Thinking positively about chronic illness: An exploration of optimism, illness perceptions and well-being in patients with Parkinson's disease.
Thinking positively about chronic illness: An exploration of optimism, illness perceptions and well-being in patients with Parkinson's disease.
复制标题
积极思考慢性疾病：对帕金森病患者的乐观态度、疾病认知和幸福感的探索。
DOI：
10.1111/bjhp.12043
复制
发表时间：
2014
影响因子：
7.9
通讯作者：
Richard G. Brown
中科院分区：
文献类型：
--
作者：
C. Hurt;D. Burn;J. Hindle;M. Samuel;K. Wilson;Richard G. Brown
目标
对疾病持有积极的信念和乐观的前景与一系列健康状况的幸福感增加有关。然而，研究表明，非常乐观实际上可能并不有益，并且保持现实的态度在某些形式的慢性疾病中更具适应性，例如帕金森病（PD）。本研究旨在探索疾病感知、乐观和幸福感之间关系的本质：具体而言，线性或非线性关系是否最能描述数据。此外，提出的调节作用的乐观的疾病的看法和幸福之间的关系进行了测试。
设计
共有109名特发性PD参与者完成了疾病感知，乐观，情绪和健康相关生活质量（HRQoL）的问卷测量。
方法
多元回归分析被用来探讨疾病的看法，乐观，情绪和HRQoL之间的关系。疾病的看法和乐观的潜在曲线效应建模使用平方变量和线性和二次曲线估计。
结果
持有积极的疾病观念预示着更好的幸福感。研究发现乐观与情绪之间存在非线性关系，乐观对特定疾病认知与结果之间的关系有显著的调节作用。
结论
乐观似乎提供了一些疾病的负面看法的保护，并与更好的情绪和HRQoL。研究结果表明，特定的疾病的看法可能是有益的治疗目标。治疗干预应侧重于提高PD的积极看法，但可能更重要的是一般的乐观态度，以最大限度地提高幸福感。
缴款说明书
在这个问题上，我们已经知道了什么？积极的疾病认知和高度乐观与一系列慢性和急性疾病的健康状况有关。初步研究表明，在慢性退行性疾病中，显著的积极乐观对幸福的中等乐观水平没有额外的好处，并且与适应性应对的使用较少有关。这项研究增加了什么？乐观情绪缓和了特定负面疾病感知对帕金森病患者幸福感的影响。没有证据表明，不切实际的积极疾病的看法是有害的福祉。适应性疾病感知可能是条件特异性的。
OBJECTIVES
Holding positive beliefs about illness and having an optimistic outlook have been associated with increased well-being across a range of health conditions. However, research has indicated that being very optimistic may not actually be beneficial, and holding a realistic attitude is more adaptive in some forms of chronic illness, for example, Parkinson's disease (PD). This study aimed to explore the nature of relationships between illness perceptions, optimism and well-being: specifically, whether a linear or non-linear relationship best described the data. Additionally, the proposed moderating effect of optimism on the relationship between illness perceptions and well-being was tested.
DESIGN
A total of 109 participants with idiopathic PD completed questionnaire measures of illness perception, optimism, mood and health-related quality of life (HRQoL).
METHODS
Multiple regression analyses were used to explore relationships between illness perceptions, optimism, mood and HRQoL. The potential curvilinear effects of illness perceptions and optimism were modelled using squared variables and linear and quadratic curve estimation.
RESULTS
Holding positive illness perceptions predicted better well-being. Some evidence for a non-linear relationship between optimism and mood was found. Optimism had a significant moderating effect on the relationship between specific illness perceptions and outcome.
CONCLUSIONS
Optimism appears to provide protection against some negative perceptions of illness and was associated with better mood and HRQoL. The findings indicate that specific illness perceptions may be beneficial targets for therapy. Therapeutic interventions should focus on enhancing positive perceptions of PD but potentially more importantly general optimistic attitude to maximize well-being.
STATEMENT OF CONTRIBUTION
What is already known on this subject? Positive illness perceptions and high optimism are associated with better well-being in a range of conditions, both chronic and acute. Preliminary studies suggest that in chronic degenerative diseases, marked positive optimism confers no additional benefit over medium levels of optimism for well-being and is associated with less use of adaptive coping. What does this study add? Optimism moderates the effects of specific negative illness perceptions on well-being in Parkinson's disease. No evidence was found that unrealistic positive illness perceptions are detrimental to well-being. Adaptive illness perceptions may be condition specific.
影响因子：
7.6
作者：
SCHEIER, MF;CARVER, CS;BRIDGES, MW
通讯作者：
BRIDGES, MW
DOI：
10.1176/appi.ajp.2011.10111669
发表时间：
2011-10
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Dobkin RD;Menza M;Allen LA;Gara MA;Mark MH;Tiu J;Bienfait KL;Friedman J
通讯作者：
Friedman J
影响因子：
5.9
作者：
DeRubeis,RJ;Evans,MD;Hollon,SD;Garvey,MJ;Grove,WM;Tuason,VB
通讯作者：
Tuason,VB