Boersma Sandra N, Maes Stan, Joekes Katherine, Dusseldorp Elise
Health and Medical Psychology, Faculty of Social and Behavioral Sciences, Leiden University, The Netherlands.
J Health Psychol. 2006 Nov;11(6):927-41. doi: 10.1177/1359105306069095.
Goal theory suggests that both goal attainment and psychological processes concerning goal pursuit can influence a patient's (health-related) quality of life (HRQL) (e.g. Carver & Scheier, 1999). In the present longitudinal study, 46 MI patients completed questionnaires shortly after hospitalization and four months later, assessing a health, social and individual goal for the coming year, goal conflict, goal self-efficacy, goal attainment and HRQL. The results of a multiple regression analysis suggest that both goal conflict and goal self-efficacy predict goal attainment. Furthermore, goal self-efficacy appeared to be an independent predictor of physical and social HRQL. Goal attainment had a medium effect on social HRQL, but its effect was mediated by goal conflict and goal self-efficacy. A goal theory perspective seems to offer additional insights into HRQL after an MI.
目标理论表明，目标的实现以及与目标追求相关的心理过程都会影响患者的（与健康相关的）生活质量（HRQL）（例如，Carver和Scheier，1999年）。在本纵向研究中，46名心肌梗死患者在住院后不久及四个月后完成了问卷调查，评估来年的健康、社会和个人目标、目标冲突、目标自我效能感、目标实现情况以及生活质量。多元回归分析结果表明，目标冲突和目标自我效能感都能预测目标的实现。此外，目标自我效能感似乎是身体和社会生活质量的独立预测因素。目标实现对社会生活质量有中等程度的影响，但其影响是由目标冲突和目标自我效能感介导的。目标理论视角似乎为心肌梗死后的生活质量提供了更多见解。
