自我效能感在精神疾病患者感知病耻感与生存质量间的中介效应

摘要

目的 调查精神疾病患者的感知病耻感、自我效能感及生存质量状况,分析变量间的相关关系,并探讨自我效能感在感知病耻感与生存质量间的中介效应.方法 采用贬低-歧视量表、一般自我效能感量表和精神分裂症生存质量量表对406例住院精神疾病患者进行调查,并对调查结果进行分析.结果 患者感知病耻感的总均分为(2.44±0.36)分,自我效能感得分为(25.75±7.31)分,生存质量量表总均分为(24.01±12.67)分;感知病耻感、自我效能感及生存质量间均存在显著相关关系.自我效能感在患者感知病耻感与生存质量间存在完全中介效应.结论 自我效能感是精神疾病患者感知病耻感与生存质量的中介变量.%Objective To investigate the state of perceived stigma,self-efficacy and quality of life of patients with mental disorders,and analyze the relationship among these variables,and explore the mediating effect of self-efficacy between the perceived stigma and quality of life.Methods Totally 406 patients with mental disorders were assessed with the Perceived Devaluation-Discrimination Scale (PDDS),Self-efficacy Scale (SES) and Schizophrenia Quality of Life Scale (SQOLS).Results The average score of PDDS was (2.44±0.36).The average score of GSES was (25.75±7.31).The perceived stigma,self-efficacy and quality of life were significantly correlated with each other.The self-efficacy played a mediating role between perceived stigma and quality of life.Conclusions The self-efficacy is the intermediary variable of perceived stigma and QOL of patients with mental disorders.