McQuillen Anita D, Licht Mark H, Licht Barbara G
Florida State University, Dept of Psychology, Tallahassee, FL 32306, USA.
Health Psychol. 2003 Sep;22(5):504-12. doi: 10.1037/0278-6133.22.5.504.
Seventy-four people with Parkinson's disease (PD) completed questionnaires and were interviewed to determine the degree to which the severity of PD and perceptions of primary and secondary control over PD predicted psychosocial adjustment. Significant unique contributions to PD-related participation restrictions were made by disease severity (positive relationship) and perceived internal secondary control (negative relationship). Also, participation restrictions had a significant direct effect, and disease severity and perceived internal secondary control significant indirect effects, on both depressive symptomatology and life satisfaction. Results are consistent with theories that suggest the importance of enhancing internal secondary control processes in situations in which actual control over objective circumstances is limited, such as with chronic and progressive diseases like PD.
74名帕金森病（PD）患者完成了问卷调查并接受了访谈，以确定PD的严重程度以及对PD的主要和次要控制感在多大程度上能够预测心理社会适应情况。疾病严重程度（正相关）和感知到的内部次要控制（负相关）对与PD相关的参与限制有显著的独特影响。此外，参与限制对抑郁症状和生活满意度有显著的直接影响，而疾病严重程度和感知到的内部次要控制对抑郁症状和生活满意度有显著的间接影响。研究结果与一些理论相一致，这些理论表明，在对客观情况的实际控制有限的情况下，如像PD这样的慢性和进行性疾病，增强内部次要控制过程非常重要。
