理困扰（凯斯勒心理困扰量表）、社会支持（社会支持自评量表）、应对策略（医学应对方式问卷中文版）和D型人格（D型人格量表）的调查。通过AMOS 23.0和SPSS使用结构方程模型（SEM），结果显示对抗和接受-放弃应对策略以及D型人格与心理困扰呈正相关，而社会支持与心理困扰呈负相关。SEM估计显示社会支持和应对策略在D型人格与心理困扰之间存在链式中介效应。增强社会支持和应对策略对于减轻心理困扰至关重要，尤其是对于患有D型人格的COPD患者。
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