Study on the relationship among hope, emotional self-efficacy and psychological distress in the depressed patients

REN Qiao-ling; LI Zun-qing; WU Hong; LYU Qiong; WAN Yan-fang

doi:10.3969/j.issn.1671-315x.2018.04.007

Abstract：Objective To explore the levels of hope,emotional self-efficacy and psychological distress among patients with depression,and analyze the relationship among hope,emotional self-efficacy and psychological distress,so as to afford basis for health education targeted on the depressed.Methods Two hundred and eighty-four patients with depression were researched with Herth Hope Index (HHI),Regulatory Emotional Self-Efficacy(RESE) and the 10-item Kessler Psychological Distress Scale(K10).Then linear regression and structural equation model were employed to explore the relations among the three variables.Results The total score of HHI,RESE and K10 in 284 patients with depression were(19.38±3.64),(28.15±4.16),(35.29±6.28) respectively.Hope and emotional self-efficacy showed a negative correlation with psychological distress,while hope showed a positive correlation with emotional self-efficacy.Structural equation model analysis showed that hope and emotional self-efficacy had directly positive effects on psychological distress,and the path coefficients were respectively 0.472、0.468.Hope had partly media or effect between emotional self-efficacy and psychological distress,and the mediating effects was 0.262,which accounted for 35.9％ of the total effect.Conclusion Patients with depression have much lower level of hope and emotional self-efficacy,and more seriously psychological distress.There are correlations among hope,emotional self-efficacy and psychological distress.In psychological nursing of the patients with depression,it should attach importance to the role of hope intervention in the elimination of psychological distress.