How intolerance of uncertainty affects negative emotions in patients with primary glaucoma: a chain mediation model.

IF 1.9 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Psychology Health & Medicine Pub Date : 2025-10-05 DOI:10.1080/13548506.2025.2564303

Xuejia Li, Zhen Zeng, Xiaolin Ma, Jin Zhu, Juan Guo, Ling Qin

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引用次数: 0

Abstract

This study aims to investigate the relationship between intolerance of uncertainty and anxiety and depression in patients with primary glaucoma, and to analyze the mediating role of resilience and rumination as well as the chain-mediated effect in it. A total of 242 patients with primary glaucoma were enrolled in this study. Questionnaires were used to collect cross-sectional data on patients' intolerance of uncertainty, resilience, rumination, anxiety and depression. The chain mediation model was constructed by the IBM AMOS 26.0 statistical software and was tested by bias-corrected bootstrap method. Intolerance of uncertainty can directly affect anxiety and depression in patients with primary glaucoma, as well as indirectly through resilience and intrusive rumination. Moreover, resilience and intrusive rumination had a chain mediation effect between intolerance of uncertainty and anxiety and depression. Improving resilience and reducing intolerance of uncertainty and intrusive rumination are important interventions to improve anxiety and depression in patients with primary glaucoma.

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不确定性耐受如何影响原发性青光眼患者的负面情绪：链式中介模型。

本研究旨在探讨原发性青光眼患者不确定性耐受与焦虑、抑郁的关系，并分析弹性和反刍在其中的中介作用及其连锁介导效应。本研究共纳入242例原发性青光眼患者。通过问卷调查收集患者对不确定性的不耐受、恢复力、反刍、焦虑和抑郁的横截面数据。采用IBM AMOS 26.0统计软件构建链中介模型，并采用偏差校正bootstrap方法进行检验。对不确定性的不耐受可以直接影响原发性青光眼患者的焦虑和抑郁，也可以通过恢复力和侵入性反刍间接影响。此外，心理弹性和侵入性反刍在不确定性不耐受与焦虑抑郁之间具有连锁中介作用。提高恢复力，减少对不确定性和侵入性反刍的不耐受是改善原发性青光眼患者焦虑和抑郁的重要干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.20

自引率

0.00%

发文量

200

审稿时长

6-12 weeks

期刊介绍： Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.