知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用

汪涛; 朱安平; 徐松; 向爱国; 边晨; 鲁芳; 彭李; 李敏

doi:10.16016/j.1000-5404.201809102

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知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用

医学心理学 | 更新时间：2026-01-09

- 知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用
- Relationship between perceived stress and depression: multiple mediating roles of reflection and brooding
- 第三军医大学学报 2019年41卷第4期页码：388-393
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)：医学心理系基础心理学教研室
  2.400038 重庆，陆军军医大学(第三军医大学)：医学心理系军事心理学教研室
  3.441000 湖北襄阳，解放军第991医院
  4.408200 重庆，丰都县人民医院
  5.400038 重庆，陆军军医大学(第三军医大学)：护理系
- 作者简介：
  
  [ 李敏，E-mail: limin52267@tmmu.edu.cn LI Min, E-mail: limin52267@tmmu.edu.cn
- 基金信息：
  
  陆军军医大学人文社科课题(2017XRW19);重庆市技术创新与应用示范(社会民生类一般)项目(CSTC2018jscx-msybX0063);全军医学科研“十二五”计划重大项目(AWS13J002);军事医学预研项目(2016XYY06)
- DOI：10.16016/j.1000-5404.201809102
  中图分类号： R395.1;R395.6;R749.4
- 收稿：2018-09-13，
  
  修回：2018-11-13，
  
  纸质出版：2019-02-28
- 稿件说明：
移动端阅览
汪涛, 朱安平, 徐松, 等. 知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用[J]. 第三军医大学学报, 2019,41(4):388-393.

Tao WANG, Anping ZHU, Song XU, et al. Relationship between perceived stress and depression: multiple mediating roles of reflection and brooding[J]. Journal of Third Military Medical University, 2019, 41(4): 388-393.
汪涛, 朱安平, 徐松, 等. 知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用[J]. 第三军医大学学报, 2019,41(4):388-393. DOI： 10.16016/j.1000-5404.201809102.

Tao WANG, Anping ZHU, Song XU, et al. Relationship between perceived stress and depression: multiple mediating roles of reflection and brooding[J]. Journal of Third Military Medical University, 2019, 41(4): 388-393. DOI： 10.16016/j.1000-5404.201809102.

摘要

目的

探索反思、沉浸性反刍因子在知觉压力与抑郁关系中的中介作用。

方法

采用方便采样的方法，从重庆市、襄阳市两家事业单位整群抽取20~55岁1 238名在职工作人员分批次开展心理测评，每批次均有专业的心理学人员进行现场指导。评估工具包括知觉压力量表(Perceived Stress Scale

PSS)、简版沉思反应问卷(ruminative responses scale

RSS)、贝克抑郁自评量表(Beck depression inventory，BDI-Ⅱ)及人口学基本信息问卷。

结果

① 知觉压力与反思、沉浸性反刍、抑郁中等程度正相关，反思与沉浸性反刍、抑郁显著正相关(

值为0.349~0.698，

0.001)；知觉压力、反思、沉浸性反刍均进入回归方程，能共同解释46.80%的变异量。②反思、沉浸性反刍在知觉压力与抑郁关系中起着多重中介作用，两条中介路径分别占总效应量的47.24%、20.89%。③各限定模型之间χ

值之差Δχ

在相应的自由度差(Δdf)上差异具有统计学意义(

0.05)，不同年龄组中知觉压力-反思路径的路径系数差为-3.199，差异具有统计学意义(

0.01)。

结论

反思与沉浸性反刍在知觉压力与抑郁关系中起着重要的中介作用，其中反思是关键的中介因子，可通过直接或间接路径影响知觉压力与抑郁间的关系；知觉压力-反思这一前半路径受到年龄因素的调节。

Abstract

Objective

To explore the mediating roles of reflection and brooding in the relationship between perceived stress and depression.

Methods

A total of 1 238 participants aged 20 to 55 years selected from Chongqing and Xiangyang cities using a cluster sampling method were asked to complete assessments with Perceived Stress Scale (PSS)

simplified Ruminative Stress Scale (RSS)

Beck Depression Inventory (BDI-Ⅱ) and a demographic information questionnaire. The participants were tested in batches and provided with professional assistance during completion of the tests.

Results

Perceived stress showed a moderate positive correlation with brooding

reflection and depression

and reflection had a significant positive correlation with brooding and depression (

=0.349~0.698

0.001). PSS

brooding and reflection in the regression equation jointly explained 46.80% of the variation. Reflection and brooding played important mediating roles in the relationship between perceived stress and depression

and in the total indirect effect size of 68.20%

the mediating path through reflection accounted for 47.24% and the chain mediating path through reflection-brooding accounted for 20.89%. The value of Δχ

(Δdf) between the structured weight model and the structural residual model was statistically significant (

0.05). Pairwise parameter comparisons between the young adults and middle-aged adults showed a significant estimated difference of the perceived stress-reflection path (

0.01).

Conclusion

Reflection and brooding play important mediating roles in the relationship between perceived stress and depression

in which reflection is a key mediator that can either directly or indirectly affect the relationship. Age has a moderating effect in the path of perceived stress-reflection.

关键词

Keywords

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