低年级大学生愤怒特质与躯体化的关系:家庭凝聚力和适应性的调节作用

Liang Liu, Cuilian Liu, Xudong Zhao
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引用次数: 5

摘要

背景:22%至58%的初级保健机构患者主诉躯体症状。先前的研究发现躯体化与愤怒特征和家庭功能有关。然而,缺乏专门评估家庭功能在愤怒特征如何成为躯体抱怨方面的调节作用的研究。目的:本研究旨在探讨家庭凝聚力和家庭适应性的差异是否调节了愤怒特质与躯体化之间的关系强度。方法:采用横断面设计,从上海某综合性大学招收大学生2008名。所有被试均完成症状自评量表(SCL-90)、状态-特质愤怒表达量表(STAXI-2)和家庭适应与凝聚力量表(FACES II)等问卷,以评估其当前躯体化程度、愤怒特质和家庭功能。分别对男性和女性进行层次线性回归分析(Enter),考察家庭凝聚力和家庭适应性在愤怒与躯体化关联中的调节作用。结果:躯体症状与抑郁和愤怒特质在预期方向上显著相关。家庭凝聚力和家庭适应性与躯体症状呈负相关。在女大学生中,家庭凝聚力对愤怒特质与躯体化的关系有调节作用,而在男大学生中,家庭凝聚力的调节作用不显著。在考虑当前抑郁症状后,家庭适应性的调节作用对男性和女性都不显著。结论:愤怒倾向是躯体化的独立预测因子。对女性而言,高水平的家庭凝聚力是一个保护性因素,可以减少愤怒特质对躯体症状的影响。没有当前抑郁的合并症,家庭适应性在一定程度上免除了愤怒倾向个体的躯体抱怨。家庭凝聚力培养、家庭灵活性培养和抑郁治疗相结合的干预措施可能对躯体型高愤怒特质患者更有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Linking Anger Trait with Somatization in Low-Grade College Students: Moderating Roles of Family Cohesion and Adaptability.

Linking Anger Trait with Somatization in Low-Grade College Students: Moderating Roles of Family Cohesion and Adaptability.

Linking Anger Trait with Somatization in Low-Grade College Students: Moderating Roles of Family Cohesion and Adaptability.

Background: Between 22% and 58% of patients in primary care settings complain of somatic symptoms. Previous research has found that somatization was associated with anger traits and family functions. However, studies that specifically assess the moderating effect of family function in how anger traits become somatic complaints are lacking.

Aim: This study was designed to examine whether the variances in family cohesion and family adaptability moderated the strength of the relationship between anger traits and somatization.

Methods: A cross-section design was conducted and 2008 college students were recruited from a comprehensive university in Shanghai. All participants finished questionnaires including Symptom Check List- 90 (SCL-90), State-Trait Anger Expression Inventory 2 (STAXI-2, Chinese version) and Family Adaptability and Cohesion Scale, second edition (FACES II, Chinese Version) to assess their degree of current somatization, anger trait and family function. Hierarchical linear regression analysis (Enter) was conducted respectively for men and women to examine the moderation effect of family cohesion and family adaptability in the association between anger and somatization.

Results: Somatic symptoms were significantly linked in the expected directions with depression and anger trait for both genders. Family cohesion and family adaptability were negatively associated with somatic symptoms. For female college students family cohesion was found to moderate the link between anger trait and somatization, but for male college students the moderation effect of family cohesion was marginally significant. The moderating role of family adaptability was significant for neither male nor female after current depressive symptoms were accounted for.

Conclusion: Proneness to anger is an independent predictor of somatization. For women, a high level of family cohesion was a protective factor which could reduce the influence of anger trait on somatic symptoms. Without comorbidity of current depression, family adaptability to some degree exempted individuals with anger proneness from developing somatic complaints. Interventions that integrate family cohesion cultivation, family flexibility fostering and depression treatment might be more effective for somatic patients high in anger trait.

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