| 题名 | 肾病患者恐惧疾病进展与创伤后成长的关系：反刍中介效应研究 |
| 作者 | 王冬梅 |
| 答辩日期 | 2021-01 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院心理研究所 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 陈毅文 |
| 关键词 | 慢性肾脏病 恐惧疾病进展 侵入性反刍 主动反刍 创伤后成长 |
| 学位名称 | 理学硕士（同等学力硕士） |
| 其他题名 | Relationship between fear progression and post-traumatic growth in patients with kidney disease: a rumination-mediated effect study |
| 学位专业 | 健康心理学 |
| 中文摘要 | Objective: To understand the research status of fear disease progression, invasive rumination, deliberate rumination and post-traumatic growth , To explore the effects of fear disease progression, invasive rumination and deliberate rumination on post-traumatic growth in patients with chronic kidney disease, and the mechanism of the transformation from fear disease progression to post-traumatic growth.Methods: A total of 203 patients with chronic kidney disease from September 2019 to February 2020 in a Third-grade A hospital in Beijing were selected by convenient sampling method. General data survey, simplified fear disease progression scale, event-related ruminant meditation questionnaire and post-traumatic growth Scale were used to investigate the level of fear disease progression, event-related ruminant meditation and post-traumatic growth in patients with chronic kidney disease. SPSS 23.0 and Process 3.0 statistical software were used to carry out descriptive statistics, correlation analysis, and mediation analysis and test of the data.Results:( 1) The results of descriptive analysis showed that the score of fear disease progression in patients with chronic kidney disease in this study was (2.45±0.99), which was below the average level; The score of invasive regurgitation was (2.12±0.84), and the score of active regurgitation was (2.35±0.85), which was in the middle level. The post-traumatic growth score (2.44±1.29) was above the average level.(2) Correlation analysis showed that fear disease progression, invasive regurgitation, active regurgitation and post-traumatic growth were significantly positively correlated (P < 0.01).(3) Mediating effect The results showed that the direct effect of fear disease progression and post-traumatic growth was not significant, but the total effect was significant. Among them, there is an insignificant mediating pathway and two significant mediating pathways: (1) Active rumination has a single mediating role between fear disease progression and post-traumatic growth, with significant mediating pathways; Invasive ruminant and deliberate ruminant have a chain mediating effect between fear disease progression and post-traumatic growth. Invasive ruminant has no mediating effect between fear disease progression and post-traumatic growth, and the pathway is not significant.Conclusion: Based on the study of the correlation of the main variables, the chain mediating effect is constructed. The results showed that patients with chronic kidney disease (CKD) fear of disease progression can not directly affect the posttraumatic growth, invasive ruminant also can not be in fear of disease and posttraumatic growth, but the initiative between rumination is fear of disease and posttraumatic growth important intermediary variables, and deliberate rumination or invasive rumination and deliberate ruminant chain of intermediary effect indirectly influence posttraumatic growth.Therefore, maintaining a moderate fear of disease progression and constructive reflective attitudes is conducive to the view of post-traumatic growth, and regurgitation is an important mediating variable.It has certain theoretical and practical significance, and provides reference for the construction and improvement of theoretical models, positive psychological changes for patients to actively respond to adverse trauma experience, and self-physical and mental repair of patients. |
| 英文摘要 | 目的：了解恐惧疾病进展、侵入性反刍、主动反刍与创伤后成长的研究现状；探讨慢性肾脏病患者恐惧疾病进展、侵入性反刍、主动反刍对创伤后成长的影响，以及恐惧疾病进展向创伤后成长转化的内部机制。方法：采用方便抽样方法，选取2019年9月-2020年2月北京某三甲医院的203名慢性肾脏病患者。采用一般资料调查法、创伤后成长量表、恐惧疾病进展简化量表及事件相关反刍性沉思问卷对慢性肾脏病患者的创伤后成长水平、恐惧疾病进展水平、事件相关反刍性沉思水平进行调查。并使用SPSS 23.0、Process 3.0统计软件对数据进行描述统计、相关分析及中介作用分析与检验。结果：（1）描述分析结果显示，本研究中慢性肾脏病患者的创伤后成长得分为（2.44±1.29）分处于中等偏下水平；恐惧疾病进展得分为（2.45±0.99）分，处于中等偏下水平；侵入性反刍得分为（2.12±0.84）分，主动反刍得分为（2.35±0.85）分，处于中等偏下水平；（2）相关分析结果显示，创伤后成长与恐惧疾病进展、侵入性反刍、主动反刍之间呈显著正相关(P＜0.01)；（3）中介效应结果显示，恐惧疾病进展与创伤后成长的直接效应不显著，而总效应显著。其中存在一条不显著中介路径及两条显著中介路径：①主动反刍在恐惧疾病进展与创伤后成长之间有单独中介作用，路径显著；②侵入性反刍与主动反刍在恐惧疾病进展与创伤后成长之间具有链式中介作用，路径显著；③侵入性反刍在恐惧疾病进展与创伤后成长之间无中介作用，路径不显著。结论：慢性肾脏病患者的恐惧疾病进展不能直接影响创伤后成长，侵入性反刍亦不能在恐惧疾病进展和创伤后成长起作用，但是主动反刍是恐惧疾病进展和创伤后成长之间的重要中介变量，以及主动反刍或侵入性反刍及主动反刍的链式中介作用间接影响创伤后成长。因此，保持适度的恐惧疾病进展有利于产生创伤后成长的观点，并且反刍是其重要中介变量。为构建及完善理论模型、为患者积极应对不良创伤体验，强化正性心理改变，促进患者自我身心修复提供参考依据。 |
| 语种 | 中文 |
| 内容类型 | 学位论文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41626]  |
| 专题 | 心理研究所_社会与工程心理学研究室 |
| 推荐引用方式 GB/T 7714 | 王冬梅. 肾病患者恐惧疾病进展与创伤后成长的关系：反刍中介效应研究[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2021. |
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