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心血管疾病背景下的性别与社会支持

Gender and social support in the context of cardiovascular disease.

作者信息

Rueda Beatriz, Pérez-García Ana M

机构信息

Faculty of Psychology-UNED, C/Juan del Rosal, Madrid, Spain.

出版信息

Women Health. 2006;43(1):59-73. doi: 10.1300/J013v43n01_04.

Abstract

OBJECTIVE

Gender and social support (SS) can affect the level of adjustment to cardiovascular disease (CVD). In this study we attempted to determine the effects of both factors on negative mood state, quality of life (QOL) and perceived health control (PHC) in patients at high CVD risk or with CVD. We also tested for an interactive effect of gender and SS.

METHOD

One hundred and fifty-three chronic outpatients (89 females and 60 males; 4 provided no information on gender) were assessed. Levels of social support were measured. Other psychosocial variables included were negative mood state, domains of QOL (satisfaction and free time) and PHC.

RESULTS

The results, as expected, indicated main effects of gender and social support. Females experienced higher negative mood state and lower PHC in comparison with males. Patients with low SS reported less satisfaction, free time and PHC and had more negative mood state. No interaction of gender by social support was found.

CONCLUSIONS

Levels of social support and gender are important aspects that influence emotional and psychological functioning in patients with CVD. Specific interventions designed for females and individuals with poor emotional and instrumental support may contribute to positive changes in their adjustment.

摘要

目的

性别和社会支持(SS)会影响对心血管疾病(CVD)的适应水平。在本研究中,我们试图确定这两个因素对CVD高风险患者或CVD患者的负性情绪状态、生活质量(QOL)和感知健康控制(PHC)的影响。我们还测试了性别和SS的交互作用。

方法

对153名慢性门诊患者(89名女性和60名男性;4名未提供性别信息)进行了评估。测量了社会支持水平。纳入的其他心理社会变量包括负性情绪状态、QOL领域(满意度和自由时间)和PHC。

结果

正如预期的那样,结果表明了性别和社会支持的主效应。与男性相比,女性经历了更高的负性情绪状态和更低的PHC。社会支持水平低的患者报告的满意度、自由时间和PHC较低,且负性情绪状态更多。未发现性别与社会支持的交互作用。

结论

社会支持水平和性别是影响CVD患者情绪和心理功能的重要方面。针对女性以及情绪和工具性支持较差的个体设计的特定干预措施可能有助于他们在适应方面产生积极变化。

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