肢体残疾人社会适应与心理健康的关系：安全感的中介效应

The Relationship between Social Adaptation and Mental Health of Physically Disabled People: Sense of Security as a Mediator

摘要: 目的：考察肢体残疾人社会适应与心理健康之间的关系，以及安全感在社会适应预测肢体残疾人心理健康间的中介效应。方法：采用肢体残疾人社会适应状况调查问卷、90项症状清单和安全感量表对508名肢体残疾人进行测量。结果：① 社会适应总分、安全感总分分别与心理健康总分呈显著负相关(P < 0.01)，社会适应总分与安全感总分呈显著正相关(P < 0.01)；② 安全感在社会适应与心理健康间存在部分中介作用。结论：安全感在社会适应与心理健康间存在部分中介作用，提示可通过增强肢体残疾人社会适应及安全感来提升心理健康水平。同时，针对肢体残疾人的心理健康咨询与治疗也可提高对肢体残疾人社会适应与安全感方面的关注，相互促进。

Abstract: Objective: To explore the relationship between social adaptation and mental health of physically disabled people, and the mediation effect of sense of security on the relationship between social adaptation and mental health of physically disabled people. Methods: Questionnaire on social adaptation of the physically disabled, 90 symptom checklist and sense of security scale were used among 508 physically disabled people. Results: ① Social adaptation was negatively correlated with mental health scores (P < 0.01), sense of security was negatively correlated with mental health scores (P < 0.01), social adaptation was positively correlated with sense of security (P < 0.01). ② Sense of security partially mediated the association between social adaptation and mental health of physically disabled people. Conclusion: Sense of security partially mediated the association between social adaptation and mental health of physically disabled people, so we can improve the mental health by enhancing the social adaptation and sense of security of the physically disabled. At the same time, the mental health consultation and treatment for the physically disabled can also improve the attention to the social adaptation and sense of security, and promote each other.