Schneiderman N, Antoni M H, Saab P G, Ironson G
Department of Psychology, University of Miami, Coral Gables, Florida 33124-2070, USA.
Annu Rev Psychol. 2001;52:555-80. doi: 10.1146/annurev.psych.52.1.555.
Psychosocial factors appear to impact upon the development and progression of such chronic diseases as coronary heart disease, cancer, and HIV/AIDS. Similarly, psychosocial interventions have been shown to improve the quality of life of patients with established disease and seem to influence biological processes thought to ameliorate disease progression. Small-scale studies are useful for specifying the conditions under which psychosocial factors may or may not impact quality of life, biological factors, and disease progression. They are also useful for informing us about the conditions under which psychosocial interventions can serve as adjuvants (e.g. adherence training) to medical treatments. Only large-scale clinical trials, however, can determine the extent to which these psychosocial interventions may impact morbidity and mortality.
社会心理因素似乎会影响诸如冠心病、癌症和艾滋病毒/艾滋病等慢性疾病的发展和进程。同样，社会心理干预已被证明可以改善已患疾病患者的生活质量，并且似乎会影响那些被认为能改善疾病进程的生物过程。小规模研究有助于明确社会心理因素可能影响或不影响生活质量、生物因素和疾病进程的条件。它们还能让我们了解社会心理干预可作为医疗辅助手段（如依从性训练）的条件。然而，只有大规模临床试验才能确定这些社会心理干预可能对发病率和死亡率产生影响的程度。
