Smith T W, Peck J R, Ward J R
Department of Internal Medicine, University of Utah School of Medicine.
Health Psychol. 1990;9(4):377-89. doi: 10.1037//0278-6133.9.4.377.
Depression is common in rheumatoid arthritis (RA) populations and has been hypothesized to result from patients' belief that they cannot control their disease or its impact. In a sample of 106 patients with RA, we found that scores on a measure of helplessness mediated the relationship between severe, disabling RA and depression. Further, this association was independent of the previously demonstrated correlation between cognitive distortion and depression in RA patients. Thus, both helplessness and cognitive distortion may be important factors in the development and treatment of depression among RA patients.
抑郁症在类风湿关节炎（RA）患者群体中很常见，据推测是由于患者认为自己无法控制疾病及其影响所致。在106名类风湿关节炎患者的样本中，我们发现无助感量表得分介导了严重的、致残性类风湿关节炎与抑郁症之间的关系。此外，这种关联独立于类风湿关节炎患者中先前已证实的认知扭曲与抑郁症之间的相关性。因此，无助感和认知扭曲可能都是类风湿关节炎患者抑郁症发生和治疗中的重要因素。
