Stressors and Social Support Perceptions Predict Illness Attitudes and Care-Seeking Intentions: Re-Examining the Sick Role

Stressors and Social Support Perceptions Predict Illness Attitudes and Care-Seeking Intentions: Re-Examining the Sick Role
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压力源和社会支持感知预测疾病态度和寻求护理的意图:重新审视病人的角色

DOI:
10.1207/s15327027hc1603_5
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发表时间:
2004
影响因子:
3.9
通讯作者:
Nathan Miczo
Nathan Miczo
中科院分区:
医学3区
文献类型:
--
作者:
Nathan Miczo

文献摘要

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帕森斯(Parsons,1951)的疾病角色概念对疾病作为一种社会现象的研究产生了深远的影响。病人的角色可能更好地被理解为一系列疾病态度和寻求护理的意图,而不是一套社会规范。这项调查旨在 (a) 探索疾病态度之间的关系,(b) 检查疾病态度预测就医意图的能力,以及 (c) 调查作为压力源和社会支持认知的函数的病人角色的差异。参与者(N = 148)完成了一份调查问卷,评估日常麻烦、生活事件、感知的社会支持、依赖性、自我批评和病态角色。对病态角色测量的因素分析结果揭示了四个态度因素(释放、考虑、负担和偏差)和两个行为因素(拒绝和咨询)。态度因素具有适度的相关性,具有一定的预测寻求护理意图的能力。回归分析显示,压力源和支持感知确实表现出一定的预测患病角色的能力。讨论了结果对健康传播研究的影响。
Parsons' (1951) sick role concept has had a profound impact on the study of sickness as a social phenomenon. The sick role might be better conceived as a set of illness attitudes and care-seeking intentions rather than a set of social norms. This investigation purports (a) to explore the relationships among illness attitudes, (b) to examine the ability of illness attitudes to predict medical care-seeking intentions, and (c) to investigate differences in the sick role as a function of stressors and social support perceptions. Participants (N = 148) completed a survey questionnaire assessing daily hassles, life events, perceived social support, dependence, self-criticism, and the sick role. Results of a factor analysis on the sick role measures revealed four attitudinal (Release, Consideration, Burden, and Deviance) and two behavioral (Denial and Consult) factors. The attitudinal factors were moderately intercorrelated, with some ability to predict care-seeking intentions. Regression analyses revealed that stressors and support perceptions did exhibit some ability to predict the sick role. Results are discussed in terms of their implications for health communication research.