上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (2): 214-.doi: 10.3969/j.issn.1674-8115.2020.02.011

• 论著·临床研究 • 上一篇    下一篇

应激感受在人格特质与惊恐障碍症状间的中介作用

杨 晨,刘希童,许婷婷,王 佩,刘 强,王 勇,朱 益,陈 珏,王兰兰,仇剑崟,王 振,邵 阳   

  1. 上海交通大学医学院附属精神卫生中心临床心理科,上海 200030
  • 出版日期:2020-02-28 发布日期:2020-03-20
  • 通讯作者: 邵 阳,电子信箱:sawyer2002@163.com。王 振,电子信箱:wangzhen@smhc.org.cn。为共同通信作者。
  • 作者简介:杨 晨(1994—),女,苗族,硕士生;电子信箱:chyang2012@sjtu.edu.cn。
  • 基金资助:
    国家自然科学基金(81671340);上海市教育委员会高峰高原学科建设计划(20161321);上海市卫生计生系统优秀学科带头人培养计划(2017BR058)。

Perceived stress as a mediator between personality traits and panic disorder symptoms

YANG Chen, LIU Xi-tong, XU Ting-ting, WANG Pei, LIU Qiang, WANG Yong, ZHU Yi, CHEN Jue, WANG Lan-lan, QIU Jian-yin, WANG Zhen, SHAO Yang   

  1. Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Online:2020-02-28 Published:2020-03-20
  • Supported by:
    National Natural Science Foundation of China (81671340); Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Support (20161321); Outstanding Academic Leaders of Shanghai Health and Family Planning System (2017BR058).

摘要: 目的·探讨应激感受、人格特质与惊恐障碍(panic disorder, PD)症状的关系,并检验应激感受在不同的人格特质中与PD症状间的中介作用。方法·选取符合《精神障碍诊断及统计手册(第五版)》[Diagnostic and Statistical Manual of Mental Disorders(Fifth Edition),DSM-5]诊断标准的PD患者55例,采用大五人格量表(NEO Five-Factor Inventory,NEO-FFI)测量患者的人格特质,用惊恐障碍严重度量表(Panic Disorder Severity Scale,PDSS)测量患者的PD症状严重程度,用应激感受量表(Perceived Stress Scale,PSS)测量患者的应激感受水平。结果·NEO-FFI中神经质、宜人性分量表得分以及PSS得分与PDSS总分均显著相关,相关系数分别为r0.379(P0.004)、r-0.420(P0.001)、r0.330(P0.014);中介效应分析发现,应激感受完全中介了宜人性对PD症状的影响,中介效应为32.43%。结论·人格特质中神经质可能与PD症状呈正相关,宜人性可能与PD症状呈负相关,应激感受在宜人性与PD症状之间发挥了完全中介作用。

关键词: 惊恐障碍, 人格特质, 应激感受, 中介作用

Abstract:

Objective · To explore the relationship among perceived stress, personality traits and panic disorder (PD) symptoms, and to test the mediating effect of perceived stress on PD symptoms in different personality traits. Methods · A total of 55 PD patients were selected according to Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-5). The NEO Five-Factor Inventory (NEO-FFI) was used to measure the personality traits. The Panic Disorder Severity Scale (PDSS) was used to measure the PD symptoms severity. The Perceived Stress Scale (PSS) was used to measure the level of the perceived stress. Results · Both the neuroticism, agreeableness subscale scores of NEO-FFI and scores of PSS were significantly correlated with the total scores of PDSS, and the correlation coefficient were r0.379 (P0.004), r-0.420 (P0.001) and r0.330 (P0.014), respectively. The mediating effect analysis showed that perceived stress completely mediated the effect of agreeableness on PD symptoms, and the mediating effect was 32.43%. Conclusion · In personality traits, neuroticism may be positively correlated with PD symptoms, while agreeableness may be negatively correlated with PD symptoms. The perceived stress may play a completely mediating role between agreeableness and PD symptoms.

Key words: panic disorder (PD), personality trait, perceived stress, mediating effect