手术患者成人依恋及生活取向对焦虑水平的影响

doi:10.3760/cma.j.issn.1674-6554.2016.10.012

CORC > 北京大学 > 心理与认知科学学院

	手术患者成人依恋及生活取向对焦虑水平的影响; Effects of adult attachment and life orientation on anxiety level of surgery patients
	孙海华 ; 秦和平 ; 李同归
刊名	中华行为医学与脑科学杂志
	2016
关键词	成人依恋乐观主义悲观主义焦虑程度 Adult Attachment Optimism Pessimism Anxiety Level
DOI	10.3760/cma.j.issn.1674-6554.2016.10.012
英文摘要	目的探索手术后患者的成人依恋和生活取向对自评焦虑程度的影响.方法采用关系问卷(RQ)和亲密关系经历量表(ECR),生活取向量表(LOT-R)和SAS,对住院接受手术后2～3d的患者223名进行测试.结果 ①术后患者的依恋类型的分布为:安全型68人(38.9％),轻视型55人(31.4％),倾注型31人(17.7％),害怕型21人(12％),且患者的依恋类型分布的性别差异无统计学意义(P＞0.05).②安全型依恋的患者在依恋回避和依恋焦虑上都显著低于其他三种类型[分别为(3.17±0.59)分,(3.37±0.86)分];且在悲观主义得分上安全型的被试显著低于轻视型和害怕型,倾注型得分最高[分别为(10.37±3.45)分,(11.85±3.89)分,(11.90±4.12)分,(12.39±3.88)分];在自评焦虑程度上,安全型和轻视型患者的得分也显著低于倾注型和害怕型的患者[分别为(46.75±9.36)分,(46.62±120.07)分,(52.84±12.92)分,(54.62±12.27)分],差异均有统计学意义(P＜0.01或P＜0.05).③术后患者的乐观主义得分能负向预测其焦虑程度(β=-0.125),而年龄、依恋焦虑、依恋回避及悲观主义得分均可以正向地预测其焦虑程度(β值分别为0.232、0.277、0.126、0.248).结论手术患者的自评焦虑程度受到其成人依恋的影响,且患者的生活取向对焦虑程度也有重要作用.; Objective To explore the effect of adult attachment and life orientation on anxiety level of surgery patients.Methods 223 patients who received surgery were recruited to complete 4 questionnaires,including the two widely used measurements of adult attachment:Relationship Questionnaire (RQ) and Experience of Close Relationship (ECR) to measure their attachment orientation;Life orientation scale (LOT-R) and Self-rating anxiety scale (SAS),to assess patients' life orientation and anxiety level.Results (1) The distributions of adult attachment measured by RQ were:68 (38.9％) secure,55 (31.4％) dismissing,31 (17.7％) preoccupied,and 21 (12％) fearful.Moreover,there was no gender differences on adult attachment styles (P＞ 0.05).(2) Secure attachment patients got lower score both on attachment avoidance (3.17±0.59) and attachment anxiety (3.37±0.86)than insecure patients;On pessimism,secure (10.37± 3.45) got lower score than dismissing patients (11.85±3.89) and preoccupied (11.90±4.12),with fearful patients got highest score (12.39± 3.88).Moreover,secure (46.75± 9.36),and dismissing patients (46.62± 120.07) got lower score than preoccupied (52.84± 12.92) and Fearful (54.62± 12.27) on self-rating anxiety level(all P＜0.01 or P＜0.05).(3) The self-rating anxiety level of surgery patients can be predicted by age,attachment anxiety,attachment avoidance,and pessimism score positively (β=0.232,0.277,0.126,0.248 respectively),and by optimism score (β=-0.125) negatively.Conclusion The self-rating anxiety level of surgery patients was related to their adult attachment,and patients' optimism and pessimism score.; 国家基础科学人才培养基金(J1103602)The Project for National Basic Science Personnel Training Fund; 中文核心期刊要目总览(PKU); 中国科技核心期刊(ISTIC); 中国科学引文数据库(CSCD); 10; 919-923; 25
语种	英语
内容类型	期刊论文
源URL	[http://ir.pku.edu.cn/handle/20.500.11897/478577]
专题	心理与认知科学学院
推荐引用方式 GB/T 7714	孙海华,秦和平,李同归. 手术患者成人依恋及生活取向对焦虑水平的影响, Effects of adult attachment and life orientation on anxiety level of surgery patients[J]. 中华行为医学与脑科学杂志,2016.
APA	孙海华,秦和平,&李同归.(2016).手术患者成人依恋及生活取向对焦虑水平的影响.中华行为医学与脑科学杂志.
MLA	孙海华,et al."手术患者成人依恋及生活取向对焦虑水平的影响".中华行为医学与脑科学杂志 (2016).