Vulnerability and Resilience in Women With Arthritis: Test of a Two-Factor Model
Vulnerability and Resilience in Women With Arthritis: Test of a Two-Factor Model
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DOI：
10.1037/0022-006x.76.5.799
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发表时间：
2008-10-01
影响因子：
5.9
通讯作者：
Zautra, Alex J.
中科院分区：
文献类型：
--
作者：
Smith, Bruce W.;Zautra, Alex J.
本研究的目的是测试一个2因素模型的情感健康的女性类风湿性关节炎（RA; n = 82）或骨关节炎（OA; n = 88）。积极和消极的社会互动和影响进行了评估，为11连续几周。对于每个参与者，脆弱性和弹性因素，分别从积极和消极的个人特征的因素分析。多水平分析测试的假设，每周的变化，社会交往或影响，只能预测的因素相同的效价。脆弱性（而不是弹性）因素预测了负面互动的变化。弹性（而不是脆弱性）因素预测了积极互动的变化。脆弱性（而不是韧性）因素预测了当前和下周负面影响的变化。弹性和脆弱性因素都预测了当前和下周积极影响的变化，尽管脆弱性的影响小于弹性。最后，脆弱性因素与痛苦相互作用，预测更多的未来负面影响。主要的含义是，脆弱性和弹性都应考虑在理论，研究和干预。
The purpose of this study was to test a 2-factor model of affective health in women with rheumatoid arthritis (RA; n = 82) or osteoarthritis (OA; n = 88). Positive and negative social interactions and affect were assessed for I I consecutive weeks. For each participant, Vulnerability and Resilience factors were created from factor analyses of positive and negative personal characteristics, respectively. Multilevel analyses tested the hypothesis that weekly changes in social interactions or affect would only be predicted by the factor of the same valence. The Vulnerability (and not the Resilience) factor predicted changes in negative interactions. The Resilience (and not the Vulnerability) factor predicted changes in positive interactions. The Vulnerability (and not the Resilience) factor predicted changes in current and next-week negative affect. The Resilience and Vulnerability factors each predicted changes in current and next-week positive affect, although the effects for Vulnerability were smaller than for Resilience. Finally, the Vulnerability factor interacted with pain to predict more future negative affect. The main implication is that both Vulnerability and Resilience should be considered in theory, research, and interventions.