社区脑卒中患者自我怜悯与创伤后应激障碍相关性:快感缺失中介效应

Correlation between self-compassion and post-traumatic stress disorder in stroke patients:mediating effect of anhedonia

目的探讨社区脑卒中患者躯体快感缺失、社会快感缺失、自我怜悯和创伤后应激障碍之间的相关性。方法选取2019年1月至2020年1月深圳市罗湖区社区脑卒中患者198例作为研究对象, 调查其躯体快感缺失、社会快感缺失、自我怜悯及创伤后应激障碍。结果社区脑卒中患者躯体快感缺失得分为(43.22±3.22)分、社会快感缺失得分为(28.52±3.14)分、自我怜悯得分为(84.45±6.42)分、伤后应激障碍得分为(60.82±6.35)分。Pearson相关性分析可得, 社区脑卒中患者自我怜悯与创伤后应激障碍呈显著负相关(P<0.01)。通过路径分析, 社区脑卒中患者自我怜悯对创伤后应激障碍的直接效应为-0.439, 总效应为-0.590, 躯体快感缺失中介效应为-0.082, 社会快感缺失的中介效应为-0.069。结论社区脑卒中患者自我怜悯水平越高, 创伤后应激障碍则越低, 同时社区脑卒中患者躯体快感缺失、社会快感缺失在自我怜悯与创伤后应激障碍中起到中介效应。

Objective To explore the relationship between the loss of physical anhedonia,sorial anhedonia,self-compassion and post-traumatic stress disorder in stroke patients.Methods A total of 198 stroke patients from January 2019 to January 2020 in Luohu District of Shenzhen were selected as the research objects,and their physical,social,self pity and post-traumatic stress disorder were investigated.Results The score of physical anhedonia was(43.2±3.22),the score of social anhetlonia was(28.52±3.14),the score of self-compassion was(84.45±6.42),and the score of post-traumatic,stress disorder was(60.82±6.35)in stroke patients.Pearson correlation analysis showed that self-compassion was negatively correlated with post-traumatic stress disorder(P<0.01).Through path analysis,the direct effect of self-compassion on post-traumatic stress disorder was-0.439,the total effect was-0.590,the mediating effect of physical anhedonia was-0.082,and the mediating effect of social anhedonia was-0.069.Conclusions The higher the level of self pity in stroke patients,the lower the post-traumatic stress disorder.At the same time,the lack of physical and social pleasure plays a mediating role in self-compassion and post-traumatic stress disorder.