Keywords: Neglected experience; Perceived social support; Posttraumatic growth; Moderating effect and distal mediating effect忽视经历; 领悟社会支持; 压力后成长; 调节作用和远端中介作用
Abstract: Objective: To understand the students' neglect experiences before the age of 18, their perceived social support during their studies at the technical school, and their post-stress growth, and to preliminarily explore the relationships among the three variables. Methods: The Neglect Experience Questionnaire, Perceived Social Support Questionnaire, and Post-Stress Growth Questionnaire were used to test 940 students from a technical school in Shanxi Province. The measurement data were entered and statistically analyzed using SPSS 22.0. Results: (1) The rate of neglect experience among technical school students was 100%, with no significant differences in terms of gender, place of origin, and family type. (2) Males had significantly higher perceived social support than females, and students from intact families had significantly higher perceived social support than those from single-parent or remarried families. (3) There was a highly significant negative correlation between the students' recall of their neglect experiences before the age of 18 and their perceived social support, with a correlation coefficient of -0.331. Neglect was highly negatively correlated with post-stress growth, with a correlation coefficient of -0.180. Perceived social support was highly positively correlated with post-stress growth, with a correlation coefficient of 0.453. (4) Regression analysis found that neglect experiences before the age of 18 could have a total negative impact on post-stress growth. The impact on post-stress growth, considering perceived social support as a mediating factor, was -0.020. In the negative impact of neglect experiences on post-stress growth, the mediating effect of perceived social support accounted for 85% of the total effect. (5) Perceived social support could play a significant moderating role between neglect experiences and post-stress growth (c=0.034, p<0.01). Conclusion: The three variables are highly significantly related; neglect remotely affects the post-stress growth of technical school students through the mediating role of perceived social support, and the relationship between neglect and post-traumatic growth is moderated by social support. These findings provide data support for the mental health education and consultation work of technical schools and the construction of a four-level psychological network system.目的:了解技工院校学生18岁前忽视经历、技工院校学习期间领悟社会支持和压力后成长的情况,并初步探索三个变量的关系。方法:采用忽视经历问卷、领悟社会支持问卷、和压力后成长问卷,以陕西省某技工院校940名学生为被试进行实测,使用SPSS22.0将测量数据录入和统计分析。结果:(1)技工院校学生忽视经历比率为100%,在性别、生源地、家庭类型方面差异不显著。(2)领悟社会支持能力男生显著高于女生,双亲家庭显著高于单亲和再婚重组家庭。(3)技工院校学生的回顾18岁前被忽视经历与领悟社会支持极其显著负相关,相关系数是-0.331;忽视与压力后成长极其显著负相关,相关系数是-0.180;领悟社会支持与压力后成长极其显著正相关,相关系数是0.453。(4)回归分析发现,18岁前忽视经历可以对压力后成长产生总的负面影响影响。考虑领悟社会支持这一中介因素后对压力后成长的影响为-0.020。忽视经历对压力后成长产生负面影响中,领悟社会支持中介效应所占总效应的85%。(5)领悟社会支持可以在忽视经历和压力后成长间发挥显著的调节作用(c=0.034,p<0.01)。结论:三个变量极其显著相关;忽视通过领悟社会支持的中介作用远端影响技工学生的压力后成长,忽视对创伤后成长的关系受到社会支持的调节;为技工院校心理健康教育与咨询工作和四级心理网络体系的搭建提供数据支持。
Abstract: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a complex and multifactorial chronic male disease. Although non pharmacological therapy has been widely recommended in the management of CP/CPPS, the focus is mainly on physical therapy, and discussions on psychological intervention are relatively limited. Therefore, this study aims to systematically evaluate the relevant research on CP/CPPS patients psychological intervention, in order to clarify its application scope and therapeutic effect. Through advanced searches in 5 databases, a total of 513 relevant literature from the past over 10 years were obtained, including randomized controlled trials, cohort studies, outcome measurement studies, and case series studies. The results indicate that psychological intervention has a positive effect on the CP/CPPS population. However, all included studies have a high risk of bias, which limits the generalizability and reliability of the research results. Although the current evidence is still in the preliminary stage, psychotherapy has shown certain efficacy in the combination or standalone treatment of CP/CPPS. Future research needs to develop more rigorous research methods to more effectively evaluate the effects of psychological interventions on patients with CP/CPPS.慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是一种病因复杂且多因素引起的慢性疾病。尽管在CP/CPPS的管理中非药物治疗已被广泛使用,但主要聚焦是物理治疗,对心理干预的方面相对有限。因此,本研究旨在系统性评估CP/CPPS患者心理干预治疗的相关研究,以明确其应用范围及治疗效果。通过在5个数据库中进行高级检索,共获得513篇近10余年相关文献,纳入研究类型包括随机对照试验、队列研究、结果测量研究及病例系列研究。结果表明,心理干预对CP/CPPS群体具有积极作用。然而,所有纳入研究均存在较高的偏倚风险,限制了研究结果的普适性和可靠性。尽管当前证据仍处于初步阶段,但心理治疗在联合或单独治疗CP/CPPS方面展现出一定的疗效。未来研究需设计更加严谨的研究方法,以更有效评估心理干预对CP/CPPS患者的作用。
