School of Social Work, Faculty of Social Welfare and Health Sciences, Haifa University, Haifa, Israel.
Clin J Pain. 2011 Mar-Apr;27(3):233-9. doi: 10.1097/AJP.0b013e3181fdabcf.
The study aimed to determine the degree to which social capital (a combination of social resources that can be beneficial to a person's physical health and well-being), personal coping strategies, and additional personal and disease-related factors, contribute to the functioning and quality of life (QoL) of fibromyalgia (FM) patients.
In the assessment of their functioning and QoL, 175 Israeli FM patients completed the Fibromyalgia Impact Questionnaire (FIQ) and the Short-Form Health Survey (SF-36) (dependent variables). In addition, they completed a modified Social Capital Questionnaires (which tests 3 subtypes of social capital: bonding, bridging, and linking), COPE-Multidimensional Coping Inventory (measures the use of problem vs. emotional-focused coping strategies), and a personal demographic questionnaire (independent variables). A multivariate regression analysis was used to assess the relative contribution of each independent variable to functioning and QoL of these patients.
The regression analysis showed that: (1) Bonding social capital and particularly the friend-connections component of bonding social capital contributed to the FIQ score and to the SF-36 parameters of social function, mental health, and bodily pain. (2) Problem-focused coping strategy contributed to the mental health parameter of the SF-36, whereas emotional-focused coping strategy contributed negatively to the FIQ score and to the mental health, general health, and bodily pain parameters of the SF-36. (3) In addition, duration of FM symptoms contributed to the SF-36 parameters of general health, social function, mental health, and bodily pain but not to the FIQ score; whereas, work status contributed significantly to the variance of FIQ.
Bonding social capital, problem-solving coping strategies, and the duration of FM contribute positively to functioning and QoL of FM patients; whereas, emotional-focused coping strategies do the opposite. Further research to test the effects of strengthened social capital and enhanced problem-solving rather than emotion-focused coping strategies on functioning and QoL of FM patients is warranted.
本研究旨在确定社会资本（对个人身心健康有益的社会资源的组合）、个人应对策略以及其他个人和疾病相关因素在多大程度上影响纤维肌痛（FM）患者的功能和生活质量（QoL）。
在评估 175 名以色列 FM 患者的功能和 QoL 时，他们完成了纤维肌痛影响问卷（FIQ）和简明健康调查量表（SF-36）（因变量）。此外，他们还完成了改良的社会资本问卷（测试 3 种社会资本亚型：黏合、桥接和联系）、应对方式多维量表（COPE）（测量问题和情绪聚焦应对策略的使用）和个人人口统计学问卷（自变量）。使用多元回归分析评估每个自变量对这些患者功能和 QoL 的相对贡献。
回归分析显示：（1）黏合社会资本，特别是黏合社会资本中的朋友联系成分，对 FIQ 评分和 SF-36 的社会功能、心理健康和身体疼痛参数有贡献。（2）问题解决应对策略对 SF-36 的心理健康参数有贡献，而情绪聚焦应对策略对 FIQ 评分和 SF-36 的心理健康、一般健康和身体疼痛参数有负面影响。（3）此外，FM 症状持续时间对 SF-36 的一般健康、社会功能、心理健康和身体疼痛参数有贡献，但对 FIQ 评分没有贡献；而工作状态对 FIQ 的方差有显著贡献。
黏合社会资本、解决问题的应对策略和 FM 的持续时间对 FM 患者的功能和 QoL 有积极影响；而情绪聚焦应对策略则相反。需要进一步研究，以测试增强社会资本和增强解决问题而不是情绪聚焦应对策略对 FM 患者功能和 QoL 的影响。
