Correlations between self-efficacy and fatigue of PAP soldiers during rescue: analysis of the mediating effect of self-esteem
GU Hongjuan1, LONG Wen1, LIU Ying1,2, TANG Huijuan1, DONG Wei2
1. Department of Nursing, Hunan Provincial Crops Hospital, Chinese People's Armed Police Force, Changsha 410006, China; 2. Department of Naval Aviation and Operational Psychology, Faculty of Psychology, Naval Medical University, Shanghai 200433, China
Abstract:Objective To explore the potential mechanisms underlying the association between general self-efficacy and fatigue among Armed Police soldiers during disaster rescue, and to explore whether self-esteem exerts a mediating effect on the influence of general self-efficacy on fatigue. Methods The fatigue Scale -14 (FS-14), General Self-Efficacy Scale (GSES), Self-Esteem scale (SES) and general data questionnaire were used to investigate 267 Armed Police soldiers. The Pearson product-moment correlation coefficient and Spearman rank correlation coefficient were used to describe the correlations between the data, and the PROCESS macro program was used to test the mediating effect model. Results The average fatigue level of these soldiers was (3.20±3.02), and the incidence of fatigue was 13.69%. The results of the mediating effect test showed that general self-efficacy was negatively correlated with fatigue(B=-0.397,t=-6.930,P<0.001), but positively with self-esteem (B=0.485,t=8.782,P<0.001), and that the negative effect of self-esteem on fatigue was significant (B=-0.415,t=-6.947,P<0.001).The mediating effect of self-esteem accounted for 50.72% of the total effect of general self-efficacy on fatigue while the direct effect of general self-efficacy on fatigue was 49.28%. Conclusions Better self-efficacy of soldiers can reduce the sense of fatigue, and individuals with low self-efficacy need to improve their self-esteem and reduce fatigue via interventions.
辜红娟, 龙文, 刘瑛, 唐慧娟, 董薇. 武警官兵抢险救灾期间自我效能感与疲劳的关系[J]. 武警医学, 2021, 32(12): 1065-1069.
GU Hongjuan, LONG Wen, LIU Ying, TANG Huijuan, DONG Wei. Correlations between self-efficacy and fatigue of PAP soldiers during rescue: analysis of the mediating effect of self-esteem. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(12): 1065-1069.
Ogawa O K, Katagiri T, Sato Y, et al. Natural killer cell function changes by the Japanese kampo medicine juzentaihoto in general fatigue patients[J]. Adv Integr Med, 2021, 8(1): 33-43.
[4]
Druce K L, John M B. Central sensitization predicts greater fatigue independently of musculoskeletal pain[J]. Rheumatology, 2019, 58(11): 1923-1927.
[5]
Johansson A C, Brink E, Cliffordson C, et al. The function of fatigue and illness perceptions as mediators between self-efficacy and health-related quality of life during the first year after surgery in persons treated for colorectal cancer[J]. J Clin Nurs, 2018, 27(7-8): e1537-e1548.
[6]
Wu C, Ge Y L, Xu C, et al. A correlation study of emergency department nurses' fatigue, perceived stress, social support and self-efficacy in grade IIIA hospitals of Xi'an[J]. Medicine, 2020, 99(32): e21052.
[7]
Wachs S, Bilz L, Fischer S M, et al. Students' willingness to intervene in bullying: direct and indirect associations with classroom cohesion and self-efficacy[J]. Int J Environ Res Public Health, 2018, 15(11):2577.
[8]
Park Y J, Park J Y, Chung K M, et al. Discrepancies of implicit and explicit self-esteem as predictors of attributional bias and paranoia[J].Psychiatry Investig, 2019, 16(3): 185-192.
[9]
Ouyang Y Y, Wang K, Zhang T R, et al. The Influence of sports participation on body image, self-efficacy, and self-esteem in college students[J]. Front Psychol, 2020, 10(2):3039.
[10]
Alessandri G, Perinelli E, De Longis E, et al. The costly burden of an inauthentic self: insecure self-esteem predisposes to emotional exhaustion by increasing reactivity to negative events[J]. Anxiety Stress Coping, 2017, 30(6): 630-646.
[11]
Johnson A R, Jayappa R, James M, et al. Do low self-esteem and high stress lead to burnout among health-care workers? Evidence from a tertiary hospital in Bangalore, India[J]. Saf Health Work, 2020, 11(3): 347-352.
Yun B S, Hee K S. Analysis of convergent influence of self-esteem, fatigue and psychosocial stress on depression among general hospital administrative staff[J]. J Digit Converg, 2018, 16(9):301-307.
Cai S, Lin H, Hu X, et al. High fatigue and its associations with health and work related factors among female medical personnel at 54 hospitals in Zhuhai, China[J]. Psychol Health Med, 2018, 23(3): 304-316.
[23]
Tian F, Shu Q, Cui Q, et al. The mediating role of psychological capital in the relationship between occupational stress and fatigue: a cross-sectional study among 1,104 Chinese physicians[J]. Front Public Health, 2020,8(1): 12.
[24]
Yorulmaz H. Evaluation of factors affecting fatigue and anxiety in patients with cancer[J]. Turk Onkol Derg, 2019,20(7):104.
[25]
Brink E, Alsén P, Herlitz J, et al. General self-efficacy and health-related quality of life after myocardial infarction[J]. Psychol Health Med, 2012, 17(3): 346-355.
[26]
Hou T Y, Zhang R K, Song X R, et al. Self-efficacy and fatigue among non-frontline health care workers during COVID-19 outbreak: a moderated mediation model of posttraumatic stress disorder symptoms and negative coping[J]. PLoS One, 2020, 15(12): e243884.
[27]
Bandura A. Self-efficacy: toward a unifying theory of behavioral change[J]. Psychol Rev, 1977, 84(2): 191-215.
[28]
Tan J F, Ma Z W, Li X T. Global self-esteem mediates the effect of general self-efficacy on chinese undergraduates' general procrastination[J]. Soc Behav Pers, 2015, 43(8): 1265-1271.
[29]
Yang C Y, Zhou Y, Cao Q L, et al. The relationship between self-control and self-efficacy among patients with substance use disorders: resilience and self-esteem as mediators[J]. Front Psychiatry, 2019, 10(6):388.
[30]
Fragoso Y D, Silva E O, Finkelsztejn A. Correlation between fatigue and self-esteem in patients with multiple sclerosis[J]. Arq Neuropsiquiatr, 2009, 67(3B): 818-821.
Dhandra T K. Does self-esteem matter? A framework depicting role of self-esteem between dispositional mindfulness and impulsive buying[J]. J Retail Consum Serv, 2020, 55(7):102135.
[33]
Johns S A, Tarver W L, Secinti E, et al. Effects of mindfulness-based interventions on fatigue in cancer survivors: a systematic review and meta-analysis of randomized controlled trials[J]. Crit Rev Oncol Hematol, 2021, 160103290.
Davis S P, Bolin L P, Crane P B, et al. Non-pharmacological interventions to manage fatigue in adults with inflammatory bowel disease: a systematic review and meta-analysis[J]. Complement Ther Clin Pract, 2020, 41(10):1229.