Relative contributions of spousal support and illness appraisals to depressed mood in arthritis patients.
Relative contributions of spousal support and illness appraisals to depressed mood in arthritis patients.
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DOI：
10.1002/art.1790080205
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发表时间：
1995-06
期刊：
影响因子：
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通讯作者：
K. Schiaffino;T. Revenson
中科院分区：
文献类型：
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作者：
K. Schiaffino;T. Revenson
目的探讨疾病认知评估和配偶支持对改善关节炎患者抑郁情绪的作用。方法收集已婚类风湿关节炎(RA)患者入院2年内及18个月随访的心理社会资料。结果挑战评价与配偶积极支持的交互作用与随时间推移抑郁的变化有关。随着挑战评估的增加，伴随着更多的积极支持，抑郁症的发生率也会增加，而在研究开始时，那些没有经历过对RA诊断的挑战感的人，当他们也从配偶那里得到更高的积极支持时，他们的残余抑郁水平最低。结论根据Kerns及同事提出的慢性疼痛与抑郁关系的认知-行为调节模型，研究结果对针对关节炎患者及其配偶的干预具有一定的指导意义。
OBJECTIVE To examine the ability of cognitive appraisals of illness and spousal support to modify depressed mood in arthritis patients. METHODS Psychosocial data were collected from 64 married patients with rheumatoid arthritis (RA) within 2 years of diagnosis and at an 18-month followup. RESULTS The interaction of challenge appraisals with positive support received from the spouse was related to changes in depression over time. There was an increase in depression as challenge appraisals increased when accompanied by greater receipt of positive support, whereas individuals who did not experience a sense of challenge in response to the diagnosis of RA had the lowest levels of residualized depression when they also received higher positive support from their spouses at the beginning of the study. CONCLUSION The results are considered in terms of the cognitive-behavioral mediation model suggested by Kerns and associates concerning the relationship of chronic pain to depression and have implications for interventions aimed at arthritis patients and their spouses.