Social support in women with fibromyalgia: Is quality more important than quantity?
Social support in women with fibromyalgia: Is quality more important than quantity?
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DOI：
10.1002/jcop.20011
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发表时间：
2004-07-01
影响因子：
2.3
通讯作者：
Oliver, K
中科院分区：
文献类型：
--
作者：
Franks, HM;Cronan, TA;Oliver, K
本研究旨在探讨社会支持的质量和数量对纤维肌痛综合征（FMS）女性心理和身体健康的影响。参与者是568名女性，她们是健康维护组织（HMO）的成员，确诊为FMS。参与者接受了一系列评估他们心理和身体健康状况的问卷调查。包括抑郁、自我效能、无助感、情绪障碍、健康状况、FMS影响和社会支持的测量。回归分析表明，较大的社会支持网络与较高水平的疼痛和症状管理自我效能相关，而感知社会支持质量与较低水平的抑郁、无助、情绪障碍、EMS影响、较高水平的功能和症状管理自我效能以及整体心理健康相关。这些发现表明，社会支持的质量比数量更能决定FMS妇女的预后。因此，社会支助的质量对个人和整个社区具有重要的经济和社会心理影响。未来的研究应检查社会支持质量的纵向变化以及健康状况和心理福祉的相应变化，以及将旨在影响社会支持质量的操作纳入旨在提高FMS妇女福祉的社区干预措施的效果。(C) 2004 Wiley期刊有限公司
The present study is an examination of the effects of quality and quantity of social support on the psychological and physical well-being of women with fibromyalgia syndrome (FMS). Participants were 568 women who were members of a health maintenance organization (HMO) with a confirmed diagnosis of FMS. Participants were administered a battery of questionnaires assessing their psychological and physical well-being. Measures of depression, self-efficacy, helplessness, mood disturbance, health status, impact of FMS, and social support were included. Regression analyses indicated that larger social support networks were associated with greater levels of self-efficacy for pain and symptom management, while the perceived quality of social support was associated with lower levels of depression, helplessness, mood disturbance, impact of EMS, higher levels of self-efficacy for function and symptom management, as well as overall psychological well-being. These findings indicate that the quality of social support is more important than quantity in determining outcomes in women with FMS. Thus, the quality of social support has important financial and psychosocial implications for the individual and for the community as a whole. Future research should examine longitudinal changes in quality of social support and the corresponding changes in health status and psychological well-being, as well as the effects of integrating manipulations designed to affect the quality of social support into community interventions designed to enhance the well-being of women with FMS. (C) 2004 Wiley Periodicals, Inc.