Lobban F, Barrowclough C, Jones S
Department of Clinical Psychology, The University of Liverpool, Liverpool, UK.
Psychol Med. 2004 Oct;34(7):1165-76. doi: 10.1017/s003329170400203x.
Using the theoretical framework of the Self Regulation Model (SRM), many studies have demonstrated that beliefs individuals hold about their physical health problems are important in predicting health outcomes. This study tested the SRM in the context of a mental health problem, schizophrenia.
One hundred and twenty-four people with a diagnosis of schizophrenia were assessed on measures of symptom severity, beliefs about their mental health problems, coping and appraisal of outcome at two time points, 6 months apart.
Using multivariate analyses and controlling for severity of symptoms, beliefs about mental health were found to be significant predictors of outcome. Beliefs about greater negative consequences were the strongest and most consistent predictors of a poorer outcome in both cross-sectional and longitudinal analyses.
These results suggest that the SRM is a promising model for mental health problems and may highlight important areas for development in clinical, and especially psychosocial interventions.
许多研究运用自我调节模型（SRM）的理论框架表明，个体对自身身体健康问题的信念在预测健康结果方面具有重要意义。本研究在精神健康问题——精神分裂症的背景下对SRM进行了测试。
124名被诊断为精神分裂症的患者在两个时间点（间隔6个月）接受了症状严重程度、对自身精神健康问题的信念、应对方式及结果评估等方面的测量。
通过多变量分析并控制症状严重程度后发现，对精神健康的信念是结果的显著预测因素。在横断面和纵向分析中，对更大负面后果的信念是较差结果的最强且最一致的预测因素。
这些结果表明，SRM是一个针对精神健康问题很有前景的模型，可能会突出临床尤其是心理社会干预中重要的发展领域。
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