Uncertainty of Illness Relationships with Mental Health and Coping Processes in Fibromyalgia Patients
Uncertainty of Illness Relationships with Mental Health and Coping Processes in Fibromyalgia Patients
复制标题
纤维肌痛患者疾病与心理健康和应对过程关系的不确定性
DOI：
--
复制
发表时间：
2006
影响因子：
3.1
通讯作者：
Mary C Davis
中科院分区：
文献类型：
--
作者：
J. Reich;Lisa M. Johnson;A. Zautra;Mary C Davis
纤维肌痛综合征(FMS)是一种慢性肌肉骨骼疼痛，在病因和治疗方面医生和患者都知之甚少。这种“疾病不确定性”的状况被视为FMS患者适应的一个变量，它与他们的抑郁、焦虑、情感和应对方式有关。51名居住在社区的FMS患者提供了关于调整变量子集的自我报告信息。横断面分析和更动态的纵向分析均表明，疾病不确定性与焦虑、消极情绪、回避性和被动性应对显著相关。当控制变量疼痛无助被包括为协变量时，它与抑郁的正向关系被消除。在纵向上，疾病不确定性与人际压力日常事件相互作用，预测积极情绪减弱的报告，这表明疾病不确定性是压力时期情感障碍的风险因素。讨论了这些结果对治疗干预的影响。
Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain condition poorly understood in terms of etiology and treatment by both physicians and patients. This condition of “uncertainty of illness” was examined as a variable involved in the adjustment of FMS patients, relating it to their depression, anxiety, affect, and coping styles. Fifty-one community-residing FMS patients provided self-report information on subsets of adjustment variables. Both cross-sectional and more dynamic longitudinal analyses showed that illness uncertainty was significantly associated with anxiety, negative affect, and avoidant and passive coping. Its positive relationship with depression was eliminated when a control variable, pain helplessness, was included as a covariate. Longitudinally, illness uncertainty interacted with interpersonally stressful daily events in predicting reports of reduced positive affect, suggesting that illness uncertainty acts as a risk factor for affective disturbances during stressful times. Implications of these results for therapeutic interventions are discussed.