北京大学学报自然科学版 ›› 2023, Vol. 59 ›› Issue (5): 729-734.DOI: 10.13209/j.0479-8023.2023.059

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积极应对方式与原发性高血压关系的病例对照研究

吕燕, 庞芳芳, 宋珍玉, 郝树伟†   

  1. 北京大学医学人文学院医学心理学系, 北京 100191
  • 收稿日期:2022-06-25 修回日期:2023-04-27 出版日期:2023-09-20 发布日期:2023-09-18
  • 通讯作者: 郝树伟, E-mail: hsw(at)bjmu.edu.cn
  • 基金资助:
    北京市科学技术委员会重大项目资金(D151100002315004)资助

Relationship between Positive Coping Style and Essential Hypertension: A Case-Control Study

LÜ Yan, PANG Fangfang, SONG Zhenyu, HAO Shuwei†   

  1. Department of Medical Psychology, School of Health Humanities, Peking University, Beijing 100191
  • Received:2022-06-25 Revised:2023-04-27 Online:2023-09-20 Published:2023-09-18
  • Contact: HAO Shuwei, E-mail: hsw(at)bjmu.edu.cn

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摘要：

采用简易应对方式问卷(SCSQ)、贝克焦虑量表(BAI)、贝克抑郁量表第2版(BDI-II), 对北京市社区医院门诊156名原发性高血压患者与156名健康个体进行调查, 探讨应对方式、焦虑、抑郁与原发性高血压的关系。结果显示, 是否为原发性高血压与焦虑、抑郁呈显著正相关关系(r = 0.23, 0.18; p< 0.05), 与积极应对方式的相关性不显著。结构方程模型(SEM)分析结果显示, 积极应对方式对原发性高血压的直接效应为0.237 (95%CI = [0.105, 0.366]), 焦虑的部分中介效应值为-0.096 (95%CI = [-0.022, -0.006]), 抑郁的部分中介效应值为-0.084 (95%CI = [-0.020, -0.003]), 中介效应占总效应的43.3%。积极应对方式会直接正向预测是否会发展为原发性高血压, 与正向预测作用相反的是, 积极应对方式也会通过影响焦虑、抑郁而降低患原发性高血压的风险。因此, 积极应对方式对原发性高血压的影响是复杂的。

关键词: 原发性高血压, 积极应对方式, 焦虑, 抑郁

Abstract:

To explore the relationship between stress coping style, anxiety, depression and essential hypertension (EH), 156 EH patients and 156 healthy accompanying members from a community hospital in Beijing were investigated by SCSQ, BAI and BDI-II. There was a significant positive correlation between EH and anxiety, depression (r = 0.23, 0.18; p < 0.05), but no significant relationship with positive coping style. Structural equation model analysis results showed that the direct effect of positive coping style on EH was 0.237 (95%CI = [0.105, 0.366]), the partial mediating effect value of anxiety was ?0.096 (95%CI = [-0.022, -0.006]), and the partial mediating effect value of depression was -0.084 (95%CI = [-0.020, -0.003]). The mediating effect accounted for 43.3% of the total effect. Positive coping style has a direct and positive impact on the development of EH. However, on the contrary, it can reduce the risk of EH by influencing anxiety and depression. Therefore, the effect of positive coping style on EH is complex.

Key words: essential hypertension, positive coping style, anxiety, depression

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