精神分裂症患者压力知觉对抑郁情绪的影响:自尊的中介效应
Influence of Perceived Stress on Depressive Emotion in Schizophrenia Patients: The Mediating Effect of Self-Esteem
DOI: 10.12677/ap.2025.1512629, PDF,   
作者: 郑俊华:成都市温江区第三人民医院行政,四川 成都;惠 玲, 谢悠然, 何丽红, 张 辰, 曾宇琪:成都市温江区第三人民医院临床心理科,四川 成都
关键词: 精神分裂症患者压力知觉抑郁情绪自尊Schizophrenia Patients Perceived Stress Depressive Emotion Self-Esteem
摘要: 本研究旨在探讨自尊在精神分裂症患者压力知觉与抑郁情绪关系中的中介作用。研究采用便利抽样法,选取了104例精神分裂症患者(有效样本100例),通过压力知觉量表(Pss-10)、自尊量表(SES)和抑郁自评量表(SDS)进行横断面调查。数据分析采用Pearson相关分析和基于Bootstrap法的PROCESS宏程序(Model 4)进行中介效应检验。研究结果显示:(1) 压力知觉与抑郁情绪呈显著正相关,与自尊呈显著负相关;自尊与抑郁情绪呈显著负相关。(2) 自尊在压力知觉对抑郁情绪的影响中起到部分中介作用,中介效应占总效应的19.15%。结论为,精神分裂症患者的压力知觉不仅直接影响其抑郁情绪,还会通过降低自尊水平间接加重抑郁情绪。
Abstract: The present study aimed to explore the mediating role of self-esteem in the relationship between perceived stress and depressive emotion in schizophrenia patients. Study utilized a convenience sampling method and selected 104 patients with schizophrenia (an effective sample of 100) for a cross-sectional investigation using the Perceived Stress Scale (Pss-10), the Self-Esteem Scale (SES), and the Self-Rating Depression Scale (SDS). Data analysis was conducted using Pearson correlation analysis and the PROCESS macro procedure (Model 4) based on the Bootstrap method for testing mediating effects. The findings revealed: (1) A significant positive between perceived stress and depressive emotion, and a significant negative correlation between perceived stress and self-esteem; self-esteem was significantly negatively correlated with depressive emotion. (2) Self-esteem partially mediated the effect of perceived stress on depressive emotion. The mediation effect value to the total effect value is 19.15%. The conclusion is that perceived stress in schizophrenia patients with not only directly affects their depressive emotion but also indirectly exacerbates depressive emotion by reducing their self-esteem level.
文章引用:郑俊华, 惠玲, 谢悠然, 何丽红, 张辰, 曾宇琪 (2025). 精神分裂症患者压力知觉对抑郁情绪的影响:自尊的中介效应. 心理学进展, 15(12), 71-76. https://doi.org/10.12677/ap.2025.1512629

参考文献

[1] 高君杰, 周姿言, 殷晓雅, 耿晓雨, 彭海云, 辛素飞(2024). 压力知觉与初中生攻击的关系: 基本心理需要和自尊的链式中介作用. 心理技术与应用, 12(11), 686-695.
[2] 刘思岐, 朱婉, 曹建琴, 金茜(2025). 抑郁症患者压力知觉对抑郁情绪的影响: 适应性认知情绪调节策略和心理灵活性的链式中介作用. 神经疾病与精神卫生, 25(4), 276-282.
[3] 邱炳武, 王极盛(2000). 抑郁研究中的素质-压力理论述评. 心理科学, 23(3), 361-362.
[4] 孙琦, 闫静怡, 姚晶, 杨兴洁, 刘华清(2022). 童年期创伤对高中生抑郁的影响: 压力知觉的中介作用. 中国临床心理学杂志, 30(1), 81-84.
[5] 田录梅(2006). Rosenberg(1965)自尊量表中文版的美中不足. 心理学探新, 26(2), 88-91.
[6] 温忠麟, 张雷, 侯杰泰, 刘红云(2004). 中介效应检验程序及其应用. 心理学报, 36(5), 614-620.
[7] 肖珊珊, 陈红涛, 何素素, 黄佳倩, 李雯, 邓堋, 宋小花(2025). 恐惧疾病进展在乳腺癌患者压力知觉与抑郁间的中介效应. 中国健康心理学杂志, 33(3), 454-459.
[8] 张明园, 何燕玲(2015). 精神科评定量表手册. 长沙湖南科学技术出版社.
[9] 周浩, 龙立荣(2004). 共同方法偏差的统计检验与控制方法. 心理科学进展, 12(6), 942-950.
