Health promotion by social cognitive means

Health promotion by social cognitive means
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DOI:
10.1177/1090198104263660
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发表时间:
2004-04-01
影响因子:
4.2
通讯作者:
Bandura, A
Bandura, A
中科院分区:
医学3区
文献类型:
--
作者:
Bandura, A

文献摘要

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本文从社会认知理论的角度探讨健康促进与疾病预防。这一理论提出了一个多方面的因果结构,其中自我效能信念与目标,结果预期,以及感知的环境障碍和促进因素一起作用于人类动机,行为和幸福的调节。相信一个人行使控制的功效是一个共同的途径,通过它的心理社会影响影响健康功能。这一核心信念影响着个人改变的每一个基本过程人们是否甚至考虑改变他们的健康习惯,他们是否调动了成功所需的动力和毅力,他们从挫折和复发中恢复的能力,以及他们如何保持他们已经实现的习惯改变。人类健康是一个社会问题,而不仅仅是个人问题。全面促进健康的办法还要求改变对人类健康有广泛影响的社会制度的做法。
This article examines health promotion and disease prevention from the perspective of social cognitive theory. This theory posits a multifaceted causal structure in which self-efficacy beliefs operate together with goals, outcome expectations, and perceived environmental impediments and facilitators in the regulation of human motivation, behavior, and well-being. Belief in one's efficacy to exercise control is a common pathway through which psychosocial influences affect health functioning. This core belief affects each of the basic processes of personal change-whether people even consider changing their health habits, whether they mobilize the motivation and perseverance needed to succeed should they do so, their ability to recover from setbacks and relapses, and how well they maintain the habit changes they have achieved. Human health is a social matter, not just an individual one. A comprehensive approach to health promotion also requires changing the practices of social systems that have widespread effects on human health.