自我效能调节心理求助意向在成人心理症状与心理求助行为间的中介作用

The mediation role of help-seeking intention between mental symptoms and professional help-seeking behavior in adults： the moderating effect of self-efficacy

目的探讨心理求助意向、自我效能感在成人心珲症状与心理求助行为之间的中介和调节作用。方法通过问卷星网上取样的方式招募618名成人，使用求助状况调奄表、寻求心理咨询帮助的行为意向量表（ISCI）、症状自评量表（SCL-90）、一般自我效能感量表（GSES）进行统计分析。结果女性、成年中期被试的心理求助意向[（82．7±6．7）分，（77．8±7．8）分；（83．9±6．2）分，（76．8±7．3）分]、自我效能[（27．96±6．5）分，（23．46±7．5）分；（29．03±6．1）分，（22．63±7．1）分]得分高于男性、成年早期受试（均P〈0．叭）；心理症状与求助行为得分呈正相关（r=0．162，P〈0．01），心理症状与求助意向、自我效能得分呈负相关（r=-0．376，r=-0．266，均P〈0．01）．自我效能与求助意向得分呈正相关（r=0．498，P〈0．01）；求助意向在成人心理症状与心理求助行为中起中介作用，效应值是-0．004，95％CI=-0．008--0．002；自我效能对求助意向的中介作用有调节作用（B=0．006，P〈0．05）。结论在心理症状与心理求助行为关系中，心理求助意向起中介作用，而自我效能对求助意向的中介作用起调节效应。

Objective To explore the mediating effect and moderating effect of professional psychological help-seeking intention and self-efficacy between mental symptoms and professional psychological help- seeking behavior in Chinese adults. Methods Totally 618 adult samples were selected on the internet and completed measures of help-seeking questionnaire,ISCl, SCL-90 and GSES. Results Females and middle adulthood subjects got higher ISCI and GSES scores than males and early adulthood subjects （（82.7±6.7） vs （77.8±7.8） , （83.9±6.2） vs （ 76.8±7.3 ） ; all P〈0.01 ）. SCL-90 was significantly and positively correlated with psychological help-seeking behavior（ r= 0.162, P〈0.01 ）.ISCI was found to mediate the association between SCL-90 and psychological help-seeking behavior （ effect value = - 0.004,95% Cl= - 0. 008-- 0.002 ）. GSES significantly moderated the mediating effect of ISCI（ B= 0.006, P〈0.05）. Conclusion ISCI plays a mediating role between mental symptoms and professional psychological help-seeking behavior, which was moderated by GSES in Chinese aduhs.