COVID-19康复患者心理健康、感知社会支持与创伤后成长模型的关系:应对策略的中介作用

Elnaz Deldadeh Mehraban, A. Farhangi, S. Abolghasemi
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摘要

背景与目的:创伤后成长是指在事件发生后所经历的积极的心理变化。2019冠状病毒病(COVID-19)被视为一种创伤性事件,会影响一个人生活的许多方面。本研究旨在通过应对策略在COVID-19康复患者创伤后成长模型中的中介作用,探讨感知社会支持与心理健康之间的关系。方法:采用相关矩阵的通径分析法进行研究。研究人群包括戈列斯坦省所有COVID-19康复患者。采用方便抽样法,选取新冠肺炎康复患者300例。研究工具包括创伤后成长量表、一般健康问卷、感知社会支持多维度量表和应对方式问卷。采用SPSS和AMOS软件25版对数据进行结构方程建模(SEM)分析。结果:所建模型与数据拟合良好。创伤后成长、感知社会支持和心理健康与问题关注型应对策略呈显著正相关(P<0.01)。心理健康与创伤后成长的感知社会支持呈显著正相关。创伤后成长和感知社会支持与情绪聚焦策略呈显著负相关(P<0.01)。此外,心理健康与情绪聚焦策略之间的关系不显著。结论:心理健康、感知社会支持和问题导向策略在COVID-19患者创伤后成长中起着至关重要的作用。因此,它们可能有助于最大限度地减少COVID-19的心理影响。
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The relationship between mental health and perceived social support with the post traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients
Background and aims: Post-traumatic growth refers to the positive psychological changes experienced after an incident. Coronavirus disease 2019 (COVID-19) is seen as a traumatic incident that impacts many aspects of a person's life. The present study aimed to investigate the association between perceived social support and mental health with the post-traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients. Methods: This study was conducted using a path analysis method from the correlation matrix. The research population included all COVID-19 recovered patients in Golestan Province. Using the convenience sampling method, 300 patients who recovered from COVID-19 were selected. The research instruments included the Post-Traumatic Growth Inventory, the General Health Questionnaire, the Multidimensional Scale of Perceived Social Support, and the Ways of Coping Questionnaire. The data was analyzed through structural equation modeling (SEM) using SPSS and AMOS software version 25. Results: The findings revealed that the suggested model fit the data. The relationship between post-traumatic growth, perceived social support, and mental health with problem-focused coping strategies were positive and significant (P<0.01). The relations between mental health and perceived social support with post-traumatic growth were positive and significant. Post-traumatic growth and perceived social support had a negative and significant relationship with emotion-focused strategies (P<0.01). Furthermore, the relationship between mental health and emotion-focused strategies was not significant. Conclusion: Mental health, perceived social support, and problem-focused strategies play an essential role in COVID-19 patients' post-traumatic growth. As a result, they might be helpful in minimizing the psychological impact of COVID-19.
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