Coping with rheumatoid arthritis.
Coping with rheumatoid arthritis.
复制标题
应对类风湿性关节炎。
DOI：
10.1016/s0950-3579(05)80089-5
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Revenson,TA
中科院分区：
文献类型：
--
作者：
Newman,SP;Revenson,TA
通过放射学或其他临床评估测量，一些患有严重类风湿性关节炎（RA）的患者似乎并没有严重残疾，而其他看似轻微疾病的患者似乎严重虚弱。这种现象对于许多风湿病学家来说都是显而易见的，并且在其他疾病中也有类似的发现。疾病状态和残疾测量之间的较差相关性凸显了理解 RA 对个体患者影响的问题。“除了少数例外2，大多数关于 RA 自然史的研究都集中在疾病和生物因素上，而忽略了可能改变所报告症状的程度、病程和患者幸福感的心理因素。应对是弥合我们在疾病、残疾和心理健康之间理解鸿沟的潜在有用概念之一。应对的典型定义是“个人为管理特定的外部和/或内部需求而做出的认知、行为和情感努力”。 3 应对反应被认为是患者对其所承受的压力进行评估的结果
Some patients with severe rheumatoid arthritis (RA) as measured radiographically or by other clinical assessments appear not to be very disabled, whereas others with seemingly mild disease appear to be severely debilitated. This phenomenon has been apparent to many rheumatologists and similar findings have been reported in other diseases. The poor correlation between measures of disease state and disability underlines the problem of understanding the impact of RA on the individual patient.'With a few exceptions2 most studies of the natural history of RA have focused on disease and biological factors, and have ignored psychological factors which may act to modify the extent of the symptoms reported, the course of the illness, and the patient's feelings of wellbeing. One of the potentially useful concepts to bridge the gulf of our understanding between disease and disabilityand psychological wellbeing is coping. A typical definitionof coping is' the cognitive, behavioural and emotionalefforts individuals exert to manage specific external and/or internal demands'. 3 Coping responses are considered to result from the patient's assessment of the stresses that they