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工作-家庭积极外溢对医护人员抑郁的影响及机制研究
其他题名Influencing Mechanism of Positive Work-Family Spillover on Medical Staff’s Depression
邵凱
导师陈祉妍
2023-12
摘要新型冠状病毒肺炎疫情爆发期间,医护人员应对高强度、高风险、高应急和高压工作时极易产生抑郁等负面情绪。抑郁情绪严重影响医护人员的生活质量,从而间接地给新冠疫情防控工作带来不良因素。工作-家庭积极外溢能够有效地改善和个体的抑郁情绪,但利用日记法研究工作-家庭积极外溢对抑郁情绪的影响机制尚未见报道。本论文工作选取医护人员为研究对象,采用日记法调查与横断面研究相结合的设计方法,深入探究新冠肺炎大流行期间医护人员的工作-家庭积极外溢与抑郁情绪之间的关系,并进一步研究和阐释二者之间潜在的作用机制。论文研究结果可能为制定突发公共卫生事件期间促进医护人员心理健康方案提供参考依据。 论文研究主要包括两个研究。研究一:利用日记法研究医护人员的工作-家庭积极外溢、职业倦怠与抑郁情绪的关系,并进一步探讨职业倦怠在工作-家庭积极外溢与抑郁情绪之间的中介作用。选取 90 名符合筛选条件的医护人员为被试,采用工作-家庭增益量表、情绪衰竭量表及流调中心抑郁量表进行连续14天的数据采集。利用 SPSS26.0 软件进行数据录入、描述性统计及独立样本 t 检验,并使用 Mplus8.3 进行相关分析及多水平中介分析。研究二:根据日记法研究的结果,通过横断面研究设计探究医护人员工作-家庭积极外溢对其抑郁情绪的影响以及职业倦怠与创伤后成长在二者之间的中介与调节效应。通过网络平台招 募 691 名医护人员参与问卷调查,使用工作-家庭外溢量表、职业倦怠量表、创伤后成长量表及流调中心抑郁量表进行测量,并通过独立样本 t检验和单因素方差分析进行差异检验,最后采用 SPSS26.0 的 PROCESS v3.5 宏程序及偏差校正的百分位 Bootstrap 检验职业倦怠的中介效应及创伤后成长的调节效应。 论文研究结果如下: 研究一:(1)在个体内水平,医护人员的工作对家庭积极外溢和家庭对工作积极外溢两个维度上均可以负向预测职业倦怠;(2)在个体间水平,工作对家庭积极外溢和家庭对工作积极外溢两个维度上均可以负向预测抑郁情绪,并且职业倦怠在两者之间的关系中起部分中介作用。 研究二:(1)人口学差异检验表明,不同性别、工作年限、婚姻状况、工作岗位、子女个数、职称及健康状况在工作-家庭积极外溢中工作对家庭和家庭对工作两个维度均存在显著差异;月收入在家庭对工作积极外溢得分上存在显著差异;不同年龄、工作年限、婚姻、子女个数及健康状况在抑郁情绪得分上存在显著性差异。(2)工作-家庭积极外溢与职业倦怠和抑郁情绪呈显著负相关,与创伤后成长呈显著正相关;创伤后成长与职业倦怠呈显著负相关;职业倦怠与抑郁情绪之间呈显著正相关。(3)中介效应检验表明,职业倦怠在工作-家庭积极外溢和抑郁情绪之间起到部分中介作用。(4)有调节的中介效应结果显示,创伤后成长调节了职业倦怠中介路径的前半段,工作-家庭积极外溢对职业倦怠的影响随着创伤后成长的升高而增强。 研究结论:在个体内水平和个体间水平,工作-家庭积极外溢效应均能够减少职业倦怠的发生。职业倦怠在工作-家庭积极外溢与抑郁情绪之间存在中介效应,创伤后成长可调节工作-家庭积极外溢对医护人员职业倦怠的影响,即创伤后成长水平越高,工作-家庭积极外溢对职业倦怠的保护性越强。
其他摘要During the outbreak of COVID-19, the medical staff was prone to depression and other negative emotions when dealing with high-intensity, high-risk, high-emergency, and high-pressure work. Depression seriously affects the living quality of medical staff, which indirectly brings negative factors to the prevention and control of COVID-19. Work-family positive spillover can effectively ameliorate and regulate the individual depressive mood, but the influence mechanism of work-family positive spillover on depressive mood using the diary method has not been reported. In this thesis, medical staff were selected as the research subject. We adopt the diary survey and the cross sectional study to deeply explore the relationship between work-family positive spillover and depression during the COVID-19 pandemic and further study the potential mechanism between them. The results of this thesis may provide a reference for the development of mental health programs for medical staff during public health emergencies. The thesis mainly includes two parts. Study 1: The Diary method was used to study the relationship between work-family positive spillover, job burnout, and the depression of medical staff and to explore further the mediating role of job burnout between workfamily positive spillover and depression. A total of 90 medical workers who meet the screening conditions were selected as the interviewees, and the data were collected for 14 consecutive days using the work-family enrichment scale, Maslach Burnout Inventory-General Survey (MBI-GS), and Center for Epidemiological StudiesDepression (CES-D). SPSS26.0 software was used for data entry, descriptive statistics, and independent sample t-tests, and Mplus8.3 was used for correlation analysis and multi-level mediation analysis. Study 2: A cross-sectional study was conducted to investigate the mediating mechanism of work-family positive spillover on the depression of medical staff. According to the results of the diary study, the crosssectional study was used to investigate the effect of work-family positive spillover on the depression of medical staff and the mediating and moderating effects of job burnout and posttraumatic growth. 