消极应对方式在应激性生活事件与亚健康关联中的中介效应

Mediator effects of negative coping styles between stressful life events and sub-health symptoms

目的探讨应对方式在应激性生活事件与亚健康之间的中介效应,为促进青少年身心健康提供参考。方法选取哈尔滨、北京、太原、重庆、贵阳、鄂州、绍兴、广州8座城市17 622名中学生和大学生为研究对象,进行应激性生活事件问卷、特质应对方式问卷和青少年亚健康多维评定问卷调查。结果压抑和退避等消极应对方式在应激性生活事件和躯体亚健康关联中起到了部分中介效应,压抑应对方式在总效应中所占比例为19.4%～30.1%,退避应对方式在其中所占比例为18.6%～26.3%。压抑和退避应对方式在各应激性生活事件和心理亚健康之间也起到了部分中介效应,压抑应对方式占总效应的25.2%～34.0%,退避应对方式所占比例为20.1%～29.9%。结论消极应对方式在应激性生活事件和亚健康之间有显著的中介效应,合理的应对方式对青少年身心健康的促进有积极作用。

Objective To test the relation between coping style and stressful life events and sub-health symptoms. Methods Based on convenient sample principle, questionnaire survey was carried out in 17 622 students who were chosen from eight cities in China by using Stressful Life Events Questionnaire, Multidimensional Sub-health Questionnaire of Adolescents （MSQA） and Trait Coping Style Questionnaire （TCSQ）. Results Mediating effect test results showed that depression and withdrawal coping styles played partial mediating effect on relation between stressful life events and the sub-health. The proportions of mediating effects in total effects of depression and withdrawal coping styles in associations among stressful life events and physiological sub-health were 19.4%-30.1%, 18.6%-26.3%, respectively. The proportions of mediating effects in total effects of depression and withdrawal coping styles in associations among stressful life events and psychological sub-health were 25.2% -34.0% and 20.1% - 29.9%, respectively. Conclusion Negative coping styles partially mediate the relationship between stressful life events and sub-health.