Effects of optimism/pessimism and locus of control on disability and quality of life in Parkinson's disease
Effects of optimism/pessimism and locus of control on disability and quality of life in Parkinson's disease
复制标题
DOI：
10.1016/j.parkreldis.2009.03.005
复制
发表时间：
2009-11-01
影响因子：
4.1
通讯作者：
Shulman, Lisa M.
中科院分区：
文献类型：
--
作者：
Gruber-Baldini, Ann L.;Ye, Jian;Shulman, Lisa M.
目的：评估帕金森病患者的乐观/悲观情绪和心理控制源，并评价其对残疾和健康相关生活质量的影响。方法：对99例帕金森病患者进行生活定向测验、多维健康心理控制源、美国老年人日常生活资源与服务能力量表和简明健康状况调查。疾病分期和严重程度的测量由运动障碍专家完成。相关分析和多元回归分析比较了乐观/悲观和心理控制源与残疾和健康相关的生活质量。结果：较高的乐观和较少的悲观情绪与较好的心理健康生活质量相关。更大的内部控制点与更少的残疾相关。在控制疾病严重程度时，这些结果仍然显著。结论：帕金森病患者的低乐观或高悲观与生活质量下降有关。内部控制源较少的患者残疾程度较高。促进个人控制和积极态度的干预措施可能有助于减少帕金森氏症的残疾和提高生活质量。(C)2009爱思唯尔有限公司。保留所有权利。
Purpose: To assess optimism/pessimism and locus of control in a sample of Parkinson's disease patients and to evaluate their impact on disability and health-related quality of life.Methods: 99 patients with Parkinson's disease completed the Life Orientation Test, Multidimensional Health Locus of Control, Older Americans Resource and Services Activities of Daily Living Subscale, and Short Form-12 Health Status Survey. Disease stage and severity measures were completed by movement disorder specialists. Correlations and multivariate regressions compared optimism/pessimism and locus of control with disability and health-related quality of life.Results: Higher optimism and less pessimism were associated with better mental health quality of life. Greater internal locus of control was associated with less disability. These results remained significant when controlling for disease severity.Conclusions: Low optimism or high pessimism is associated with reduced quality of life in Parkinson's disease. Patients with less internal locus of control have greater disability. Interventions that promote personal control and positive attitudes may assist in reducing disability and improving quality of life in Parkinson's disease. (C) 2009 Elsevier Ltd. All rights reserved.