Function, disability, and psychological well-being.

Advances in Psychosomatic Medicine Pub Date : 2006-07-26 DOI:10.1159/000095365

P. Katz

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引用次数: 30

Abstract

Disability research in arthritis, as in disability research in general, has focused on functional limitations and activities of daily living/instrumental activities of daily living (ADL/IADL) disability, and has thus ignored a great deal of daily life. Unfortunately, the areas of life that have been ignored may be those that are most important to individuals, and may also be the most sensitive to the first signs of developing disability. The ability to perform valued life activities, the wide range of activities that individuals find meaningful or pleasurable above and beyond activities that are necessary for survival or self-sufficiency, has strong links to psychological well-being--in some cases, stronger links than functional limitations and disability in basic activities of daily living. A broader assessment of disability has great potential for interrupting the disablement and distress process, thereby improving the quality of life of individuals with arthritis. Assessment of the effects of arthritis, pain, or other chronic health conditions should expand beyond assessment of functional limitations and disability in basic activities to include assessment of disability in advanced, valued activities.

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功能、残疾和心理健康。

与一般的残疾研究一样，关节炎的残疾研究主要集中在功能限制和日常生活活动/工具性日常生活活动(ADL/IADL)残疾上，因此忽略了大量的日常生活。不幸的是，被忽视的生活领域可能是对个人最重要的，也可能是对发展残疾的最初迹象最敏感的。进行有价值的生活活动的能力，即在生存或自给自足所必需的活动之外，个人认为有意义或愉快的广泛活动，与心理健康有很强的联系——在某些情况下，这种联系比日常生活基本活动的功能限制和残疾更强。更广泛的残疾评估对中断残疾和痛苦过程具有巨大的潜力，从而改善关节炎患者的生活质量。对关节炎、疼痛或其他慢性健康状况影响的评估应扩展到功能限制和基本活动残疾的评估之外，包括对高级、有价值活动残疾的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Psychosomatic Medicine

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发文量

期刊介绍： The importance of psychosomatic research has been greatly reinforced by evidence demonstrating that psychological phenomena may have distinct effects on human health. Recognizing the complexity of interactions between personality and physical illness, this series employs an interdisciplinary strategy to explore areas where knowledge from psychosomatic medicine may aid in the prevention of specific diseases or help meet the emotional demands of hospitalized patients. In each work, the editor has managed to bring together distinguished contributors, creating a series of coherent and comprehensive reviews on a variety of novel topics.