Disability and coping as predictors of psychological adjustment to rheumatoid arthritis.
Disability and coping as predictors of psychological adjustment to rheumatoid arthritis.
复制标题
残疾和应对作为类风湿性关节炎心理调整的预测因子。
DOI：
10.1037//0022-006x.57.3.344
复制
发表时间：
1989
影响因子：
5.9
通讯作者：
Felton,BJ
中科院分区：
文献类型：
--
作者：
Revenson,TA;Felton,BJ
类风湿性关节炎(RA)患者已被确定为心理障碍的危险医疗人群，主要是因为疼痛和功能残疾是该疾病的特征。这项研究考察了在6个月的时间里，自我报告的功能性残疾和应对努力在多大程度上有助于成年RA患者的心理适应。适应性结果包括尽管患病仍保持价值感、主动性和积极情绪。分层多元回归分析表明，残疾的增加与疾病接受度的降低和负面情绪的增加有关。应对努力与积极情绪的增加有关。这些发现为个体应对努力在塑造与疾病相关的结果中所起的作用提供了适度的支持。尽管残疾不容易逆转，但有关缓解其心理影响的应对策略的知识可能会为设计促进适应的心理干预提供有用的基础。
Rheumatoid arthritis (RA) patients have been identified as a medical population at risk for psychological disorder, largely because of the pain and functional disability that are the hallmarks of the disease. This study examined the degree to which self-reported functional disability and coping efforts contribute to psychological adjustment among adult RA patients over a 6-month period. Adaptive outcomes included maintaining a sense of worth, mastery, and positive affect despite the illness. Hierarchical multiple regression analyses indicated that increases in disability were related to decreased acceptance of illness and increased negative affect. Coping efforts were related to increases in positive affect. The findings provide modest support for the role individual coping efforts play in shaping illness-related outcomes. Although disability is not easily reversed, knowledge about coping strategies that moderate its psychological impact may provide a useful basis for designing psychological interventions to promote adjustment.(PsycInfo Database Record (c) 2022 APA, all rights reserved)