認知された社会的サポートは,心血管疾患の患者における自己効能とうつ病/不安の関係を媒介する
Mingliang Du1, Boran Wang2, Hui Hui3
1Department of Coronary Heart Disease, Central Hospital of Dalian University of Technology (Dalian Municipal Central Hospital), Liaoning, China.
Scientific reports
|August 27, 2025
まとめ
心血管疾患 (CVD) の患者にとって 社会的支援のような心理社会的資源は 極めて重要です 認知された社会的サポートは,自己効力感を媒介することによって,うつ病や不安を管理するのに役立ちます.
科学分野:
- 心理学
- 心臓病科
- 公衆衛生
背景:
- 心血管疾患 (CVD) の患者は,鬱や不安を含む心理的苦痛をしばしば経験する.
- 自己効力感や社会的サポートといった 心理的要因の相互作用を理解することは 患者の健康に不可欠です
- 過去の研究では 慢性疾患の集団における 心理的社会要因が メンタルヘルスの結果に影響を及ぼすことを示唆しています
研究 の 目的:
- 心血管疾患 (CVD) の患者の心理的特徴を評価し,社会的支援と自己効力感に焦点を当てます.
- 中国人のCVD患者のうつ病と不安症の流行を調査する.
- 自己効能と感情的症状の関係における社会的支持の認識の仲介的役割を検討する.
主な方法:
- 2021年中国家族健康指数調査報告書からCVD患者1,144人を対象とした横断的な調査.
- 標準化されたアンケートを用いた. 人口調査,社会支援評価尺度 (PSSS),新一般自立評価尺度 (NGSES),PHQ-9およびGAD-7.
- PROCESSマクロを用いた非パラメトリック分析,キ2テスト,線形回帰,およびメディエーション分析を使用した.
主要な成果:
- 中国人のCVD患者のうつ病と不安症の罹患率はそれぞれ19. 6%と47. 1%であった.
- 認知された社会的サポートとうつ病 (β=0. 092) と不安 (β=0. 075) の間には,重大な否定的な関連性が見られた.
- 調停分析は,社会的支持が自己効能と感情的障害の関係を部分的に調停することを明らかにしました.
結論:
- 心臓病患者の感情的幸福の管理には 心理社会的資源,特に社会的支援が重要です.
- 認知された社会的支援は,この集団における鬱や不安を軽減することを目的とした心理社会的介入の重要なターゲットとして機能する.
- この研究の横断的な性質のため,因果関係を確立するために,縦断的な研究が推奨されます.
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