应对方式在妊娠期糖尿病孕妇心理弹性与负性情绪间的中介效应

The mediating effect of coping style in psychological resilience and negative emotions among patients with gestational diabetes mellitus

目的以妊娠期糖尿病孕妇作为研究重点,观察应对方式在心理弹性及负性情绪间的中介效应。方法2021年5月至9月采用简易应对方式问卷、心理弹性量表及抑郁-焦虑-压力量表对郑州市两所三级甲等医院240例确诊妊娠期糖尿病的孕妇进行问卷调查。结果有无不良孕产史孕妇心理弹性、应对方式、负性情绪得分比较,差异有统计学意义(P<0.05);直系亲属是否患糖尿病孕妇的消极应对、负性情绪(抑郁、焦虑、压力)得分及不同文化程度孕妇心理弹性、消极应对、负性情绪(抑郁、焦虑、压力)得分比较,差异有统计学意义(P<0.05)。积极应对与心理弹性呈正相关,与负性情绪呈负相关,消极应对与负性情绪呈正相关(P<0.05)。积极应对得分越高导致负性情绪得分越低(B=-0.583,P<0.001);消极应对得分越高,负性情绪得分越高(B=1.094,P<0.001);对于心理弹性、负性情绪而言,应对方式能够起到良好的中介效应。结论应对方式在妊娠期糖尿病孕妇心理弹性与负性情绪间存在中介作用,提示应重点关注低心理弹性孕妇,培养建立积极的应对方式,从而降低其负性情绪,提高心理健康水平。

Objective To investigate the mediating effect of coping style in psychological resilience and negative emotions among patients with gestational diabetes mellitus(GDM).Methods A questionnaire survey was performed in 240 pregnant women with GDM using simplified coping style questionnaire,Connor-Davidson resilience scale and depression-anxiety-stress scale from May to September 2021 in two tertiary A-level hospitals in Zhengzhou City.Results There were statistically significant differences in the scores of psychological resilience,coping style,and negative emotions among pregnant women with or without adverse pregnancy history(P<0.05).The scores of negative coping,negative emotions(depression,anxiety,stress)of pregnant women with or without immediate family members with diabetes,and the scores of psychological resilience,negative coping,and negative emotions(depression,anxiety,stress)of pregnant women with different educational levels were compared,and the differences were statistically significant(P<0.05).Positive coping was positively correlated with psychological resilience and negatively correlated with negative emotion,and negative coping was positively correlated with negative emotion(P<0.05).The higher the positive coping score,the lower the negative emotion score(B=-0.583,P<0.001);the higher the negative coping score,the higher the negative emotion score(B=1.094,P<0.001).For psychological resilience and negative emotions,coping style could play a good mediating effect.Conclusion Coping style plays mediating effect between psychological resilience and negative emotions in GDM patients.Therefore,it is very necessary to focus on training positive coping style in GDM women with low psychological resilience,so as to effectively reduce levels of negative emotion and improve their mental health.