PDF(Pubmed)
Abstract：
Shidu parents refer to the couple who have lost their only child and have not given birth or adopted another child in China. The number of Shidu parents is increasing annually. The aim of this research was to examine the mediating role of anxiety and the moderating role of social support between perceived stress and prolonged grief disorder (PGD) among Chinese Shidu parents.
A cross-sectional study was carried out with 505 participants who completed a questionnaire including the Prolonged Grief Questionnair-3 (PG-13), the Perceived Stress Scale-10 (PSS-10), the Self-Rating Anxiety Scale (SAS) and the Duke-UNC Functional Social Support Questionnaire (FSSQ). SPSS PROCESS macro was employed to examine the mediating role of anxiety and the moderating role of social support.
The mediation analysis showed anxiety partially mediated the link between perceived stress and PGD, and the proportion of mediation of anxiety was 39.22%. The moderated mediation analysis revealed the second stage of mediating effects of anxiety on the link between perceived stress and PGD was moderated by social support. Specifically, compared with Shidu parents with higher social support, the association between anxiety and PGD was closer for those with lower social support.
The moderated mediation model can broaden our understanding of how and when perceived stress, anxiety and social support work together to affect PGD. The interventions aimed at improving mental health of Chinese Shidu parents need to work on reducing stress and enhancing social support.
A cross-sectional study was carried out with 505 participants who completed a questionnaire including the Prolonged Grief Questionnair-3 (PG-13), the Perceived Stress Scale-10 (PSS-10), the Self-Rating Anxiety Scale (SAS) and the Duke-UNC Functional Social Support Questionnaire (FSSQ). SPSS PROCESS macro was employed to examine the mediating role of anxiety and the moderating role of social support.
The mediation analysis showed anxiety partially mediated the link between perceived stress and PGD, and the proportion of mediation of anxiety was 39.22%. The moderated mediation analysis revealed the second stage of mediating effects of anxiety on the link between perceived stress and PGD was moderated by social support. Specifically, compared with Shidu parents with higher social support, the association between anxiety and PGD was closer for those with lower social support.
The moderated mediation model can broaden our understanding of how and when perceived stress, anxiety and social support work together to affect PGD. The interventions aimed at improving mental health of Chinese Shidu parents need to work on reducing stress and enhancing social support.
摘要：
背景：石渡父母是指在中国失去独生子女，没有生育或收养另一个孩子的夫妇。石渡父母的数量每年都在增加。这项研究的目的是研究中国十渡父母中焦虑的中介作用和社会支持在感知压力和长期悲伤障碍（PGD）之间的调节作用。
方法：对505名参与者进行了横断面研究，他们完成了包括长期悲伤问卷-3（PG-13）在内的问卷，感知压力量表-10(PSS-10)，焦虑自评量表(SAS)和Duke-UNC功能性社会支持问卷(FSSQ)。采用SPSS过程宏检验焦虑的中介作用和社会支持的调节作用。
结果：中介分析显示，焦虑部分介导了感知压力和PGD之间的联系，调解焦虑的比例为39.22%。调节中介分析显示，焦虑对感知压力与PGD之间联系的第二阶段中介作用受到社会支持的调节。具体来说,与社会支持较高的十渡父母相比，对于社会支持较低的人群,焦虑与PGD之间的关联更为密切.
结论：适度的调解模式可以扩大我们对如何以及何时感知压力的理解，焦虑和社会支持共同影响PGD。旨在改善中国十渡父母心理健康的干预措施需要致力于减轻压力和增强社会支持。
方法：对505名参与者进行了横断面研究，他们完成了包括长期悲伤问卷-3（PG-13）在内的问卷，感知压力量表-10(PSS-10)，焦虑自评量表(SAS)和Duke-UNC功能性社会支持问卷(FSSQ)。采用SPSS过程宏检验焦虑的中介作用和社会支持的调节作用。
结果：中介分析显示，焦虑部分介导了感知压力和PGD之间的联系，调解焦虑的比例为39.22%。调节中介分析显示，焦虑对感知压力与PGD之间联系的第二阶段中介作用受到社会支持的调节。具体来说,与社会支持较高的十渡父母相比，对于社会支持较低的人群,焦虑与PGD之间的关联更为密切.
结论：适度的调解模式可以扩大我们对如何以及何时感知压力的理解，焦虑和社会支持共同影响PGD。旨在改善中国十渡父母心理健康的干预措施需要致力于减轻压力和增强社会支持。
