Connell C M, Davis W K, Gallant M P, Sharpe P A
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
Health Psychol. 1994 May;13(3):263-73. doi: 10.1037//0278-6133.13.3.263.
Tested was a model of social support and cognitive appraisal of self-efficacy, outcome expectancies, and illness threat on depression. Study participants were community-dwelling adults with diabetes who completed a mailed questionnaire (N = 362). Results of structural equation modeling indicated that 52% of the variance in depression was explained by the model--largely by the direct effects of physical functioning, the perceived availability of social support, and the perceived threat of diabetes as well as the indirect paths from perceived support to perceived threat and from physical functioning to perceived support and perceived threat of diabetes. Diabetes-specific social support, self-efficacy, and outcome expectancies were not significant predictors of depression.
对社会支持以及自我效能感、结果期望和疾病威胁的认知评估对抑郁症影响的模型进行了测试。研究参与者是患有糖尿病的社区成年居民，他们完成了一份邮寄问卷（N = 362）。结构方程模型的结果表明，该模型解释了抑郁症52%的方差——主要是通过身体功能、感知到的社会支持可用性、感知到的糖尿病威胁的直接影响，以及从感知到的支持到感知到的威胁、从身体功能到感知到的支持和感知到的糖尿病威胁的间接路径。特定于糖尿病的社会支持、自我效能感和结果期望并不是抑郁症的显著预测因素。
