自我表露在1型糖尿病患儿母亲心理灵活性与应对方式间的中介作用

Mediating effect of self-disclosure between psychological flexibility and coping styles in mothers of children with type 1 diabetes mellitus

目的探讨1型糖尿病(T1DM)患儿母亲心理灵活性、自我表露和应对方式之间的关系。方法本研究为横断面研究。采用便利抽样法,选取2020年5月—2022年3月郑州大学附属儿童医院的250名T1DM患儿母亲为研究对象。采用一般资料调查表、接纳与行动问卷第二版(AAQ-Ⅱ)、痛苦表露指数量表和简易应对方式量表(SCSQ)对其进行调查。采用Pearson相关分析探讨心理灵活性、自我表露和应对方式的相关性,采用AMOS 21.0软件构建结构方程模型,并验证中介效应。本研究共发放问卷250份,回收有效问卷232份,有效回收率为92.8%(232/250)。结果232名T1DM患儿母亲AAQ-Ⅱ得分为(23.17±3.12)分,痛苦表露指数量表得分为(34.46±5.64)分,积极应对方式得分为(27.71±3.92)分,消极应对方式得分为(12.53±2.55)分。Pearson相关分析结果显示,T1DM患儿母亲的心理灵活性和自我表露、积极应对方式呈负相关(r值分别为-0.326、-0.194,P<0.05),心理灵活性和消极应对方式呈正相关(r=0.326,P<0.05);自我表露和积极应对方式呈正相关(r=0.298,P<0.05),自我表露和消极应对方式呈负相关(r=-0.178,P<0.05)。结构方程模型结果显示,自我表露在T1DM患儿母亲心理灵活性与积极应对方式和消极应对方式间均起部分中介作用,中介效应分别占总效应的50.3%、23.5%。结论自我表露是T1DM患儿母亲心理灵活性和应对方式的中介变量。医护人员应制订针对性的干预措施,以提高患儿母亲的应对水平。

Objective To explore the relationship between psychological flexibility,self-disclosure and coping style in mothers of children with type 1 diabetes mellitus(T1DM).Methods This is a cross-sectional study.From May 2020 to March 2022,a total of 250 mothers of children with T1DM in Children's Hospital Affiliated to Zhengzhou University were selected as research objects by convenient sampling method.General information questionnaire,Acceptance and Action Questionnaire 2nd Edition(AAQ-Ⅱ),Distress Disclosure Index,and Simple Coping Style Questionnaire(SCSQ)were used to investigate them.Pearson correlation analysis was used to analyze the relationship between psychological flexibility,self-disclosure and coping style.AMOS 21.0 software was used to establish structural equation model,and verify the mediating effect.A total of 250 questionnaires were distributed in this study,and 232 valid questionnaires were recovered,with an effective recovery rate of 92.8%(232/250).Results Among 232 mothers of children with T1DM,the score of AAQ-II was(23.17±3.12),the score of Distress Disclosure Index was(34.46±5.64),the score of positive coping style was(27.71±3.92),and the score of negative coping style was(12.53±2.55).Pearson correlation analysis results showed that psychological flexibility was negatively corrected with self-disclosure and positive coping style(r=-0.326,-0.194,P<0.05),and psychological flexibility was negatively corrected with negative coping style(r=0.326,P<0.05).Self-disclosure was positively correlated with positive coping style(r=0.298,P<0.05),while self-disclosure was negatively correlated with negative coping style(r=-0.178,P<0.05).Structural equation model results showed that self-disclosure played a partial mediating role between psychological flexibility and positive and negative coping style,with the intermediary effect accounted for 50.3%and 23.5%of the total effect respectively.Conclusions Self disclosure plays a mediating role between psychological flexibility and coping style in mothers of children with T1DM.Medical and nursing staff should formulate targeted intervention measure,so as to improve the coping level of mothers of children with T1DM.