上海交通大学学报（医学版）

上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (08): 1120-1125.doi: 10.3969/j.issn.1674-8115.2020.08.020

• 论著·公共卫生 • 上一篇    下一篇

同伴依恋在青春期知 - 信 - 行与心理弹性关系中的调节作用

刁 华，冉 敏，杨静薇，杨连建，李 婷，金 凤，蒲 杨，王 宏   

  1. 重庆医科大学公共卫生与管理学院，医学与社会研究中心，健康领域社会风险预测治理协同创新中心，重庆 400016
  • 出版日期:2020-08-28 发布日期:2020-08-28
  • 通讯作者: 王 宏（1968—），电子信箱：wangh111111@aliyun.com。
  • 作者简介:刁 华（1994—），男，硕士生； 电子信箱：diaohwlkq@aliyun.com。
  • 基金资助:
    教育部人文社会科学研究规划基金项目（17YJA840015）。

Moderating role of peer attachment in the relationship between adolescent knowledge-attitude-practice and psychological resilience

DIAO Hua, RAN Min, YANG Jing-wei, YANG Lian-jian, LI Ting, JIN Feng, PU Yang, WANG Hong   

  1. School of Public Health and Management, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016,China
  • Online:2020-08-28 Published:2020-08-28
  • Supported by:
    Humanities and Social Sciences Research Planning Fund from the Ministry of Education (17YJA840015).

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摘要： 目的·探讨青春期知 - 信 - 行（knowledge-attitude-practice，KAP)、同伴依恋与心理弹性的关系，以及同伴依恋在青春期KAP与心理弹性关系中的调节作用。方法·采取分层整群抽样法抽取调查对象5 105名，采用自编青春期KAP问卷、同伴依恋问卷和青少年心理韧性量表（Resilience Scale for Chinese Adolescents，RSCA）进行调查。采用方差分析、t检验、Pearson相关分析、层次回归分析、简单斜率分析等进行统计分析及推断。结果·青春期少年儿童的目标专注、情绪控制、积极认知、家庭支持和人际协助均分在3分以上。青春期KAP水平和交流沟通对目标专注、情绪控制、家庭支持和人际协助有显著正向预测作用（均P<0.05），同伴疏远对心理弹性的各个维度有显著负向预测作用（均P<0.05），交流沟通（B=0.007，SE=0.003，P=0.026）与同伴疏远（B=-0.010，SE=0.003，P=0.000）在青春期KAP与心理弹性的关系中起调节作用。结论·青春期儿童心理弹性总体水平较好，青春期KAP水平越高、同伴依恋质量越好，其心理弹性越高；同时，交流沟通与同伴疏远可以调节青春期KAP对心理弹性的作用。

关键词: 青春期, 知 - 信 - 行, 同伴依恋, 心理弹性, 调节作用

Abstract:

Objective · To explore the relationship between adolescent knowledge-attitude-practice (KAP), peer attachment and psychological resilience, and the moderating role of peer attachment in the relationship between adolescent KAP and psychological resilience. Methods · A stratified cluster sampling method was conducted, involving 5 105 subjects who were investigated by self-designed Adolescent KAP Questionnaire, Inventory of Peer Attachment and Resilience Scale for Chinese Adolescents. Statistical analysis and inference were performed using analysis of variance, t test, Pearson correlation analysis, hierarchical regression analysis and simple slope analysis. Results · The scores of target concentration, emotional control, positive cognition, family support and interpersonal assistance were more than 3 points for adolescents. Adolescent KAP, trust and peer communication had a significant positive predictive effect on target concentration, emotional control, family support and interpersonal assistance (all P<0.05). Peer estrangement was negatively related to all dimensions of psychological resilience (all P<0.05). Communication (B=0.007, SE=0.003, P=0.026) and peer estrangement (B=-0.010, SE=0.003, P=0.000) had the moderating effect on the relationship between adolescent KAP and psychological resilience. Conclusion · Adolescents have relatively better psychological resilience. Adolescents with higher adolescent KAP and greater peer attachment have better psychological resilience. Similarly, peer communication and estrangement can regulate the effect of adolescent KAP on psychological resilience.

Key words: adolescence, knowledge-attitude-practice (KAP), peer attachment, psychological resilience, moderating effect

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