{"title":"与无慢性疾病的大学生相比,患有慢性疾病的大学生的焦虑和生活质量:体验性回避和承诺行动的中介作用","authors":"Zahir Vally, Rufaida AlKhanji, Mai Helmy","doi":"10.1007/s11469-024-01274-4","DOIUrl":null,"url":null,"abstract":"<p>The presence of a chronic illness and the experience of anxiety are both factors that have been shown, separately, to negatively impact individuals’ self-reported quality of life (QoL). In an attempt to further understand the impact that a chronic illness places on experienced QoL, scholars have begun to propose that the constructs of experiential avoidance and committed action may potentially be implicated in this demonstrated association; however, this contention remains undetermined. This cross-sectional study examined the roles of experiential avoidance and committed action as potential mediators in the relationship between anxiety and QoL. It further compared the occurrence of these potential relationships in a sample of college-aged students with and without a self-reported chronic illness. A total of 547 participants recruited from university campuses resident in five Arab nations completed self-report assessments of anxious affect, QoL, experiential avoidance, and committed action. Analyses revealed a partial mediational relationship between anxiety and QoL that was almost entirely explained by experiential avoidance rather than committed action. This mediational effect, however, was only observed in the healthy cohort of students, not amongst those with a chronic illness. These results draw attention to the proposition that anxiety, a commonly occurring difficulty experienced by young adults, is associated with diminished QoL, but, moreover, that this relationship may be mediated by diminishing experiential avoidance and, potentially, greater engagement in committed actions. It further highlights that whilst anxious affect amongst students with a chronic illness appears more prevalent, compared to those without a chronic illness, there may be a number of other alternate factors that relate to their experienced QoL.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"133 1","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Anxiety and Quality of Life in College Students with a Chronic Illness Compared to Those Without: The Mediational Roles of Experiential Avoidance and Committed Action\",\"authors\":\"Zahir Vally, Rufaida AlKhanji, Mai Helmy\",\"doi\":\"10.1007/s11469-024-01274-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>The presence of a chronic illness and the experience of anxiety are both factors that have been shown, separately, to negatively impact individuals’ self-reported quality of life (QoL). In an attempt to further understand the impact that a chronic illness places on experienced QoL, scholars have begun to propose that the constructs of experiential avoidance and committed action may potentially be implicated in this demonstrated association; however, this contention remains undetermined. This cross-sectional study examined the roles of experiential avoidance and committed action as potential mediators in the relationship between anxiety and QoL. It further compared the occurrence of these potential relationships in a sample of college-aged students with and without a self-reported chronic illness. A total of 547 participants recruited from university campuses resident in five Arab nations completed self-report assessments of anxious affect, QoL, experiential avoidance, and committed action. Analyses revealed a partial mediational relationship between anxiety and QoL that was almost entirely explained by experiential avoidance rather than committed action. This mediational effect, however, was only observed in the healthy cohort of students, not amongst those with a chronic illness. These results draw attention to the proposition that anxiety, a commonly occurring difficulty experienced by young adults, is associated with diminished QoL, but, moreover, that this relationship may be mediated by diminishing experiential avoidance and, potentially, greater engagement in committed actions. It further highlights that whilst anxious affect amongst students with a chronic illness appears more prevalent, compared to those without a chronic illness, there may be a number of other alternate factors that relate to their experienced QoL.</p>\",\"PeriodicalId\":14083,\"journal\":{\"name\":\"International Journal of Mental Health and Addiction\",\"volume\":\"133 1\",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Mental Health and Addiction\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11469-024-01274-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Mental Health and Addiction","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11469-024-01274-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
慢性疾病的存在和焦虑体验这两个因素已分别被证明会对个人自我报告的生活质量(QoL)产生负面影响。为了进一步了解慢性疾病对体验 QoL 的影响,学者们开始提出,体验性回避和承诺行动这两个概念可能与这种已被证实的关联有潜在的联系;然而,这一论点仍未确定。本横断面研究探讨了体验性回避和承诺性行动在焦虑与 QoL 关系中的潜在中介作用。研究还进一步比较了这些潜在关系在患有和未患有自述慢性疾病的大学生样本中的发生情况。从五个阿拉伯国家的大学校园中招募的 547 名参与者完成了对焦虑情绪、QoL、体验性回避和承诺行动的自我报告评估。分析表明,焦虑与 QoL 之间存在部分中介关系,而这种中介关系几乎完全由体验性回避而非承诺性行动来解释。然而,这种中介效应只在健康学生群体中观察到,在慢性病患者中并没有观察到。这些结果引起了人们的注意,焦虑是年轻人经常遇到的一种困难,它与生活质量下降有关,而且,这种关系可能会通过减少体验性回避和更多地参与承诺行动来调节。研究进一步强调,虽然与没有慢性疾病的学生相比,患有慢性疾病的学生的焦虑情绪似乎更为普遍,但可能还有其他一些因素与他们的生活质量相关。
Anxiety and Quality of Life in College Students with a Chronic Illness Compared to Those Without: The Mediational Roles of Experiential Avoidance and Committed Action
The presence of a chronic illness and the experience of anxiety are both factors that have been shown, separately, to negatively impact individuals’ self-reported quality of life (QoL). In an attempt to further understand the impact that a chronic illness places on experienced QoL, scholars have begun to propose that the constructs of experiential avoidance and committed action may potentially be implicated in this demonstrated association; however, this contention remains undetermined. This cross-sectional study examined the roles of experiential avoidance and committed action as potential mediators in the relationship between anxiety and QoL. It further compared the occurrence of these potential relationships in a sample of college-aged students with and without a self-reported chronic illness. A total of 547 participants recruited from university campuses resident in five Arab nations completed self-report assessments of anxious affect, QoL, experiential avoidance, and committed action. Analyses revealed a partial mediational relationship between anxiety and QoL that was almost entirely explained by experiential avoidance rather than committed action. This mediational effect, however, was only observed in the healthy cohort of students, not amongst those with a chronic illness. These results draw attention to the proposition that anxiety, a commonly occurring difficulty experienced by young adults, is associated with diminished QoL, but, moreover, that this relationship may be mediated by diminishing experiential avoidance and, potentially, greater engagement in committed actions. It further highlights that whilst anxious affect amongst students with a chronic illness appears more prevalent, compared to those without a chronic illness, there may be a number of other alternate factors that relate to their experienced QoL.
期刊介绍:
The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.