Physical functioning and mental health in patients with chronic medical conditions
Physical functioning and mental health in patients with chronic medical conditions
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DOI：
10.1023/a:1008917016998
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发表时间：
1999-12-01
影响因子：
3.5
通讯作者：
MacKenzie, TA
中科院分区：
文献类型：
--
作者：
Singer, MA;Hopman, WM;MacKenzie, TA
有证据表明，随着年龄的增长，身体功能的下降与心理健康无关，心理健康似乎保持相对稳定。还有其他证据表明，患有慢性疾病的人也会经历身体功能的下降，而心理健康保持相对稳定。采用横断面设计，对来自医学结局研究SF-36的美国人群标准的数据进行检查，并与从四个患者组收集的SF-36数据进行比较。患者组包括肾透析患者、多发性硬化症患者、肾移植患者和全髋关节置换术前患有严重髋关节骨关节炎的患者。对10岁年龄组的总体评分和评分进行了检查，以比较一般人群与四个患者组的身体功能和心理健康评分。结果支持这一假设，即身体功能随着年龄的增长和慢性疾病的发展而下降，但无论慢性疾病和/或年龄的增长，心理健康仍然非常稳定。这一观察结果表明，老年人或残疾人在面对身体困难时，有一个心理调整或适应的过程，并意味着这一调整过程实际上可能相当强烈。
There is evidence to suggest that a decline in physical functioning with advancing age is independent of mental health, which appears to remain relatively stable. There is additional evidence to suggest that those with a chronic disease also experience a decline in physical function while the mental health remains relatively stable. Using a cross-sectional design, data from the US population norms for the Medical Outcomes Study SF-36 are examined and compared to SF-36 data collected for four patient groups. Patient groups include kidney dialysis patients, multiple sclerosis patients, kidney transplant patients and patients with severe osteoarthritis of the hip prior to total hip replacement. Overall scores and scores within 10-year age groupings are examined in order to compare the physical functioning and mental health scores of the general population with those of the four patient groups. Results support the hypothesis that physical functioning declines with advancing age and with the development of chronic disease, but mental health remains remarkably stable regardless of chronic disease and/or advancing age. This observation suggests a process of psychological adjustment or adaptation to the physical difficulties encountered with advanced age or disability, and implies that this adjustment process may in fact be quite strong.