Mediating effect of self-disclosure between psychological flexibility and coping styles in mothers of children with type 1 diabetes mellitus
10.3760/cma.j.cn115682-20220611-02812
- VernacularTitle:自我表露在1型糖尿病患儿母亲心理灵活性与应对方式间的中介作用
- Author:
Dongmei ZHU
1
;
Jianping GU
;
Yanhui WANG
;
Xiaoli DANG
Author Information
1. 郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院内分泌遗传代谢科,郑州 450005
- Keywords:
Diabetes mellitus, type 1;
Child;
Mothers;
Psychological flexibility;
Self disclosure;
Coping style
- From:
Chinese Journal of Modern Nursing
2023;29(14):1884-1888
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between psychological flexibility, self-disclosure and coping style in mothers of children with type 1 diabetes mellitus (T1DM) .Methods:This is a cross-sectional study. From May 2020 to March 2022, a total of 250 mothers of children with T1DM in Children's Hospital Affiliated to Zhengzhou University were selected as research objects by convenient sampling method. General information questionnaire, Acceptance and Action Questionnaire 2nd Edition (AAQ-Ⅱ), Distress Disclosure Index, and Simple Coping Style Questionnaire (SCSQ) were used to investigate them. Pearson correlation analysis was used to analyze the relationship between psychological flexibility, self-disclosure and coping style. AMOS 21.0 software was used to establish structural equation model, and verify the mediating effect. A total of 250 questionnaires were distributed in this study, and 232 valid questionnaires were recovered, with an effective recovery rate of 92.8% (232/250) .Results:Among 232 mothers of children with T1DM, the score of AAQ-II was (23.17±3.12), the score of Distress Disclosure Index was (34.46±5.64), the score of positive coping style was (27.71±3.92), and the score of negative coping style was (12.53±2.55). Pearson correlation analysis results showed that psychological flexibility was negatively corrected with self-disclosure and positive coping style ( r=-0.326, -0.194, P<0.05), and psychological flexibility was negatively corrected with negative coping style ( r=0.326, P<0.05). Self-disclosure was positively correlated with positive coping style ( r=0.298, P<0.05), while self-disclosure was negatively correlated with negative coping style ( r=-0.178, P<0.05). Structural equation model results showed that self-disclosure played a partial mediating role between psychological flexibility and positive and negative coping style, with the intermediary effect accounted for 50.3% and 23.5% of the total effect respectively. Conclusions:Self disclosure plays a mediating role between psychological flexibility and coping style in mothers of children with T1DM. Medical and nursing staff should formulate targeted intervention measure, so as to improve the coping level of mothers of children with T1DM.