医学生心理控制源在正念水平与平静心境间的中介作用

doi:10.6040/j.issn.1671-7554.0.2020.1682

摘要/Abstract

摘要： 目的探讨心理控制源在医学生正念水平与平静心境间的中介作用。方法采用正念五因素量表、心理控制源量表、平静心境量表对455名医学专业的学生进行问卷调查。采用结构方程模型对数据进行分析。结果医学生正念水平与内控性(r_s =0.367, P<0.01)、平静心境(r_s =0.378, P<0.01)呈中度正相关,而与机遇(r_s =-0.291, P<0.01)和有势力他人(r_s =-0.182, P<0.01)呈低度负相关,内控性与平静心境呈低度正相关(r_s=0.327, P<0.01),机遇(r_s=-0.210, P <0.01)和有势力他人(r_s=-0.170, P<0.01)与平静心境呈低度负相关。此外,内控性在正念水平与平静心境之间存在中介效应,效应量占10.11%。内控性和机遇在描述与平静心境之间的中介效应也成立,效应量分别为43.50% 和16.04%。结论鉴于正念可以通过心理控制源途径影响医学生平静心境水平,未来从正念角度出发实施针对性干预对于提高医学生平静心境水平具有重要意义。

关键词: 医学生, 正念水平, 平静心境, 心理控制源, 结构方程

Abstract: Objective To explore the mediating effects of locus of control between mindfulness level and inner peace of medical students. Methods A total of 455 medical students were assessed with Five Facet Mindfulness Questionnaire(FFMQ), Internality, Powerful Others and Chance Scale(IPC)and Inner Peace State Scale(IPSS). Data collected were analyzed with structural equation model. Results Mindfulness was moderately positively correlated with internal control(r_s=0.367, P<0.01)and inner peace(r_s=0.378, P<0.01), and low negatively correlated with opportunity(r_s=-0.291, P<0.01)and influential others(r_s=-0.182, P<0.01). Internal control was low positively correlated with inner peace(r_s=0.327, P<0.01). Opportunity(r_s=-0.210, P<0.01)and influential others(r_s=-0.170, P<0.01)were low negatively correlated with inner peace. In addition, there was a mediating effect between mindfulness and inner peace of internal locus of control, accounting for 10.11%. The mediating effects of internal control and opportunity between description and inner peace were also valid, amounting for 43.50% and 16.04% respectively. Conclusion As mindfulness can affect the level of inner peace through the locus of control, targeted interventions based on mindfulness is significant to improve medical students’ level of inner peace.

Key words: Medical students, Mindfulness, Inner peace, Locus of control, Structural equation model

中图分类号:

R395.1

王清,周淼,赵迪,厉萍. 医学生心理控制源在正念水平与平静心境间的中介作用[J]. 山东大学学报 (医学版), 2021, 59(5): 104-109.

WANG Qing, ZHOU Miao, ZHAO Di, LI Ping. Mediating effects of locus of control on relationship between mindfulness and inner peace among medical students[J]. Journal of Shandong University (Health Sciences), 2021, 59(5): 104-109.

