Personal mastery predicts pain, stress, fatigue, and blood pressure in adults with rheumatoid arthritis.
Personal mastery predicts pain, stress, fatigue, and blood pressure in adults with rheumatoid arthritis.
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DOI：
10.1080/08870440701596593
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发表时间：
2008
影响因子：
3.3
通讯作者：
Reich J
中科院分区：
文献类型：
--
作者：
Younger J;Finan P;Zautra A;Davis M;Reich J
在类风湿性关节炎（RA）患者中，与疼痛相关的压力会严重影响健康。心理属性，如个人掌控感，可能会减轻慢性疼痛对生活质量的影响。我们测试了一个假设，即在急性人际压力源中，与低掌控感相比，高掌控感可以预测更低的疼痛、感知压力、疲劳和平均动脉压（MAP）。74名类风湿性关节炎患者完成了一项心理生理实验，包括MAP测量，以及压力、关节疼痛和疲劳的自我评定。测量是在人际压力源之前、期间和之后收集的。为了评估个人掌握，根据Reich和Zautra（1991）的建议，对Pearlin掌握量表进行了探索性和验证性因素分析。宿命论和控制都是幸福变量的显著预测因子。在所有时期，高度宿命论风格的个体表现出更高的平均动脉压水平（F(1) = 3.41, p< 0.1），并报告更大的关节疼痛（F(1) = 4.72, p< 0.05）。控制感高的个体MAP值较低（F(1) = 3.73, p< 0.1），应激（F(1) = 7.44, p< 0.01）和疲劳（F(1) = 5.16, p< 0.05）。宿命论和对照组均与疾病严重程度的客观测量无关（r's = -）。10、p=NS和−。02, p=NS)。两个不同指数的得分证明，具有高水平个人掌握的RA患者经历较低的MAP，并且报告较少的疼痛，压力和疲劳。虽然宿命论和控制与客观疾病状态无关，但它们似乎在类风湿关节炎患者的健康体验中起着重要作用。
Among individuals with Rheumatoid Arthritis (RA), pain-associated stress can severely impact wellbeing. Psychological attributes, such as a sense of personal mastery, may attenuate the effects of chronic pain on life quality. We tested the hypothesis that a high sense of mastery would predict lower pain, perceived stress, fatigue, and mean arterial pressure (MAP) than would a low sense of mastery during an acute, interpersonal stressor. Seventy-four individuals with RA completed a psychophysiological laboratory session involving MAP measurements, as well as self-ratings of stress, joint pain, and fatigue. Measurements were collected before, during, and after an interpersonal stressor. To assess personal mastery, exploratory and confirmatory factor analyses were conducted on the Pearlin Mastery Scale based on recommendations by Reich and Zautra (1991) The Pearlin Mastery Scale yielded two distinct factors: fatalism and control. Both fatalism and control were significant predictors of the wellbeing variables. Individuals with a highly fatalistic style demonstrated higher general levels of mean arterial pressure (F(1) = 3.41, p<.1) and reported greater joint pain (F(1) = 4.72, p<.05) across all periods. Individuals with a high sense of control also evidenced lower MAP (F(1) = 3.73, p<.1) and reported less stress (F(1) = 7.44, p<.01) and fatigue (F(1) = 5.16, p<.05). Neither fatalism nor control were related to objective measures of disease severity (r's = −.10, p=NS and −.02, p=NS, respectively). RA patients with a high level of personal mastery, as evidenced by scores on two distinct indices, experience lower MAP, and report less pain, stress and fatigue. Although fatalism and control were not related to objective disease state, they seem to play an important role in the experience of wellbeing for people with RA.
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影响因子：
3.8
作者：
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通讯作者：
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Davis, MC;Zautra, AJ;Reich, JW
通讯作者：
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