Stewart M W, Knight R G
Psychology Department, University of Otago, PO Box 56, Dunedin, New Zealand.
Arthritis Care Res. 1991 Sep;4(3):116-22. doi: 10.1002/art.1790040303.
Affective state and utilization of coping strategies are factors that may be related to pain and disability in chronic disease, but may also be interrelated. The relationship of coping strategies and affect to both concurrent and 18-month follow-up pain and disability was studied in 60 women with rheumatoid or psoriatic arthritis of < 8 years' duration. The type of coping strategy used was not associated with concurrent mood level. After accounting for physical variables, mood and strategy use were significantly, and largely independently, related to concurrent pain and disability measures. Future disability was not predicted by either mood or coping strategy use. These results show that mood and use of coping strategies are significantly related to concurrent function but, perhaps due to the variable nature of the disease process, are not predictive of future function. The clinical implications of this study are that interventions to promote better adjustment for people with rheumatoid or psoriatic arthritis should target both mood and coping strategies, as both may contribute independently to adjustment.
情感状态和应对策略的运用是可能与慢性病中的疼痛和残疾相关的因素，但它们之间也可能相互关联。本研究对60名病程小于8年的类风湿性关节炎或银屑病关节炎女性患者进行了调查，探讨应对策略和情感与同时期以及18个月随访期的疼痛和残疾之间的关系。所采用的应对策略类型与同时期的情绪水平无关。在考虑了身体变量之后，情绪和策略运用与同时期的疼痛和残疾指标显著相关，且在很大程度上相互独立。情绪或应对策略的运用均无法预测未来的残疾情况。这些结果表明，情绪和应对策略的运用与同时期的功能显著相关，但可能由于疾病过程的多变性，无法预测未来的功能。本研究的临床意义在于，针对类风湿性关节炎或银屑病关节炎患者促进更好适应的干预措施应同时针对情绪和应对策略，因为二者可能独立地对适应产生影响。
