Path analysis on the influence of social support, coping style and self-efficacy on psychological resilience in family caregivers of community schizophrenia patients
AILIPATI Tailaiti1, CHEN Jinrong2,3, NIU Minrui3, LYU Meng3, WANG Huicai2
1. School of Health Management, Xinjiang Medical University, Urumqi, Xinjiang 830054, China; 2. The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China; 3. School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang 830054, China
Abstract:Objective To explore the effects of social support, coping style and self-efficacy onpsychologicalresilience among family caregivers of schizophrenics in communities, and to analyze the roles of their pathways. Methods With Connor-Davidson Resilience Scale, Social Support Rating Scale, Simplified Coping Style Questionnaire and General Self-Efficacy Scale, a cross-sectional questionnaire survey was conducted in 93 family caregivers of schizophrenia patients from 11 communities in Urumqi from January to March, 2022. Pearson correlation analysis was used to analyze the correlations among the scales, and path analysis was employed to make a statistical analysis of the data. Results The total score of mental resilience in the family caregivers of community-dwelling schizophrenia patients was (58.83±13.45). Correlation analysis showed that mental resilience of the family caregivers of community-dwelling schizophrenia patients was positively correlated with social support, positive coping and self-efficacy (P<0.05), but negatively correlated with negative coping style of the family caregivers (P<0.05). The results of regression analysis revealed that the mental resilience level of the family caregivers of community-dwelling schizophrenia patients was influenced by their social support, coping style and self-efficacy, with the determination coefficient R2=0.877, F=110.746, P<0.001. The results of path analysis showed that subjective support and self-efficacy of the family caregivers of community-dwelling schizophrenia patients had both direct and indirect effects on their mental resilience, but coping style and objective support of the family caregivers had only direct effects on their mental resilience. Conclusion Mental resilience of the family caregivers of community-dwelling schizophrenia patients is at a medium level. Social support, coping style and self-efficacy of the family caregivers are the important factors affecting their mental resilience.
艾力帕提·太来提, 陈金荣, 牛敏瑞, 吕蒙, 汪惠才. 社区精神分裂症患者家庭照顾者社会支持、应对方式及自我效能感对心理弹性影响的路径分析[J]. 实用预防医学, 2023, 30(7): 800-805.
AILIPATI Tailaiti, CHEN Jinrong, NIU Minrui, LYU Meng, WANG Huicai. Path analysis on the influence of social support, coping style and self-efficacy on psychological resilience in family caregivers of community schizophrenia patients. , 2023, 30(7): 800-805.
[1] Smeeth D, Beck S, Karam EG, et al. The role of epigenetics in psychological resilience[J]. Lancet Psychiatry,2021,8(7):620-629. [2] Sisto A, Vicinanza F, Campanozzi LL, et al. Towards a transversal definition of psychological resilience: a literature review[J]. Medicina (Kaunas),2019,55(11):745. [3] Afek A,Ben-Avraham R,Davidov A,et al. Psychological resilience, mental health, and inhibitory control among youth and young adults under stress[J]. Front Psychiatry,2021,11:608588. [4] Yu Y, Tang BW, Liu ZW, et al. Who cares for the schizophrenia individuals in rural China: a profile of primary family caregivers[J]. Compr Psychiatry,2018,84:47-53. [5] Clari R,Headley J,Egger J,et al. Perceived burden and family functioning among informal caregivers of individuals living with schizophrenia in Tanzania: a cross-sectional study[J]. BMC Psychiatry,2022,22(1):10. [6] 王锋,朱长才,朱可,等. 