McCracken James, Lindner Helen, Sciacchitano Laura
School of Psychological Science, La Trobe University, Bundoora, Australia.
J Allied Health. 2008 Spring;37(1):30-7.
Chronic illnesses are a significant issue across many health professional domains, becoming an increasing burden on limited and costly resources. The current study investigated the relationship between secondary beliefs and emotional responses, beyond the relationship accounted for by illness perceptions, using the framework of Rational Emotive Behavior Therapy. Sixty-five adults with arthritis participated in the questionnaire-based study. Multivariate analysis found that different emotional representations of the illness were significantly predicted by the individual's secondary belief, above and beyond that predicted by the cognitive representation of their illness alone. The study found that individuals who utilized an achievement secondary belief experienced feelings of worry, whereas individuals who used an approval orientation to understand their arthritis experienced emotions such as depression, being upset, anger, anxiety, and fear. No significant pattern emerged for individuals who used a comfort secondary belief to understand their arthritis. These findings are in line with the theory of secondary beliefs, as articulated by Rational Emotive Behavior Therapy.
慢性病是许多健康专业领域中的一个重大问题，对有限且昂贵的资源造成了日益沉重的负担。本研究使用理性情绪行为疗法的框架，调查了次要信念与情绪反应之间的关系，超越了疾病认知所解释的关系。65名患有关节炎的成年人参与了这项基于问卷的研究。多变量分析发现，疾病的不同情绪表征由个体的次要信念显著预测，超出了仅由其疾病认知表征所预测的范围。研究发现，采用成就次要信念的个体体验到担忧情绪，而采用认可取向来理解自身关节炎的个体则体验到诸如抑郁、心烦、愤怒、焦虑和恐惧等情绪。对于采用安慰次要信念来理解自身关节炎的个体，未出现显著模式。这些发现与理性情绪行为疗法所阐述的次要信念理论一致。
