内隐健康信念在压力与心理健康间的调节效应

The relationship between stress and mental health:the moderating effect of implicit health belief

目的检验内隐健康信念在青年压力与心理健康关系间的调节效应,探索压力对心理健康负面影响的健康教育介入点。方法采用方便抽样方法选取部分企业青年员工,使用内隐健康信念量表、压力量表、抑郁量表和心盛量表进行调查。采用Peason相关、Hayes Process建模法对数据进行分析。结果企业青年员工的内隐健康信念量表得分为(25.08±4.70)分,压力量表得分为(13.38±6.89)分,抑郁量表得分为(13.82±4.98)分,心盛量表得分为(83.70±23.80)分。Peason相关分析结果显示,压力与抑郁(r=0.647)呈正相关,与心盛(r=-0.641)呈负相关(P<0.05);内隐健康信念与压力(r=-0.330)、抑郁(r=-0.350)均呈负相关,与心盛(r=0.376)呈正相关(P<0.05)。路径分析结果显示,内隐健康信念与压力的交互项显著正向预测心盛(95%CI:0.016~0.112),内隐健康信念对压力与心盛的关系有显著的调节效应;内隐健康信念与压力的交互项显著正向预测抑郁(95%CI:-0.028~-0.008),内隐健康信念对压力与抑郁的关系有显著的调节效应(P<0.05)。结论压力负面影响心理健康,内隐健康信念在压力与心理健康的关系间起调节作用。故未来开展健康教育工作应强化健康可塑、可控的部分,缓解压力对个体心理健康的负面影响。

Objective To test the moderating effect of implicit health belief on the relationship between stress and mental health,and to explore health education intervention points for negative impact of stress on mental health.Methods Convenient sampling method was used to select young employees from enterprises,and implicit health belief scale,stress scale,depression scale,and heart rate scale were used for investigation.The data were analyzed by using Pearson correlation and Hayes Process modeling methods.Results The score of stress scale in young employees in enterprise was(13.38±6.89)points,the score of depression scale was(13.82±4.98)points,the score of Flourishing Index was(83.70±23.80)points,and the score of implicit health belief was(25.08±4.70)points.The results of Pearson correlation analysis showed that stress was positively correlated with depression(r=0.647)and negatively correlated with the Flourishing Index(r=-0.641,P<0.05).The implicit health belief were negatively correlated with stress(r=-0.330)and depression(r=-0.350),and positively correlated with the Flourishing Index(r=0.376,P<0.05).The path analysis results showed that the interaction term between implicit health belief and stress significantly positively predicted the Flourishing Index(95%CI:0.016-0.112),and implicit health belief had significant moderating effect on the relationship between stress and the Flourishing Index.The interaction term between implicit health belief and stress significantly positively predicted depression(95%CI:-0.028--0.008),and implicit health belief had significant moderating effect on the relationship between stress and depression(P<0.05).Conclusion Stress has negative impact on mental health,and implicit health belief play moderating role in the relationship between stress and mental health.Therefore,health education should strengthen the malleable and controllable aspects of health,and alleviate the negative impact of stress on individual mental health in the future.