Nagyova Iveta, Stewart Roy E, Macejova Zelmira, van Dijk Jitse P, van den Heuvel Wim J A
Institute of Social Sciences, Faculty of Science, University of PJ Safarik, Moyzesova 16, 04001 Kosice, Slovakia.
Patient Educ Couns. 2005 Jul;58(1):55-62. doi: 10.1016/j.pec.2004.06.011.
The aim of this study was to determine whether self-esteem and adjustment to disease can mediate the association between pain and psychological well-being in patients with Rheumatoid Arthritis (RA). Coefficients of correlation, multiple linear regressions and Structural Equation Model (SEM) were employed in order to examine the direct and indirect relationships between pain, self-esteem, adjustment to disease and psychological well-being in a sample of 160 recently-diagnosed RA-patients. The outcomes of the analyses indicate that self-esteem and adjustment to disease are important links between pain and psychological well-being. Moreover, the results suggest the increasing importance of personality variables in mediating the relationship between pain and psychological well-being as the disease advances. The findings provide evidence for considerations that psychosocial interventions, focused on increasing the self-esteem and improving the adjustment to disease, may reduce the impact of pain on patients' psychological well-being and quality of life in general.
本研究的目的是确定自尊和对疾病的适应是否能够介导类风湿性关节炎（RA）患者疼痛与心理健康之间的关联。为了检验160例近期诊断的RA患者样本中疼痛、自尊、对疾病的适应和心理健康之间的直接和间接关系，使用了相关系数、多元线性回归和结构方程模型（SEM）。分析结果表明，自尊和对疾病的适应是疼痛与心理健康之间的重要联系。此外，结果表明，随着疾病进展，人格变量在介导疼痛与心理健康之间的关系中变得越来越重要。研究结果为以下考虑提供了证据：专注于提高自尊和改善对疾病适应的心理社会干预措施，可能会减轻疼痛对患者心理健康和总体生活质量的影响。
