Social support, stress and functional status in patients with osteoarthritis.
Social support, stress and functional status in patients with osteoarthritis.
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骨关节炎患者的社会支持、压力和功能状态。
DOI：
10.1016/0277-9536(90)90353-t
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Hiner,SL
中科院分区：
文献类型：
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作者：
Weinberger,M;Tierney,WM;Booher,P;Hiner,SL
我们调查了 439 名骨关节炎 (OA) 患者的社会支持、压力和功能状态之间的关系。骨关节炎是影响美国成年人最常见的疾病之一，是导致功能障碍、发病和医疗资源利用的主要原因。这项研究探讨了社会支持对健康的影响是直接的还是间接的（即仅当受访者面临压力源时才存在）。我们还想探讨功能状态与特定支持维度（即自尊、评价、归属感和有形支持）之间的关系。使用关节炎影响测量量表（AIMS）评估功能状态（心理残疾、身体残疾、疼痛）。多元回归表明，暴露于压力源和低自尊支持与所有 AIMS 维度的残疾增加有关；评估支持与任何 AIMS 分数均不相关。此外，身体残疾与年龄较大和缺乏有形支持有关（R2 = 0.17）；年龄较小、白人、归属感支持较少导致心理障碍（R2= 0.47）；以及年轻、白人和受教育程度较低的痛苦（R2= 0.15）。在任何情况下，缓冲模型都没有经验支持。在预测功能状态时，自尊似乎是最多的，而评价是最少的，一致的社会支持维度。虽然暴露于压力源会对 AIMS 的所有维度产生负面影响，但其对心理残疾的影响最大。我们的结论是，社会支持对功能状态有直接而非间接的影响。未来的研究应单独考虑不同社会支持维度的影响。
We investigated the relationship among social support, stress and functional status in 439 patients with osteoarthritis (OA). OA is among the most prevalent diseases affecting American adults and is a major contributor to functional impairment, morbidity, and utilization of health care resources. This study examines whether the impact of social support upon health was direct or indirect (i.e. it was present only when respondents were exposed to stressors). We also wanted to explore the relationship between functional status and specific dimensions of support (i.e. self-esteem, appraisal, belonging, and tangible support). Functional status (psychological disability, physical disability, pain) was assessed with the Arthritis Impact Measurement Scales (AIMS). Multiple regression suggested that exposure to stressors and low self-esteem support were associated with increased disability along all AIMS dimensions; appraisal support was not correlated with any AIMS score. Also, physical disability was associated with being older and having less tangible support (R2= 0.17); psychological disability with being younger, caucasian, and having less belonging support (R2= 0.47); and pain with being younger, caucasian and having less education (R2= 0.15). In no instance was there empirical support for the buffering model. Self-esteem appeared to be the most, and appraisal the least, consistent social support dimension when predicting functional status. While exposure to stressors negatively affected all AIMS dimensions, its impact was greatest with respect to psychological disability. We conclude that social support had a direct, rather than indirect, impact on functional status. Future research should consider separately the impact of distinct social support dimensions.