乐观/悲观和控制源对帕金森病残疾和生活质量的影响。
Effects of optimism/pessimism and locus of control on disability and quality of life in Parkinson's disease.
机构信息
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
出版信息
Parkinsonism Relat Disord. 2009 Nov;15(9):665-9. doi: 10.1016/j.parkreldis.2009.03.005. Epub 2009 Apr 10.
PURPOSE
To assess optimism/pessimism and locus of control in a sample of Parkinson's disease patients and to evaluate their impact on disability and health-related quality of life.
METHODS
99 patients with Parkinson's disease completed the Life Orientation Test, Multidimensional Health Locus of Control, Older Americans Resource and Services Activities of Daily Living Subscale, and Short Form-12 Health Status Survey. Disease stage and severity measures were completed by movement disorder specialists. Correlations and multivariate regressions compared optimism/pessimism and locus of control with disability and health-related quality of life.
RESULTS
Higher optimism and less pessimism were associated with better mental health quality of life. Greater internal locus of control was associated with less disability. These results remained significant when controlling for disease severity.
CONCLUSIONS
Low optimism or high pessimism is associated with reduced quality of life in Parkinson's disease. Patients with less internal locus of control have greater disability. Interventions that promote personal control and positive attitudes may assist in reducing disability and improving quality of life in Parkinson's disease.
目的
评估帕金森病患者样本中的乐观/悲观情绪和控制源，并评估它们对残疾和健康相关生活质量的影响。
方法
99 名帕金森病患者完成了生活取向测试、多维健康控制源、美国老年人资源和服务日常生活活动量表以及简短形式 12 项健康状况调查。运动障碍专家完成了疾病阶段和严重程度的测量。相关性和多元回归比较了乐观/悲观情绪与残疾和健康相关生活质量之间的关系。
结果
更高的乐观情绪和更少的悲观情绪与更好的心理健康生活质量相关。更大的内部控制源与较少的残疾相关。当控制疾病严重程度时，这些结果仍然具有统计学意义。
结论
低乐观或高悲观与帕金森病患者生活质量降低有关。内部控制源较小的患者残疾程度更大。促进个人控制和积极态度的干预措施可能有助于减少帕金森病患者的残疾并提高生活质量。
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