参考文献

[1] Mitchell S.(1988). Tao Te Ching [M]. New York. Harper Collins, 2006.
[2] 魏莉, 吴勇, 李良松. 试述国学“心”文化对抑郁症自我调节的重要启示[J]. 中华中医药杂志, 2020, 35(4): 1960-1962. WEI Li, WU Yong, LI Liangsong. Discussion on significant revelations of ‘heart culture’ from studies of Chinese ancient civilization on self-regulation of depression [J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2020, 35(4): 1960-1962.
[3] Ge J, Yang J, Song J, et al. Dispositional mindfulness and past-negative time perspective: the differential mediation effects of resilience and inner peace in meditators and non-meditators [J]. Psychol Res Behav Manag, 2020, 13: 397-405. doi: 10.2147/PRBM.S229705.
[4] Lu J, Potts CA, Allen RS. Homeless peoples trait mindfulness and their resilience-A mediation test on the role of inner peace and hope [J]. Journal of Social Distress and the Homeless, 2020, doi: 10.1080/10530789.2020.1774847.
[5] Savel RH, Munro CL. Quiet the mind: mindfulness, meditation, and the search for inner peace [J]. Am J Crit Care, 2017, 26(6): 433-436.
[6] 王琪. 医学生生活事件、领悟社会支持与阈下抑郁的相关性研究[D]. 锦州. 锦州医科大学, 2019.
[7] 杨雪岭, 杨彩燕, 陈佩儀, 等. 医学生自我调节定向与抑郁焦虑症状和自杀风险之间的关系[J]. 中国学校卫生, 2020, 41(9): 1354-1357. YANG Xueling, YANG Caiyan, CHEN Peixi, et al. Relationship among self-regulatory focus with depression, anxiety symptoms and suicidal risks [J]. Chinese Journal of School Health, 2020, 41(9): 1354-1357.
[8] 徐帅, 赵家义. 中国医学院校学生心理健康情况Meta分析[J]. 实用预防医学, 2018, 25(4): 463-466,473.
[9] Brown KW, Ryan RM, Creswell JD. Mindfulness: theoretical foundations and evidence for its salutary effects [J]. Psychological Inquiry, 2007, 18(4): 211-237.
[10] Shapiro SL, Carlson LE, Astin JA, et al. Mechanisms of mindfulness [J]. J Clin Psychol, 2006, 62(3): 373-386.
[11] Desbordes G, Gard T, Hoge EA, et al. Moving beyond mindfulness: defining equanimity as an outcome measure in meditation and contemplative research [J]. Mindfulness, 2015, 6(2): 356-372.
[12] Liu X, Xu W, Wang Y, et al. Can inner peace be improved by mindfulness training: a randomized controlled trial [J]. Stress Health, 2015, 31(3): 245-254.
[13] 刘兴华, 徐慰, 王玉正, 等. 正念训练提升自愿者幸福感的6周随机对照试验[J]. 中国心理卫生杂志, 2013, 27(8): 597-601. LIU Xinghua, XU Wei, WANG Yuzheng, et al. Effect of mindfulness training on subjective well-being in volunteers: a six-week randomized controlled trial [J]. Chinese Mental Health Journal, 2013, 27(8): 597-601.
[14] 方跃艳, 康晓菲, 王娟, 等. 医学生正念与平静心境的关系: 感知压力的中介和调节效应[J]. 中国健康心理学杂志, 2018, 26(02): 288-292. FANG Yueyan, KANG Xiaofei, WANG Juan, et al. Relationship between mindfulnes and inner peace in medical students: the mediating and moderating effect of perceived stress [J]. China Journal of Health Psychology, 2018, 26(2): 288-292.
[15] Rotter, Julian B. Generalized expectancies for internal versus external control of reinforcement [J]. Psychol Monogr, 1966, 80(1): 1-28.
[16] Levenson, Hanna. Activism and powerful others: distinctions within the concept of internal-external control [J]. Journal of Personality Assessment, 1974, 38(4): 377-383.
[17] 王俊平, 闫秋菊, 赵霞, 等. 青年宫颈癌患者平静心境与心理控制源相关性研究[J]. 职业与健康, 2019, 35(14): 1930-1935. WANG Junping, YAN Qiuju, ZHAO Xia, et al. Correlation between calm mood and locus of control in young patients with cervical cancer [J]. Occupation and Health, 2019, 35(14): 1930-1935.
[18] Brown AJ, Thaker PH, Sun CC, et al. Nothing left to chance? The impact of locus of control on physical and mental quality of life in terminal cancer patients [J]. Support Care Cancer, 2017, 25(6): 1985-1991.
[19] Kimmes JG, Durtschi JA, Fincham FD. Perception in Romantic Relationships: a Latent Profile Analysis of Trait Mindfulness in Relation to Attachment and Attributions [J]. Mindfulness, 2017, 8(5): 1328-1338.
[20] Crawford CA, Helm BM. How Can Stoic Philosophy Inspire Psychosocial Genetic Counseling Practice? An Introduction and Exploration [J]. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 2020, 38(2): 155-172.
[21] Deng YQ, Liu XH, Rodriguez MA, et al. The Five Facet Mindfulness Questionnaire: Psychometric Properties of the Chinese Version [J]. Mindfulness, 2011, 2(2): 123-128.
[22] 肖莉, 陈仲庚. 大学生心理控制源结构及IPC量表的初步分析[J]. 应用心理学, 1989, 4(2): 22-27.
[23] 王诗茗, 张振铎, 刘兴华. 平静心境量表在大学生中的试测[J]. 中国心理卫生杂志, 2016, 30(7): 543-547. WANG Shiming, ZHANG Zhenduo, LIU Xinghua. Test with the Inner Peace State Scale in college students [J]. Chinese Mental Health Journal, 2016, 30(7): 543-547.
[24] Li-tze Hu, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives [J]. Structural Equation Modeling: A Multidisciplinary Journal, 1999, 6(1): 1-55.
[25] Bamber MD, Schneider JK. Mindfulness-based meditation to decrease stress and anxiety in college students: A narrative synthesis of the research [J]. Educational Research Review, 2016, 18: 1-32. doi:10.1016/j.edurev.2015.12.004.
[26] Stephanie L. Bowlin, Ruth A. Baer. Relationships between mindfulness, self-control, and psychological functioning [J]. Personality and Individual Differences, 2012, 52(3): 411-415.
[27] Abbas Omid, Abbas Sheikh Mohammadi, Hasan Jalaeikhoo, et al. Dispositional mindfulness, psychological distress, and posttraumatic growth in cancer patients [J]. Journal of Loss and Trauma, 2017, 22(8): 681-688.
[28] Josefine L. Lilja, Lars-Gunnar Lundh, Torbjörn Josefsson, et al. Observing as an essential facet of mindfulness: a comparison of FFMQ patterns in meditating and non-meditating individuals [J]. Mindfulness, 2013, 4(3): 203-212.
[29] Hanley AW, Peterson GW, Canto AI, et al. The relationship between mindfulness and posttraumatic growth with respect to contemplative practice engagement [J]. Mindfulness, 2015, 6(3): 654-662.

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