压力感知在中医体质与心理健康状态间的中介效应分析

Mediating Effect of Stress Perception between TCM Constitution and Mental Health

目的探讨压力感知在中医体质与心理健康状态间的中介效应。方法以5889名体检人员作为研究对象,并收集中医体质量表、症状自评量表(Self-rating Scale,SCL-90)、压力自评量表(stress self-rating Scale,SSQ-53)。采用Pearson相关分析和中介效应检验分析压力在中医体质与心理健康状态间的中介效应。结果平和质与压力感知总分、心理健康状态总分均呈负相关;偏颇体质与压力感知总分、心理健康状态总分均呈正相关。压力感知在湿热质、阴虚质、特禀质与心理健康状态间起完全中介作用;在平和质、阳虚质、气虚质、瘀血质、气郁质、痰湿质与心理健康状态间起部分中介作用,中介效应占总效应的比例分别为89.3%、88.2%、81.7%、79.1%、77.0%。结论压力感知在中医体质与心理健康状态间起部分或完全的中介作用,偏颇体质能直接或间接增加人们发生心理健康问题的风险。

Objective To explore the mediating effect of stress perception between TCM constitution and mental health state.Methods A total of 5889 physical examination personnel were selected as the research subjects,and the centralized medical physical fitness scale,symptom self-assessment scale(SCL-90)and stress self-assessment scale(SSQ-53)were collected.Pearson correlation analysis and mediation effect test were used to analyze the mediating effect of stress on the relationship between traditional Chinese medicine constitution and mental health status.Results The total score of stress perception and mental health were significantly negatively correlated with the normal constitution.There was significant positive correlation between biased constitution and the total score of stress perception and mental health.The mediating effect test results showed that stress perception had a significant mediating effect between TCM physique and mental health.Stress perception played a complete mediating role between damp-heat constitution,Yin deficiency constitution,characteristic constitution and mental health.The mediating effect accounted for 89.3%,88.2%,81.7%,79.1%and 77.0%of the total effects,respectively.Conclusion Stress perception plays a partial or complete mediating role between TCM constitution and mental health,and biased constitution can directly or indirectly increase the risk of mental health problems.