REMAP-a Resilience Resources Measure for Prediction and Management of Somatic Symptoms.
REMAP-a Resilience Resources Measure for Prediction and Management of Somatic Symptoms.
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DOI：
10.1007/s12529-016-9559-6
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发表时间：
2016-12
影响因子：
2.7
通讯作者：
Zautra AJ
中科院分区：
文献类型：
--
作者：
Malarkey WB;David P;Gouin JP;Edwards MC;Klatt M;Zautra AJ
有症状但没有确定疾病的患者对初级保健提供者来说是一个挑战。一个22项措施的介绍和评估，提供医疗保健提供者的工具，以评估和讨论可能导致症状没有可识别的病理恢复力资源的不足之处。这一工具突出了社会心理和生活方式资源，这些资源可作为生活压力的缓冲，而不是侧重于压力及其相关症状。该测量包括五个弹性领域的项目-关系参与，情感敏感性，有意义的行动，自我和他人的意识，以及身体健康行为（REMAP）。使用两种不同的样品评价其结构和功能。结果表明，从REMAP的分数有合理的心理测量特性。在代表美国人群的样本中，较高的REMAP评分预测较少的健康症状。在第二个样本中，REMAP与感知弹性，自我强度和正念注意力呈正相关，与感知压力，抑郁，睡眠障碍和孤独感呈负相关，提供了收敛和发散有效性的证据。此外，REMAP量表对生活方式干预后的变化敏感。这表明，REMAP可以是一个有用的工具，在实践中设置咨询患者的不明原因的症状。随着对其症状的生物心理社会方面的洞察，患者可能会更容易接受认知行为选择，以改善他们的弹性资源和生活方式选择。
Patients with symptoms, but without an identified disease are a challenge to primary care providers. A 22-item measure is introduced and evaluated to offer medical care providers with an instrument to assess and discuss possible deficiencies in resilience resources that may contribute to symptoms without identifiable pathology. This instrument highlights psychosocial and lifestyle resources that serve as buffers to life’s stressors rather than focusing on stress and its related symptoms. The measure included items from five resilience domains – relational engagement, emotional sensibility, meaningful action, awareness of self and others, and physical health behaviors (REMAP). Its structure and function were evaluated using two different samples. Results suggest that scores from the REMAP have reasonable psychometric properties. Higher REMAP scores were predictive of fewer health symptoms in a sample representative of the US population. In a second sample, REMAP was positively associated with perceived resilience, ego strength and mindfulness attention and negatively related to perceived stress, depression, sleep disturbances, and loneliness, providing evidence of convergent and divergent validity. Furthermore, the REMAP scale was sensitive to change following a life style intervention. This suggests that REMAP can be a useful tool in practice settings for counseling patients with unexplained symptoms. With insight into the biopsychosocial aspect of their symptoms, patients may become more receptive to cognitive behavioral options to improve their resilience resources and lifestyle choices.
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影响因子：
3.3
作者：
Gianaros PJ;Manuck SB
通讯作者：
Manuck SB
影响因子：
15.1
作者：
Malarkey, William B.;Jarjoura, David;Klatt, Maryanna
通讯作者：
Klatt, Maryanna
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
DOI：
10.7326/0003-4819-134-9_part_2-200105011-00014
发表时间：
2001-05-01
影响因子：
39.2
作者：
Hahn, SR
通讯作者：
Hahn, SR
DOI：
10.7326/0003-4819-134-9_part_2-200105011-00017
发表时间：
2001-05-01
影响因子：
39.2
作者：
Katon, W;Sullivan, M;Walker, E
通讯作者：
Walker, E