大学生经验性回避、认知融合及正念与焦虑抑郁关系

Associations of experiential avoidance,cognitive fusion and mindfulness with anxiety and depression among college students

目的了解大学生经验性回避、认知融合及正念与焦虑抑郁的关系以及正念在经验性回避与焦虑抑郁间的中介作用。方法于2014年12月采用整群抽样方法从北京和河南2所高校抽取大学新生366名,使用接纳与行动问卷第二版(AAQ-Ⅱ)、认知融合量表(CFQ)、正念注意觉知量表(MAAS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行问卷调查。结果大学新生经验性回避为(19.48±7.62)分,认知融合为(28.97±10.84)分,正念为(66.32±10.98)分,焦虑为(31.27±6.95)分,抑郁为(34.82±7.70)分;经验性回避对焦虑、抑郁具有正向预测作用(β=0.429、0.459,均P<0.001);正念在经验性回避与焦虑抑郁间具有部分中介作用(β=–0.198,–0.173;P<0.01),中介效应分别占总效应的22.06%和18.80%。结论经验性回避对焦虑、抑郁具有正向预测作用,正念在经验性回避与焦虑抑郁间具有部分中介作用。

Objective To explore associations of experiential avoidance, cognitive fusion, and mindfulness with anxiety and depression in college freshmen, and to analyze mediating effects of mindfulness on the relationship between experiential avoidance and anxiety and depression. Methods Totally 366 college freshmen, selected by using cluster sampling from two universities in Beijing and Henan provinces, were surveyed with Acceptance and Action Questionnaire-Second Edition（AAQ-Ⅱ）, Cognitive Fusion Questionnaire（CFQ）, Mindful Attention Awareness Scale（MAAS）, Self-Rating Anxiety Scale（SAS）, and Self-Rating Depression Scale（SDS） in December 2014. Results For all the participants, the average scores were19.48 ± 7.62 for AAQ-Ⅱ, 28.97 ± 10.84 for CFQ, 66.32 ± 10.98 for MAAS, 31.27 ± 6.95 for SAS, and 34.82 ± 7.70 for SDS, respectively.Experiential avoidance showed a positively predictive function to anxiety and depression（β = 0.429,0.459; P〈0.001）. In addition, mindfulness partially mediated the relationship between experiential avoidance and anxiety,depression（β = – 0.198, – 0.173; P〈0.001, 0.01）, with the values of mediating effect of 22.06% and 18.80%. ConclusionExperiential avoidance has a positively predictive effect on both anxiety and depression; mindfulness has a partial mediating effect on the relationship between experiential avoidance and anxiety, depression.