Assessing the impact of self-efficacy beliefs on adaptation to rheumatoid arthritis.
Assessing the impact of self-efficacy beliefs on adaptation to rheumatoid arthritis.
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DOI：
10.1002/art.1790040404
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发表时间：
1991-12
期刊：
影响因子：
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通讯作者：
K. Schiaffino;Tracey A. Revenson;A. Gibofsky
中科院分区：
文献类型：
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作者：
K. Schiaffino;Tracey A. Revenson;A. Gibofsky
本文考察了101例新近确诊的成人类风湿性关节炎(RA)患者的自我效能信念对问题解决应对、功能残疾和心理健康的影响。数据来自于对RA发病的心理社会适应的纵向研究。自我效能信念与同时和一年后评估的较少的功能障碍相关。自我效能信念也与一年后更多地使用解决问题的应对方式有关。在1年后的抑郁预测中，疼痛和自我效能信念之间存在交互作用：在低疼痛时，自我效能信念与抑郁无关，但在高疼痛水平时，更高的自我效能与更大的抑郁有关。最后，问题解决应对在残疾与初始自我效能感之间起到了中介作用。对于疼痛、自我效能信念和应对的不同模式，相对于功能状态和心理状态，我们进行了讨论。
This article examines the influence of self-efficacy beliefs on problem-solving coping, functional disability, and psychological well-being for 101 recently diagnosed adult patients with rheumatoid arthritis (RA). Data were drawn from a longitudinal study of psychosocial adaptation to the onset of RA. Self-efficacy beliefs were associated with less functional disability assessed concurrently and 1 year later. Self-efficacy beliefs were also associated with greater use of problem-solving coping 1 year later. There was an interaction between pain and self-efficacy beliefs in the prediction of depression 1 year later: at low pain, self-efficacy beliefs were unrelated to depression, but at higher levels of pain, greater self-efficacy was related to greater depression. Finally, problem-solving coping mediated the relationship between disability and initial self-efficacy beliefs. The distinct patterns that emerge for pain, self-efficacy beliefs, and coping, with respect to functional status as compared to psychological status, are discussed.