Pathways linking affective disturbances and physical disorders.
Pathways linking affective disturbances and physical disorders.
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DOI：
10.1037//0278-6133.14.5.374
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发表时间：
1995-09
期刊：
影响因子：
--
通讯作者：
Sheldon Cohen;Mario S. Rodriguez
中科院分区：
文献类型：
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作者：
Sheldon Cohen;Mario S. Rodriguez
心理和身体疾病的共病是很严重的。这篇文章提出了一个广泛的理论框架，用于确定导致和维持共病状况的因素。作者提出了启发式模型，说明心理和身体障碍的共同发生是如何发展和维持的。这些模型指定了可能导致共病的生物、行为、认知和社会途径。尽管作者对心理障碍的讨论仅限于情感障碍(亚临床负面情绪以及情绪和情感障碍)的作用，但他们确定的途径被认为有助于其他心理障碍和身体疾病的共存。作者强调，连接共病状态的途径是双向的，手术途径根据特定的情感反应、疾病行为、疾病或疾病阶段而不同。
Comorbidity of psychological and physical disorders is substantial. This article presents a broad theoretical framework for identifying factors that contribute to and maintain comorbid conditions. The authors propose heuristic models of how co-occurrences of psychological and physical disorders are developed and maintained. The models specify biological, behavioral, cognitive, and social pathways that may account for comorbidity. Although the authors' discussion of psychological disorders is limited to the role of affective disturbances (subclinical negative moods as well as mood and affective disorders), the pathways they identify are thought to contribute to co-occurrences of other psychological disorders and physical disease as well. The authors emphasize that pathways linking comorbid states are bi-directional and that operative pathways differ depending on the specific affective response, illness behavior, disease, or disease stage.