Coutu Marie-France, Durand Marie-José, Baril Raymond, Labrecque Marie-Elise, Ngomo Suzy, Côté Daniel, Rouleau Annick
Rehabilitation Department, Centre for Action in Work Disability Prevention and Rehabilitation, Université de Sherbrooke, Longueuil, QC, Canada.
J Occup Rehabil. 2008 Dec;18(4):347-61. doi: 10.1007/s10926-008-9148-x. Epub 2008 Aug 22.
Musculoskeletal disorders are among the main causes of short- and long-term disability.
Identify the methods for assessing multidimensional components of illness representations.
An electronic literature search (French, English) from 1980 to the present was conducted in medical, paramedical and social science databases using predetermined key words. After screening titles and abstracts based on a specific set of criteria, sixty-four articles were reviewed.
Qualitative approaches for assessing illness representation were found mainly in the fields of anthropology and sociology and were based on the explanatory models of illness. The interviews reviewed were: the Short Explanatory Model Interview, the Explanatory Model of Illness Catalogue and the McGill Illness Narrative Interview. Quantitative approaches were found in the health psychology field and used the following self-administered questionnaires: the Survey of Pain Attitudes, the Pain Beliefs and Perceptions Inventory, the Pain Beliefs Questionnaire, the Fear-Avoidance Beliefs Questionnaire, the Implicit Model of Illness Questionnaire, the Illness Perception Questionnaire, including its derivatives, and the Illness Cognition Questionnaire.
This review shows the actual use and existence of multiple interviews and questionnaires in assessing multidimensional illness representations. All have been used and/or tested in a medical context but none have been tested in a work disability context. Further research will be needed to determine their suitability for use in a work disability context.
肌肉骨骼疾病是导致短期和长期残疾的主要原因之一。
确定评估疾病表征多维成分的方法。
使用预先确定的关键词,在医学、辅助医学和社会科学数据库中对1980年至今的文献进行电子检索(法语、英语)。根据一组特定标准筛选标题和摘要后,对64篇文章进行了综述。
评估疾病表征的定性方法主要见于人类学和社会学领域,基于疾病的解释模型。所综述的访谈包括:简短解释模型访谈、疾病目录解释模型访谈和麦吉尔疾病叙事访谈。定量方法见于健康心理学领域,使用以下自填式问卷:疼痛态度调查、疼痛信念与认知量表、疼痛信念问卷、恐惧回避信念问卷、疾病隐性模型问卷、疾病认知问卷(包括其衍生版本)以及疾病认知问卷。
本综述显示了在评估多维疾病表征时多种访谈和问卷的实际应用情况及存在情况。所有这些都已在医学背景下使用和/或测试,但均未在工作残疾背景下进行测试。需要进一步研究以确定它们在工作残疾背景下的适用性。