军人心理健康素养的结构和作用机制
文献类型：学位论文
| 作者 | 明志君 |
| 答辩日期 | 2020-01 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院心理研究所 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 陈祉妍 |
| 关键词 | 心理健康素养 心理健康 应对方式 中介作用 |
| 学位名称 | 理学硕士（同等学力硕士） |
| 学位专业 | 健康心理学 |
| 其他题名 | The Structure and Effect Mechanism of Mental Health Literacy of military personnel |
| 中文摘要 | China is in a period of rapid economic and social transformation, people's pace of life is obviously accelerated, mental health problems are increasingly prominent.As an effective measure to promote mental health, improving mental health literacy(MHL) has been paid more attention.Mental health literacy level has become the first outcome index of "mental health promotion action" in China. It is of great significance to revise the effective tools for evaluating mental health literacy and explore the connotation structure and mechanism.Objective To evaluate the reliability and validity of the multicomponent mental health literacy measure-Chinese version in male military personnel and to provide evidences for the application of the measure in China. To explore the internal structure of Mental Health Literacy and influencing factors of mental health literacy and effect mechanism of mental health literacy. Methods We recruited 1106 male military personnel in two cities (Beijing and Tianjin) and two provinces (Hebei and Shandong) province for a mobile phone-based self-administered survey during November-December 2018. The modified multicomponent mental health literacy measure-Chinese version was adopted in the study and the reliability and validity of the instrument were assessed with item analysis, internal consistency coefficient, test-retest reliability, construct validity,convergent validity and discriminant validity. The internal structure of mental health literacy was discussed by the method of second-order factor analysis. Linear regression analysis and Amos structural equation model were used to examine the mediating effect of coping styles on mental health literacy. Results The multicomponent mental health literacy measure-Chinese version contained 22 items, with the items above.20 in relation to the total score. In exploratory factor analysis, the load of each item was between.41 and.83, and the factor distribution of all items was consistent with the original scale.The fitting indexes of the confirmative factor analysis model were acceptable (χ2/df =2.63, GFI=.91, AGFI=.90, SRMR=.05, RMSEA=.06), and the project load was between 31 and.82. The overall Cronbach′s α and test-retest reliability of the measure was .80 and .64; and the Cronbach′s α of the measure′s three domains of knowledge,belief and resources was .76, .71 and .77, respectively, indicating a good reliability. The second-order exploratory factor analysis showed that the components of mental health literacy presented a 3-factor structure, the commonality of 8 variables was between.39~.78, the absolute value of factor loading was between.57~.87, and the cumulative variance interpretation rate was 54.98%. Factor 1 is composed of mental health knowledge and help-seeking resource.Factor 2 is composed of mental health beliefs, stigma and psychological professional help-seeking attitude.Factor 3 consists of mental health literacy of three type illness.The recognition rates of depression, generalized anxiety disorder and panic disorder were 40.1%, 43.5% and 34.6%, respectively. The overall level of mental health literacy needs to be improved, and there are significant group differences in mental health literacy level. Linear regression analysis showed that the knowledge of psychological help resources, stigma, attitude of psychological professional help and panic disorder literacy had significant effects on anxiety.Knowledge of psychological help resources, mental health beliefs, stigma and attitude of psychological professional help have significant effects on depression.Structural equation model analysis shows that the mental health literacy for the role of mental health, coping styles of intermediary role model data fitting is good(χ2/df = 4.11, GFI =. 