Predictors of quality of life: A model based study
Predictors of quality of life: A model based study
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DOI：
10.1007/s11136-006-9114-z
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发表时间：
2007-03-01
影响因子：
3.5
通讯作者：
De Vries, Jolanda
中科院分区：
文献类型：
--
作者：
Masthoff, Erik D.;Trompenaars, Fons J.;De Vries, Jolanda
本研究采用Taylor和Aspinwall提出的心理应激模型（Psychosocial Stress.结构、理论、生命历程和方法的视角。San Diego，CA：Academic Press，1996; pp. 71-110）。采用多份问卷对外部资源、个人资源、压力源、压力源评价、社会支持、应对方式和生活质量进行评估。完整的原始泰勒和Aspinwall模型进行了测试与SEM分析。这些分析无法充分解释数据。因此，最初使用一系列多元回归分析遵循更具探索性的数据分析策略。这些分析只是部分支持泰勒和阿斯平沃尔模型。事实上，生活质量是不预测的应对，而所有其他前因直接影响生活质量，解释了相当数量的生活质量方差。下一步，以回归分析的结果为出发点，进行新的SEM分析，测试修改后的模型。这个模型，没有应对，有一个很好的适合。因此，修改模型建议精神科门诊患者时，生活质量是心理社会结果的措施。
In this study, predictors of quality of life (QOL) in psychiatric outpatients (n = 410) were investigated using the psychological stress model developed by Taylor and Aspinwall (Psychosocial Stress. Perspective on Structures, Theory, Life-Course and Methods. San Diego, CA: Academic Press, 1996; pp. 71-110). External resources, personal resources, stressors, appraisal of stressors, social support, coping, and QOL were assessed with several questionnaires. The complete original Taylor and Aspinwall model was tested with SEM analyses. These analyses were not able to explain the data adequately. Therefore, initially a more exploratory data analytic strategy was followed using a series of multiple regression analyses. These analyses only partially supported the Taylor and Aspinwall model. In fact, QOL was not predicted by coping, while all other antecedents affected QOL directly, explaining considerable amounts of QOL variance. As a next step, taking the outcomes of the regression analyses as point of departure, new SEM analyses were carried out, testing a modified model. This model, without coping, had an excellent fit. Consequently, modifications of the model are recommended concerning psychiatric outpatients when QOL is the psychosocial outcome measure.