Path analysis of self-efficacy, coping style and social support on resilience in patients with chronic hepatitis B

中华行为医学与脑科学杂志 Pub Date : 2019-11-20 DOI:10.3760/CMA.J.ISSN.1674-6554.2019.11.006

W. Xiao, Zhang Aidi, Yan Jin, Liu Yan, Long Feiyan

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Abstract

Objective To explore the mediating, direct and indirect roles of self-efficacy, social support and medical coping modes with resilience in patients with chronic hepatitis B. Methods Totally 384 inpatients and outpatients with chronic hepatitis B, without physical ailments or mental problems were selected.The Connor-Davidson resilience scale (CD-RISC), general self-efficacy scale (GSES), medical coping modes questionnaire (MCMQ) and social support rating scale (SSRS) were adopted in this research.The relationship among all variables was explored by path analysis. Results (1)The total scores of resilience, self-efficacy, social support, confrontation, avoidance and acceptance-resignation in chronic hepatitis B patients were (61.64±15.36), (25.40±5.70), (39.82±7.39), (19.02±3.72), (16.63±2.69) and (8.45±2.94), respectively.(2)Pearson analysis showed that the scores of self-efficacy, medical coping and social support were significantly correlated with resilience(r=-0.26-0.82, P<0.05). (3)Importantly, path analysis showed that self-efficacy(β=0.53), confrontation(β=0.10), avoidance(β=0.17) and acceptance-resignation(β=-0.13) had direct prediction effects on resilience.Additionally, self-efficacy was indirectly related to resilience(β=0.05), and social support also indirectly related to resilience through self-efficacy, confrontation and acceptance-resignation(β=0.18). Conclusion Self-efficacy, social support and medical coping are the important factors which play a direct or indirect role in resilience. Key words: Chronic hepatitis B; Resilience; Self-efficacy; Medical coping; Social support; Path analysis

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慢性乙型肝炎患者自我效能、应对方式和社会支持对恢复力的通径分析

目的探讨自我效能感、社会支持和医疗应对方式对慢性乙型肝炎患者恢复力的中介、直接和间接作用。本研究采用康纳·戴维森复原力量表（CD-RISC）、一般自我效能量表（GSES）、医疗应对方式问卷（MCMQ）和社会支持评定量表（SSRS）。通过通径分析探讨了所有变量之间的关系。结果（1）慢性乙型肝炎患者的复原力、自我效能感、社会支持、对抗、回避和接受辞职总分分别为（61.64±15.36）、（25.40±5.70）、（39.82±7.39）、（19.02±3.72）、（16.63±2.69）和（8.45±2.94）。（2） Pearson分析显示，自我效能感、医疗应对和社会支持得分与恢复力显著相关（r=-0.26-0.82，P<0.05）。（3）重要的是，路径分析显示，自效能感（β=0.53）、对抗（β=0.10）、回避（β=0.17）和接受-辞职（β=-0.13）对恢复力有直接预测作用。此外，自我效能感与复原力间接相关（β=0.05），社会支持也通过自我效能感、对抗和接受辞职与复原力直接相关（β=0.18）。关键词：慢性乙型肝炎；弹性；自我效能；医疗应对；社会支持；路径分析

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来源期刊

中华行为医学与脑科学杂志

自引率

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发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.