Psychological Predictors of Fatigue, Work and Social Adjustment, and Psychological Distress in Rheumatology Outpatients

IF 1.3 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology Pub Date : 2019-06-03 DOI:10.1027/2512-8442/A000024

F. Matcham, Sheila Ali, K. Irving, T. Chalder

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引用次数: 0

Abstract

Abstract. This study aims to investigate the longitudinal relationships between psychological variables and follow-up levels of fatigue, work and social adjustment, and psychological distress in people with rheumatic diseases. The study is a prospective observational study. Patients attending rheumatology outpatient appointments completed a questionnaire during their hospital visit and were mailed a follow-up questionnaire either at their next appointment or via postal questionnaire. Multivariate linear regression models examined the association between baseline cognitive behavioral responses, personality, social support and acceptance and follow-up levels of fatigue, work and social adjustment, and psychological distress, adjusting for age, gender, disease duration, and the length of time between baseline and follow-up. A total of 108 patients completed the follow-up questionnaires. The biggest predictors of having high levels of fatigue at follow-up were increased baseline damage beliefs and behavioral avoidance. Behavioral avoidance at baseline also had a strong relationship with worsened work and social adjustment at follow-up. The biggest predictor of psychological distress at follow-up was a lack of fatigue acceptance at baseline.

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风湿病门诊病人疲劳、工作与社会适应及心理困扰的心理预测因素

摘要本研究旨在探讨风湿病患者疲劳、工作与社会适应、心理困扰等心理变量与随访水平的纵向关系。本研究为前瞻性观察性研究。参加风湿病门诊预约的患者在医院就诊期间完成一份问卷，并在下次预约时或通过邮寄问卷邮寄一份后续问卷。多变量线性回归模型检验了基线认知行为反应、个性、社会支持和接受度与疲劳、工作和社会适应的随访水平以及心理困扰之间的关系，调整了年龄、性别、疾病持续时间以及基线和随访之间的时间长度。共有108例患者完成了随访问卷。在随访中出现高水平疲劳的最大预测因素是基线损伤信念的增加和行为回避。基线时的行为回避与随访时的工作和社会适应恶化也有密切关系。在随访中，心理困扰的最大预测因子是基线时缺乏疲劳接受度。

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

European Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.