精神分裂症家庭照护者心理健康影响因素的结构方程模型分析[J]. 中华疾病控制杂志,2019,23(1):65-69. [7] Sharif F, Mahmoudi A, Shooshtari AA, et al. The effect of family-centered psycho-education on mental health and quality of life of families of adolescents with bipolar mood disorder: a randomized controlled clinical trial[J]. Int J Community Based Nurs Midwifery,2016,4(3):229-238. [8] Fitryasari R,Yusuf A,Nursalam,et al. Family members' perspective of family resilience's risk factors in taking care of schizophrenia patients[J]. Int J Nurs Sci,2018,5(3):255-261. [9] Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82. [10] 于肖楠,张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学,2007,30(5):1169-1171. [11] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志,1994,4(2):98-100. [12] 解亚宁. 简易应付方式量表信度和效度的初步研究[J]. 中国临床心理学杂志,1998,6(2):114-115. [13] Schwarzer R, Aristi B. Optimistic self-beliefs: assessment of general perceived self efficacy in thirteen cultures[J]. Word Psychol,1997,3(1-2):177-190. [14] 李少杰,崔光辉,徐慧兰. 大学生网络社会支持、电子健康素养与健康相关行为的路径分析[J]. 中国卫生统计,2022,39(1):118-121. [15] 靳淑雁,张建明. 深圳市医务人员职业紧张对生命质量影响的路径分析[J]. 实用预防医学,2021,28(10):1165-1168. [16] 程诚,黄俊,梁宝勇. 心理健康素质测评系统·中国成年人心理弹性全国采样调查报告[J].心理与行为研究,2014,12(6):735-742. [17] 刘楠. 精神分裂症患者家属心理弹性及相关保护因素研究[D]. 湖州:湖州师范学院,2019. [18] 李卡梅,陆莉莉,何飞燕,等. 崇左市农村精神疾病患者家属病耻感及生活质量现状调查[J]. 广西医学,2020,42(12):1599-1602. [19] Fernandes JB, Fernandes SB, Almeida AS, et al. Barriers to family resilience in caregivers of people who have schizophrenia[J]. J Nurs Scholarsh,2021,53(4):393-399. [20] Yasuma N, Sato S, Yamaguchi S, et al. Effects of brief family psychoeducation for caregivers of people with schizophrenia in Japan provided by visiting nurses: protocol for a cluster randomised controlled trial[J]. BMJ Open,2020,10:e034425. [21] 杨敏敏,张钰,余治平,等. 广州市某医院自闭症患儿家长心理弹性与社会支持相关性分析[J]. 医学与社会,2018,31(11):71-73. [22] 唐青峰. 恶性肿瘤患者主要照顾者心理弹性现状及影响因素的研究[D]. 石河子:石河子大学,2018. [23] 徐莲花,张芳. 神经源性膀胱患儿家属照顾负担影响因素的路径分析[J]. 护理研究,2022,36(13):2429-2432. [24] Teh WL, Shahwan S, Abdin E, et al. Confirmatory factor analysis and measurement invariance of the MultidimensionalScale of Perceived Social Support in young psychiatric and non-psychiatric Asians[J]. Ann Acad Med Singap,2019,48(10):314-320. [25] Harandi TF, Taghinasab MM, Nayeri TD. The correlation of social support with mental health: a meta-analysis[J]. Electron Physician,2017,9(9):5212-5222. [26] Yang F, Jiang Y. Heterogeneous influences of social support on physical and mental health: evidence from China[J]. Int J Environ Res Public Health,2020,17(18):6838. [27] Leung DYP, Chan HYL, Chiu PKC, et al. Source of social support and caregiving self-efficacy on caregiver burden and patient's quality of life: a path analysis on patients with palliative care needs and their caregivers[J]. Int J Environ Res Public Health,2020,17(15):5457. [28] 袁慧,孙慧敏. 老年痴呆病人家庭照顾者自我效能感与心理弹性的关系:积极应对的中介作用[J]. 护理研究,2017,31(33):4226-4230. [29] 姜倩倩,宋洁,陈亚楠,等. 痴呆患者家庭照顾者自我效能在线干预的研究进展[J]. 中国护理管理,2021,21(8):1256-1260. [30] 吴晓云. 脑卒中患者的照顾者社会支持与心理弹性、应对方式相关性分析[J]. 护理实践与研究,2020,17(11):30-32. [31] Hagan TL, Fishbein JN, Nipp RD, et al. Coping in patients with incurable lung and gastrointestinal cancers: a validation study of the brief COPE[J]. J Pain Symptom Manage,2017,53(1):131-138. [32] 黄菲. 乳腺癌患者照顾者益处发现、社会支持与生活质量的关系研究[J]. 中国卫生统计,2021,38(6):920-922.