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与发作相关的压力和兴奋反应调解了焦虑特征和的状态之间的关系
Hironobu Nakamura1, Genichi Sugihara2, Keiko Hara3
1Department of Psychiatry and Behavioral Sciences, Tokyo Medical and Dental University Graduate School, Tokyo, Japan; Hara Clinic, Kanagawa, Japan.
患者的压力和兴奋模式显著影响他们的焦虑水平. 了解这些特异性压力或兴奋反应 (ESAR) 可以帮助管理护理中的焦虑.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 与严重的心理痛苦和焦虑有关,主要是由于发作.
- 压力反应和兴奋变化对患者焦虑模式的具体影响尚不清楚.
- 这项研究调查了发作,压力/兴奋和中的焦虑之间的联系.
研究的目的:
- 探索患者的压力,兴奋和焦虑之间的关系.
- 为了识别特异性压力或唤醒反应 (ESAR) 的特征.
- 确定ESAR在特征和状态焦虑之间的联系中扮演的调解角色.
主要方法:
- 159名患有的门诊患者完成了国家特征焦虑清单 (STAI) 和日本压力激发检查清单 (J-SACL).
- 主要成分分析 (PCA) 从J-SACL得分中推导出ESAR,其特点是高兴奋和低压力.
- 调解分析,包括蒙特卡洛方法,评估了ESAR在特征和状态焦虑之间的作用.
主要成果:
- 在J-SACL压力/唤起因子之间发现了显著的相关性 (r = -0.845,p < 0.001).
- ESAR与发作频率 (r = -0.29,p < 0.001),特征焦虑 (r = -0.77,p < 0.0001) 和状态焦虑 (r = -0.60,p < 0.0001) 有显著的相关性.
- 调解分析证实,ESAR显著调解了特征和状态焦虑之间的关系.
结论:
- 的特定压力和兴奋特征 (ESAR) 在调解焦虑方面发挥着关键作用.
- 研究结果表明,ESAR可能反映了长期的临床过程和独特的情绪识别倾向.
- 了解ESAR可以为患者的焦虑提供有针对性的干预措施.
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