孤独、负性情绪状态与躯体症状障碍：应对方式和防御机制的中介作用

IF 0.4 4区心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY

Psychologie Francaise Pub Date : 2025-06-01 DOI:10.1016/j.psfr.2025.01.004

Mahsa Kashefizadeh , Ali Asadbeygi , Mojtaba Rahimian Bougar , Mahboobe Taher , Nasrollah Mazraeh , Siamak Khodarahimi , Pantea Sadat Alavi

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引用次数: 0

摘要

目的：研究孤独感和负性情绪状态（NES）对成人躯体症状障碍（SSD）的影响，利用结构方程模型分析应对方式和防御机制如何介导这些影响。患者与方法采用有目的的抽样方法，选取300例门诊PSS患者作为临床样本。本研究使用的心身症状问卷（PSQ-39）、成人社会与情感孤独量表-短版（SELSA-S）、抑郁焦虑压力量表-21 （DASS-21）、压力情境应对量表-短版（csis - sf）和防御风格问卷（DSQ-40）。结果分析发现，孤独感解释了76.8%的NES变异。孤独和NES分别预测了76.6%的应对方式变异和82.9%的防御机制变异。孤独感和NES通过应对方式和防御机制的调节作用预测了91.3%的SSD变化。结论孤独感和NES通过应对方式和防御机制的调节作用与SSD存在显著的直接和间接关联。

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Loneliness, negative emotional states and somatic symptoms disorders: The mediating roles of coping styles and defense mechanisms

Purpose

Purpose: This research investigated the impact of loneliness and negative emotional states (NES) on somatic symptoms disorders (SSD) in adults, utilizing structural equation modeling to assess how coping styles and defense mechanisms mediate these effects.

Patients and methods

Using purposive sampling, a clinical sample of 300 outpatients with PSS has been selected. The Psychosomatic Symptoms Questionnaire (PSQ-39), the Social and Emotional Loneliness Scale for Adults-Short Version (SELSA-S), the Depression Anxiety Stress Scale-21 (DASS-21), the Coping Inventory for Stressful Situations-Short-Form (CISS-SF) and the Defense Style Questionnaire (DSQ-40) used in this study.

Results

The analysis found that loneliness explained 76.8% of NES variations. Loneliness and NES predicted 76.6% of coping style variations and 82.9% of defense mechanism variations. Also, loneliness and NES predicted 91.3% of SSD variations by the moderating roles of coping styles and defense mechanisms.

Conclusion

Loneliness and NES have significant direct and indirect associations with SSD through the moderating influences of coping styles and defense mechanisms.

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来源期刊

Psychologie Francaise PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Psychologie française is the official organ of Société française de psychologie. It publishes original articles, most of the time within thematic issues. Considered as a reference publication, which covers all fields of psychology, its contents are used for tuition.