The measurement of beliefs about physical symptoms in English general practice patients.
The measurement of beliefs about physical symptoms in English general practice patients.
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英国全科医生对身体症状的信念测量。
DOI：
10.1016/0277-9536(95)00263-4
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发表时间：
1996
影响因子：
5.4
通讯作者：
Roland Valor
中科院分区：
文献类型：
--
作者：
P. Salmon;M. Woloshynowych;Roland Valor
一种测量患者对其症状起源的信念的方法将允许调查有关咨询过程及其结果的重要问题。本研究的目的是开发一种工具，可以测量患者对全科医生症状的信念，并通过比较对三种症状（呼吸系统、肌肉骨骼和胃肠道）的信念来证明其实用性。对 150 名患者的访谈产生了信念问卷项目，然后由 406 名全科医生患者组成的第二个样本完成了该问卷。对反应的主成分分析确定了八个易于解释的信念维度：压力；生活方式;磨损；环境;内部结构；内部功能；体质虚弱；忧虑。构建量表来测量每个维度并比较症状组。胃肠道症状最有可能归因于内部功能障碍、生活方式或体质虚弱。肌肉骨骼症状更可能是由于身体磨损和呼吸道症状引起的结构问题，而不是环境的影响。与预测相反，不同类型的症状都同样归因于压力。我们设计了一份专门针对全科医生的调查问卷，可以量化这种情况下的信念。该调查问卷将来可用于跟踪信念如何对医疗干预做出反应，以及信念如何影响疾病行为。
A way of measuring patients' beliefs about the origin of their symptoms would allow the investigation of important questions concerning the consultation process and its outcome. The purpose of this study was to develop an instrument that could measure the beliefs about symptoms of patients attending their general practitioner and to demonstrate its utility by comparing beliefs about three types of symptom (respiratory, musculoskeletal and gastrointestinal). Interviews of 150 patients generated items for the belief questionnaire which was then completed by a second sample of 406 general practice patients. Principal components analysis of the responses identified eight readily interpretable belief dimensions: stress; lifestyle; wearing out; environment; internal-structural; internal-functional; weak constitution; concern. Scales were constructed to measure each dimension and the symptom groups were compared. Gastrointestinal symptoms were the most likely to be attributed to internal malfunction and to lifestyle or weak constitution. Musculoskeletal symptoms were more likely to be attributed to structural problems caused by the body wearing out and respiratory symptoms, in contrast, to the influence of the environment. Contrary to prediction, attribution to stress was made equally for the different types of symptom. We have devised a questionnaire, valid specifically for general practice patients, which permits the quantification of beliefs in this setting. The questionnaire could be used in future to track how beliefs respond to medical intervention and how, in turn, beliefs influence illness behaviour.
影响因子：
29.4
作者：
W. Whitehead;L. Bosmajian;A. Zonderman;P. Costa;M. Schuster
通讯作者：
W. Whitehead;L. Bosmajian;A. Zonderman;P. Costa;M. Schuster
疑病症患者对健康的信念。
DOI：
10.1176/ajp.150.7.1085
发表时间：
1993
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Barsky,AJ;Coeytaux,RR;Sarnie,MK;Cleary,PD
通讯作者：
Cleary,PD