97, NFI =. 93, IFI =. 94, CFI =. 94, TLI =. 91, SRMR =. 049, RMSEA =. 059), the mediation effect of total effect at 65.49%.Conclusion1. The modified multicomponent mental health literacy measure-Chinese version is of good reliability and validity when administered in male military personnel and could be used as an evaluation instrument of mental health literacy for Chinese military personnel.2. The mental health literacy level of military personnel needs to be improved, and there are significant group differences in mental health literacy. 3. The internal structure of mental health literacy can be divided into knowledge, skills and attitudes, among which knowledge includes mental health knowledge and mental help-seeking resource knowledge, attitude includes mental health beliefs, stigma and psychological professional help-seeking attitude, mental health skills refers to the recognition ability of mental illness.4. Mental health literacy has a direct promotion effect on mental health, but the direct promotion effect is limited, in which mental health attitude has a greater direct effect, while the recognition of mental illness has a small direct effect. Through the mediating effect of coping style, mental health literacy promotes mental health, and the mediating effect is greater than the direct one, among which the mediating effect of mental health knowledge and attitude factors is significant.K |
| 英文摘要 | 我国正处于经济社会快速转型期，人们的生活节奏明显加快，心理健康问题日益凸显。提升心理健康素养作为促进心理健康有效措施，越来越受到重视，心理健康素养水平已经成为我国“心理健康促进行动”的第一项结果性指标。补充心理健康素养的有效评估工具，探讨其的结构及作用机制有重要参考意义。目的：对英文版多元心理健康素养量表在我国男性军人群体中进行应用研究，为该量表在中国的推广使用提供参考依据，在此基础上探讨心理健康素养的结构，调查军人群体心理健康素养的现状及影响因素，探索心理健康素养对心理健康的作用机制。方法：利用网络平台于2018年11~12月抽取驻地在北京、天津、河北和山东的1106 名男性军人进行中文版多元心理健康素养量表测试；采用项目分析、内部一致性信度、重测信度、结构效度、聚敛效度和区分效度进行量表的信度和效度评价，采取二阶因素分析的方法初步探讨心理健康素养的内部结构，采用线性回归分析和结构方程模型的方法检验心理健康素养对心理健康的直接作用和应对方式的中介作用。结果：中文版多元心理健康素养量表共22题，项目与总分相关在.20以上。探索性因素分析各项目载荷在.41~.83之间，所有项目的因素分布与原量表一致。验证性因素分析模型拟合指标可以接受（χ2/df=2.63，GFI=.91，AGFI=.90，SRMR=.05，RMSEA=.06），项目载荷值.31~.82之间。多元心理健康素养总量表、知识、信念和资源维度的Cronbach α系数分别为.80、.76、.71和.77，间隔6周重测信度为.64。探索性二阶因素分析显示，心理健康素养呈现3因素结构，各变量的共同性在.39~.78之间，因子载荷绝对值在.57~.87之间，累计方差解释率为54.98%。因子1由心理健康知识、心理求助资源的知识构成；因子2由心理健康信念、病耻感和心理专业求助的态度构成；因子3由三种类型心理疾病的心理健康素养构成。军人群体的抑郁症、广泛性焦虑障碍和惊恐障碍的识别率分别为40.1%、43.5%和34.6%。心理健康素养整体水平有待提升，存在显著的群体差异。线性回归分析显示，心理求助资源的知识、病耻感、心理专业求助的态度和惊恐障碍识别水平对焦虑状况作用显著（R2=.10，p<.001）；心理求助资源的知识、心理健康信念、病耻感和心理专业求助的态度对抑郁状况作用显著（R2=.12，p<.001）。结构方程模型分析显示，整体心理健康素养对心理健康水平的作用中，应对方式的中介作用模型数据拟合良好，χ2/df=4.11，GFI=.97，NFI=.93，IFI=.94，CFI=.94，TLI=.91，SRMR=.049，RMSEA=.059，中介效应显著，占总效应的比例为65.49%。在心理健康素养的不同成分对心理健康的作用中，应对方式的中介作用不同。结论：第一，中文版多元心理健康素养量表在男性军人群体中有较好的信度和效度，可作为中国军人的心理健康素养评估工具，并为其他成人群体心理健康素养的评估提供参考。第二，军人心理健康素养水平有待提高，心理健康素养存在显著的群体差异。第三，心理健康素养的结构可分为知识、技能和态度三因素，其中知识包括心理健康知识和心理求助资源知识，态度包括心理健康信念、病耻感和心理专业求助的态度，心理健康技能指心理疾病的识别。第四，心理健康素养对心理健康有直接的促进作用，但作用有限，其中心理健康的态度作用较大，心理疾病识别作用较小。心理健康素养对心理健康进行影响中，应对方式起部分中介作用，中介作用效应量大于直接作用。在心理健康素养的3因子成分中，心理健康知识、态度因素对心理健康的影响中，应对方式中介作用显著。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41646]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 明志君. 军人心理健康素养的结构和作用机制[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2020. |
入库方式： OAI收割
来源：心理研究所
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