Lacroix J M, Martin B, Avendano M, Goldstein R
Glendon College, York University.
Health Psychol. 1991;10(4):268-73. doi: 10.1037//0278-6133.10.4.268.
In view of evidence that illness prognoses and adaptive functioning may be influenced by the accuracy of people's knowledge about their physical symptoms, the present study extended these findings to the chronic care population. It was hypothesized that individuals hold beliefs and develop theories about their physical symptoms and that the accuracy of these beliefs is predictive of the individuals' general level of adaptive functioning. A modified version of an instrument designed to measure the accuracy of illness schemata was employed with a sample of 31 chronic respiratory patients. Accuracy rating correlated positively and significantly with ratings of adaptive functioning, whereas no relationship was observed between adaptive functioning and severity of the patients' medical condition. Well-informed patients functioned at a higher level physically, psychologically, and socially than less-informed patients. These findings point to the importance of patient education for prognosis. Possible mediating factors are discussed.
鉴于有证据表明疾病预后和适应性功能可能会受到人们对自身身体症状认知准确性的影响，本研究将这些发现扩展至慢性病护理人群。研究假设个体对自身身体症状持有信念并形成相关理论，且这些信念的准确性可预测个体的总体适应性功能水平。使用了一种经修改的旨在测量疾病图式准确性的工具，对31名慢性呼吸道疾病患者进行了抽样调查。准确性评分与适应性功能评分呈显著正相关，而适应性功能与患者病情严重程度之间未观察到相关性。信息充分的患者在身体、心理和社会功能方面的表现优于信息不足的患者。这些发现表明患者教育对预后的重要性。文中还讨论了可能的中介因素。
