PSYCHOSOCIAL STATUS IN CHRONIC ILLNESS - A COMPARATIVE-ANALYSIS OF 6 DIAGNOSTIC GROUPS
PSYCHOSOCIAL STATUS IN CHRONIC ILLNESS - A COMPARATIVE-ANALYSIS OF 6 DIAGNOSTIC GROUPS
复制标题
DOI：
10.1056/nejm198408233110805
复制
发表时间：
1984-01-01
影响因子：
158.5
通讯作者：
TENAGLIA, AN
中科院分区：
文献类型：
--
作者：
CASSILETH, BR;LUSK, EJ;TENAGLIA, AN
Assumptions that psychological attributes are specific to particular diagnoses characterize many investigations of chronically ill patients. Patients (768), each of whom had 1 of 6 different chronic illnesses, were studied to determine and compare their scores on the Mental Health Index. Five groups of physically ill patients (with arthritis, diabetes, cancer, renal disease or dermatologic disorders) did not differ significantly from one another or from the general public, but all had significantly higher scores for psychological status when compared with the 6th group, patients under treatment for depression. There was a significant direct relation between higher mental-health scores and advancing age across all patient populations. Patients with recently diagnosed illness in all groups had poorer mental-health scores than did patients whose illness had been diagnosed > 4 mo. previously. A direct relation between declining physical status and mental-health scores was observed. Psychological adaptation among patients with chronic illnesses is remarkably effective and fundamentally independent of specific diagnosis.
