Ellern Eng Hui, Pei Boon Ooi, Sook Khuan Chow, Jung Shan Hwang, Suat Cheng Peh, Jane Kimm Lii Teh, Shin Ling Wu, Wan Syamimee Wan Ghazali, Siew Mooi Ching
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引用次数: 0
摘要
研究背景随着人们对心理因素在慢性疾病管理中的作用的认识不断提高，本研究探讨了心理特征（勇气、自我效能感、复原力和与自然相关性）的相互作用及其对马来西亚类风湿性关节炎（RA）患者生活质量（QoL）的共同影响：马来西亚一家私立医院对 222 名类风湿关节炎患者进行了横断面研究。数据收集采用了经过验证的量表，包括康纳-戴维森复原力量表、简短勇气量表、自然相关性量表和关节炎自我效能量表。Pearson Product-moment Correlation 分析评估了变量之间的关系，多重中介分析探讨了复原力、勇气和自我效能对自然相关性与 QoL 之间关系的中介作用：在 222 名参与者（86% 为女性，平均年龄 = 56.03，S.D. = 13.42）中，分析表明抗逆力在 RA 患者的自然相关性与 QoL 之间的关系中具有显著的中介作用（b = -.117，SE = .042，95% BCa CI [-.208，-.046]）。虽然勇气和自我效能与 QoL 呈正相关，但它们在自然相关性与 QoL 的关系中并没有起到显著的中介作用。这凸显了在 RA 患者中建立抗逆意识的关键作用：RA患者不仅在心理特征（如勇气、自我效能感和一般复原力）方面具有复原力，而且在与自然环境的联系和互动（自然相关性）方面也表现出复原力。这一整体概念认识到，培养心理方面和个人环境方面的抗逆力对于促进整体健康至关重要，尤其是在管理像 RA 这样的慢性疾病时。它强调了心理因素和环境参与的相互关联性，这有助于个人在面临健康挑战时仍能应对并茁壮成长。
A survey exploring the nexus of psychological traits, nature connection, and quality of life among patients with rheumatoid arthritis.
Background: As the recognition of psychological factors in chronic illness management grows, this study examined the interplay of psychological traits - grit, self-efficacy, resilience, and nature-relatedness - and their collective impact on the Quality of Life (QoL) among patients with rheumatoid arthritis (RA) in Malaysia.
Methods: A cross-sectional study was conducted among 222 patients with RA at a private hospital in Malaysia. Utilizing validated scales, including the Connor-Davidson Resilience Scale, Short Grit Scale, Nature Relatedness Scale, and Arthritis Self Efficacy Scale, data were collected. Pearson Product-moment Correlation analyses assessed the relationships between variables, and a multiple mediation analysis explored the mediating effects of resilience, grit, and self-efficacy on the relationship between nature-relatedness and QoL.
Findings: Of the 222 participants (86% female, mean age = 56.03, S.D. = 13.42), the analysis revealed a significant mediating role of resilience in the relationship between nature-relatedness and QoL among RA patients (b = -.117, SE = .042, 95% BCa CI [-.208, -.046]). Although grit and self-efficacy positively correlated with QoL, they did not serve as significant mediators in the nature-relatedness - QoL relationship. This highlights the pivotal role of building a sense of resiliency among patients with RA.
Interpretation: Individuals with RA are not only resilient in terms of their psychological traits such as grit, self-efficacy, and general resilience but also exhibit resilience in their connection and interaction with the natural environment (nature-relatedness). This holistic concept recognizes that fostering resilience in both psychological aspects and the context of one's environment is crucial for promoting overall well-being, particularly in the management of chronic illnesses like RA. It emphasizes the interconnectedness of psychological factors and environmental engagement in contributing to an individual's ability to cope and thrive despite health challenges.
期刊介绍：
Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
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