Abstract: Erectile dysfunction (ED) is a common disease characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual activity. It affects a large proportion of men and may have profound psychological, relational, and physiological effects. The etiology of ED is multifactorial, including organic, psychological, and relational factors. In order to emphasize the efficacy of various psychological interventions (PIs) in combination with phosphodiesterase-5 inhibitors (PDE-5i), this study conducted a comprehensive search of relevant literature published between 2003 and 2022 using multiple search engines. Randomized controlled trials were included to compare the use of PDE-5i alone, PI alone, or a combination of PDE-5i and PI in the treatment of ED patients. The results showed that the combination of PI and PDE-5i was more effective than PI or PDE-5i alone in male erectile function and long-term satisfaction.勃起功能障碍(erectiledysfunction,ED)是男科常见疾病,指在性生活中无法达到或维持足以令人满意的勃起状态。ED影响了很大一部分男性群体,并可产生深远的心理、人际关系和生理影响。ED的病因是多因素的,包括器质性、心理性和人际关系因素。为了探究各种心理干预(PI)与磷酸二酯酶-5抑制剂(PDE-5i)联合使用的疗效,本文通过多个数据库进行检索,对2003年至2022年期间发表的相关文献进行了全面梳理,纳入了随机对照试验,比较了单独使用PDE-5i、单独使用PI或联合使用PDE-5i和PI治疗ED患者的效果。综述结果显示,PI与PDE-5i联合使用在男性勃起功能和长期性满意度方面比单独使用PI或PDE-5i更具成效。
Keywords: Psychological abuse; Social support; Post-traumatic growth; Regulating effect and mediating effect心理虐待; 社会支持; 创伤后成长; 调节作用和中介作用
Abstract: Aim: Analysis the mediating (main effect) and regulating (buffer effects) of social support onthe relationship between childhood psychological abuse experience and post-traumatic growth. Method:Three questionnaires were used: childhood social support, psychological abuse (childhood) and posttraumaticgrowth, A total of 630 college students from 5 colleges and universities in a certain provincewere tested, SPSS 19.0 was used for data entry and statistical analysis, and Mp1us7.0 was used to establishthe structural equation model. Result: (1) Psychological abuse was negatively correlated with socialsupport and post-traumatic growth (r=-0.306, p<0.01; r=-0.249, p<0.01), social support was positivelycorrelated with post-traumatic growth (r=0.21, p<0.01) . (2) Social support significantly moderated therelationship between psychological abuse experience and post-traumatic growth (c=0.034, p<0.01) .(3) Structural equation model (SEM) results show that childhood psychological abuse experience can havea total negative impact on post-traumatic growth -0.247. The negative effect on post-traumatic growthis indirect through the social branch -0.1660.902=-0.150, the effect of mediating social support on posttraumaticgrowth was -0.098. The mediating effect of social support accounted for 60.7% of the negativeeffects of childhood psychological abuse on post-traumatic growth. Conclusion: The results of this studyshow that the relationship between psychological abuse and post-traumatic growth is moderated by socialsupport (buffer model), and psychological abuse influences post-traumatic growth of college studentsthrough the mediating effect of social support (main effect model).目的:浅析社会支持在童年期心理虐待经历与创伤后成长间的中介(主效应)和调节(缓冲器)作用。方法:采用童年期社会支持、心理虐待(童年期)和创伤后成长三个问卷,以某省5所高校630名大学生为被试,使用SPSS19.0录入数据并统计分析,使用Mp1us7.0建立结构方程模型。结果:(1)心理虐待与社会支持、创伤后成长负相关(r=-0.306,p<0.01;r=-0.249,p<0.01),社会支持与创伤后成长正相关(r=0.21,p<0.01)。(2)社会支持在心理虐待经历与创伤后成长之间调节效应显著(c=0.034,p<0.01)。(3)结构方程模型(SEM)的结果发现,童年期心理虐待经历可以对创伤后成长产生总的负面影响-0.247。其中负向通过社会支持-0.1660.902=-0.150间接作用于创伤后成长,此时考虑社会支持中介因素后对创伤后成长的影响为-0.098。儿童期心理虐待经历对创伤后成长产生负面影响中,社会支持中介效应所占总效应的60.7%。结论:本研究结果显示心理虐待对创伤后成长的关系受到社会支持的调节作用(缓冲器模型),心理虐待通过社会支持的中介作用影响大学生的创伤后成长(主效应模型)。