[10] 周洁, 晏全红, 曾晓云, 金松(2023). 压力知觉量表在复发性阿弗他溃疡中的信度与效度. 口腔医学研究, 39(10), 923-927.
[11] 朱亮, 李大为, 许寅枫, 苏盈楹(2023). 警务人员压力知觉对焦虑抑郁的影响: 有调节的中介模型. 中国健康心理学杂志, 31(10), 1527-1533.
[12] Basinska, M. A., & Sołtys, M. (2020). Personal Resources and Flexibility in Coping with Stress Depending on Perceived Stress in a Group of Cancer Patients. Health Psychology Report, 8, 107-119.[CrossRef
[13] Dai, J. L., Sun, D. W., Li, B. H., Zhang, Y., Wen, M., Wang, H. et al. (2024). Mixed-mode Mindfulness-Based Cognitive Therapy for Psychological Resilience, Self Esteem and Stigma of Patients with Schizophrenia: A Randomized Controlled Trial. BMC Psychiatry, 24, Article No. 179.[CrossRef] [PubMed]
[14] Dong, J. H., & Chao, J. (2025). Influence of Perceived Stress on the Depression of Information Technology (IT) Workers: Chain Mediating Effect of Self-Esteem and Self-Control. Iranian Journal of Public Health, 54, 830-838.[CrossRef] [PubMed]
[15] Haug, E., Øie, M. G., Andreassen, O. A., Bratlien, U., Romm, K. L., Møller, P. et al. (2016). The Association between Anomalous Self-Experiences, Self-Esteem and Depressive Symptoms in First Episode Schizophrenia. Frontiers in Human Neuroscience, 10, Article 557.[CrossRef] [PubMed]
[16] Kemeny, M. E. (2003). The Psychobiology of Stress. Current Directions in Psychological Science, 12, 124-129.[CrossRef
[17] Kirpinar, M. M., & Demirel, O. F. (2024). The Relationship between Depressive Symptoms and Psychological Variables in Patients with Schizophrenia. Journal of Psychiatric Practice, 30, 13-22.[CrossRef] [PubMed]
[18] Li, W., Yang, Y., An, F., Zhang, L., Ungvari, G. S., Jackson, T. et al. (2020). Prevalence of Comorbid Depression in Schizophrenia: A Meta-Analysis of Observational Studies. Journal of Affective Disorders, 273, 524-531.[CrossRef] [PubMed]
[19] Liu, D., Zhou, Y., Li, G., & He, Y. (2020). The Factors Associated with Depression in Schizophrenia Patients: The Role of Self-Efficacy, Self-Esteem, Hope and Resilience. Psychology, Health & Medicine, 25, 457-469.[CrossRef] [PubMed]
[20] Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress Theories in the Context of Life Stress Research: Implications for the Depressive Disorders. Psychological Bulletin, 110, 406-425.[CrossRef] [PubMed]
[21] Parmigiani, G., Mandarelli, G., Tarsitani, L., Roselli, V., Gaviano, I., Buscajoni, A. et al. (2021). Perceived Stress and Life Events in Patients Affected by Schizophrenia and Schizoaffective and Bipolar Disorder: Is There a Role for Self-Reported Basic Symptoms? Psychopathology, 54, 136-143.[CrossRef] [PubMed]
[22] Sedie, B., Ivezie, S. S., Petrak, O. et al. (2021). Differences in Resilience, Self-Stigma and Mental Health Recovery between Patients with Schizophrenia and Depression. Psychiatria Danubina, 33, S518-S528.
[23] Shi, J. Y., Cao, Y. M., Luo, H. Y., Liu, S., Yang, F., & Wang, Z. (2023). Effect of a Group-Based Acceptance and Commitment Therapy (ACT) Intervention on Self-Esteem and Psychological Flexibility in Patients with Schizophrenia in Remission. Schizophrenia Research, 255, 213-221.[CrossRef] [PubMed]
[24] Subodh, B. N., & Grover, S. (2020). Depression in Schizophrenia: Prevalence and Its Impact on Quality of Life, Disability, and Functioning. Asian Journal of Psychiatry, 54, Article 102425.[CrossRef] [PubMed]
[25] Violeau, L., Dudilot, A., Roux, S., & Prouteau, A. (2020). How Internalised Stigma Reduces Self-Esteem in Schizophrenia: The Crucial Role of Off-Line Metacognition. Cognitive Neuropsychiatry, 25, 154-161.[CrossRef] [PubMed]
[26] Zipursky, R. B. (2014). Why Are the Outcomes in Patients with Schizophrenia So Poor? The Journal of Clinical Psychiatry, 75, 20-24.[CrossRef] [PubMed]