The mediating effect of self-efficacy between self-disclosure and medical coping modes in adolescents with depression
10.3760/cma.j.cn371468-20220322-00127
- VernacularTitle:自我效能感在青少年抑郁症患者自我表露和医学应对方式间的中介效应
- Author:
Yan WU
1
;
Yanhua QU
;
Shufen WANG
;
Dawei ZHANG
;
Yongna WANG
;
Jianing GU
Author Information
1. 北京回龙观医院护理部，北京 100096
- Keywords:
Medical coping modes;
Self-disclosure;
Self-efficacy;
Adolescent depression;
Mediation
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2022;31(11):1008-1013
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the relationship between self-disclosure, self-efficacy and medical coping modes in adolescent depression, and explore the mediating effect of self-efficacy between self-disclosure and medical coping modes.Methods:Using the convenience sampling method, a total of 403 adolescents with depression in a tertiary psychiatric hospital in Beijing were recruited from March 2020 to March 2021. The data of general information questionnaire, distress disclosure index scale, medical coping modes questionnaire and general self-efficacy scale were collected.SPSS 26.0 software was used to analyze the correlation between self-disclosure, self-efficacy and medical coping modes of adolescent patients with depression, and Stata 13.1 software was used to analyze the mediating effect of self-efficacy between self-disclosure and medical coping modes.Results:The scores of dimension of the medical coping modes of adolescent depression patients were(16.90±3.84) for facing, (16.34±2.88) for yielding, (12.48±4.31) for avoiding, (30.47±9.91) for self-disclosure and (19.63±6.54) for self-efficacy, respectively. Self-disclosure and self-efficacy were positively correlated with facing of medical coping modes ( r=0.301, 0.327, both P<0.01), and negatively correlated with yielding of medical coping modes ( r=-0.465, -0.487, both P<0.01). Self-disclosure was negatively correlated with avoidance of medical coping modes ( r=-0.118, P=0.018). The direct effect of self-efficacy on medical coping modes was 0.103, and the total effect was 0.365, and the mediating effect accounted for 28.22%. Conclusion:Self-efficacy partially mediates between self-disclosure and medical coping modes in adolescents with depression.
