A model of disease-specific worry in heritable disease: The influence of family history, perceived risk and worry about other illnesses

A model of disease-specific worry in heritable disease: The influence of family history, perceived risk and worry about other illnesses
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DOI:
10.1007/s10865-005-9039-y
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发表时间:
2006-02-01
影响因子:
3.1
通讯作者:
Bovbjerg, DH
Bovbjerg, DH
中科院分区:
心理学3区
文献类型:
--
作者:
DiLorenzo, T;Schnur, J;Bovbjerg, DH

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与疾病相关的担忧与家族病史和感知的疾病风险有关;然而,一般风险认知和担心疾病的倾向的影响在文献中被忽视了。本研究探讨疾病特定忧虑的模型,该模型包含家族史、疾病特定感知风险、对其他疾病的感知风险和担忧。参与者完成了一项调查,评估了这些变量与几种遗传性疾病的关系。结构方程模型发现,家族史可以预测特定疾病的感知风险,但不能预测其他疾病的感知风险。疾病特有的感知风险预测了疾病特有的担忧和对其他疾病的担忧。对其他疾病的感知风险预测了对其他疾病的担忧和疾病特有的感知风险,而不是疾病特有的担忧。疾病特有的担忧预示着对其他疾病的担忧。这一模型得到了几种疾病的支持,并表明对疾病的具体和普遍的风险影响因素令人担忧,在干预措施中应予以考虑。
Disease-related worry is associated with family history and perceived risk of that disease; however, the influences of general risk perceptions and tendencies to worry about diseases have been neglected in the literature. This study investigates a model of disease-specific worry which includes family history, disease-specific perceived risk, and perceived risk for and worry about other diseases. Participants completed a survey assessing these variables in relation to several heritable diseases. Structural equation modeling found that family history predicted disease-specific perceived risk but not perceived risk for other diseases. Disease-specific perceived risk predicted disease-specific worry and worry about other diseases. Perceived risk for other diseases predicted worry about other diseases and disease-specific perceived risk but not disease-specific worry. Disease-specific worry predicted worry about other diseases. This model was supported across several diseases and indicates that disease-specific and general considerations of risk influence worry about a disease and should be considered in interventions.