School of Education and Social Inclusion, Trinity College, Carmarthen, UK.
Psychol Health. 2009 Dec;24(10):1181-96. doi: 10.1080/08870440802398188.
The present study reports an application of the common sense model (CSM) of illness representations to the prediction of psychological distress in people with Parkinson's disease (PD). The study sought to (i) examine cross-sectional and prospective associations between illness representations, coping and psychological distress, and (ii) test the hypothesis that coping would mediate any relationships between illness representations and psychological distress. Patients with PD (n = 58) completed the Illness Perception Questionnaire-Revised, the Medical Coping Modes Questionnaire and the Hospital Anxiety and Depression Scale. Patients (n = 57) were followed-up at 6 months. Illness representations explained large amounts of variance in time 1 anxiety (R(2) = 0.42) and depression (R(2) = 0.44) as well as additional variance in time 2 anxiety (DeltaR(2) = 0.12) and depression (DeltaR(2) = 0.09) after controlling for baseline scores. In addition, avoidance mediated the effect of emotional representations on time 1 anxiety, and acceptance-resignation mediated the effects of both consequences and emotional representations on time 1 depression. The present study therefore provides partial support for the mediational model outlined in the CSM, as significant mediation effects were found only in the cross-sectional analyses.
本研究报告了将疾病认知模式（CSM）应用于预测帕金森病（PD）患者心理困扰的研究。本研究旨在：（i）检验疾病认知、应对方式与心理困扰之间的横断面和前瞻性关联；（ii）检验应对方式在疾病认知与心理困扰之间的关系中起中介作用的假设。共 58 名 PD 患者完成了修订后的疾病感知问卷、医学应对方式问卷和医院焦虑抑郁量表。其中 57 名患者在 6 个月时进行了随访。在控制基线得分后，疾病认知在时间 1 的焦虑（R²=0.42）和抑郁（R²=0.44）以及时间 2 的焦虑（DeltaR²=0.12）和抑郁（DeltaR²=0.09）中解释了大量的方差。此外，回避在情感认知对时间 1 焦虑的影响中起中介作用，接受-放弃在后果和情感认知对时间 1 抑郁的影响中起中介作用。因此，本研究为 CSM 中概述的中介模型提供了部分支持，因为仅在横断面分析中发现了显著的中介效应。