691 medical staff were recruited through the network platform for the questionnaire survey. The work-family spillover scales, MBI-GS and Posttraumatic Growth Inventory (PTGI), and CES-D were used for measurement. The independent sample t-test and one-way ANOVA were used to test the results' differences. The PROCESS v3.5 macro program of SPSS26.0 and the percentile Bootstrap of deviation correction were used to test burnout's mediating effect and posttraumatic growth's moderating effect. The results of this thesis are as follows: Study 1: (1) At the within-individual level, work-family positive spillover negatively predicted job burnout in both work-to-family positive spillover and family- to-work positive spillover dimensions; (2) At the inter-individual level, work-family positive spillover negatively predicted the depression in both the dimensions of work family positive spillover and family-work positive spillover and job burnout plays a partial mediating role. Study 2: (1) The demographic difference test showed significant gender differences, working years, marital status, job position, number of children, professional title, and health status on the work-to-family positive spillover and familyto-work positive spillover scores, respectively. Monthly income differed in the score of the family to work positive spillover. There were significant differences in depression scores among different ages, working years, marital status, number of children, and health status. (2) Work-family positive spillover and family-work positive spillover were negatively correlated with job burnout and depression and positively correlated with posttraumatic growth. Posttraumatic growth was negatively correlated with job burnout. There was a significant positive correlation between job burnout and depression. (3) The mediating effect test showed that job burnout partially mediated the relationship between work-family positive spillover and depression. (4) The results of moderated mediating effects showed that posttraumatic growth moderated the first half of the mediated pathway of job burnout, and the effect of work-family positive spillover on burnout was enhanced with the increase of posttraumatic growth. Conclusion: The work-family positive spillover effects could reduce the incidence of job burnout within and between individual levels. Job burnout had a mediating effect between work-family positive spillover and depression. Posttraumatic growth could moderate the effect of work-family positive spillover on job burnout. The higher the level of posttraumatic growth, the stronger the protective effect of work-family positive spillover on job burnout.
关键词工作-家庭积极外溢 抑郁情绪 职业倦怠 创伤后成长 医护人员
学位类型继续教育硕士
语种中文
学位名称理学硕士
学位专业健康心理学
学位授予单位中国科学院大学
学位授予地点中国科学院心理研究所
文献类型学位论文
条目标识符https://ir.psych.ac.cn/handle/311026/47424
专题健康与遗传心理学研究室
推荐引用方式
GB/T 7714
邵凱. 工作-家庭积极外溢对医护人员抑郁的影响及机制研究[D]. 中国科学院心理研究所. 中国科学院大学,2023.
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