Perceived stress, internal resources, and social support as determinants of mental health among young adults
Perceived stress, internal resources, and social support as determinants of mental health among young adults
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DOI：
10.1023/b:qure.0000015288.43768.e4
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发表时间：
2004-02-01
影响因子：
3.5
通讯作者：
Perneger, TV
中科院分区：
文献类型：
--
作者：
Bovier, PA;Chamot, E;Perneger, TV
背景：心理健康是生活质量的核心决定因素。虽然人群的精神病发病率已经得到了广泛的研究，感知压力，社会支持和内部资源作为健康的决定因素的作用仍然知之甚少。方法：随机抽取2000名大学生进行问卷调查。感知压力的简短遭遇心理社会工具，社会支持的杜克大学功能性社会支持问卷，内部资源（掌握和自尊）的Pearlin应对问卷的简短版本。基于SF-12健康调查问卷，采用线性回归模型探讨这些变量与心理健康之间的关系。结果：经过两次提醒，1257名学生回答了问卷。在双变量分析中，心理健康与压力呈负相关，与内部资源和社会支持呈正相关（所有p值< 0.001）。多元回归分析显示，内部资源与心理健康呈正相关，并缓冲了压力对心理健康的负面影响。内部资源和压力是社会支持对心理健康影响的中介变量。结论：我们的数据证实，感知压力是一个重要的危险因素，低心理健康，并建议掌握和自尊是重要的保护因素，心理健康的年轻人。
Background: Mental health is a central determinant of quality of life. While psychiatric morbidity of populations has been studied extensively, the role of perceived stress, social support, and internal resources as determinant of health is still poorly understood. Methods: We surveyed 2000 randomly selected university students. Perceived stress was measured by the Brief Encounter Psychosocial Instrument, social support by the Duke-UNC Functional Social Support Questionnaire, internal resources ( mastery and self-esteem) by a brief version of the Pearlin coping questionnaire. Linear regression models were used to explore the relationships between these variables and mental health, based on the SF-12 health survey. Results: After two reminders, 1257 students answered the questionnaire. In bivariate analysis, mental health was negatively associated with stress and positively associated with internal resources and social support (all p-values < 0.001). In multiple regression analysis, internal resources were positively associated with mental health, and buffered the negative impact of stress on mental health. Internal resources and stress mediated the positive impact of social support on mental health. Conclusions: Our data confirm that perceived stress is an important risk factor for low mental health and suggest that mastery and self-esteem are important protective factors of mental health among young adults.