Dixon J P, Dixon J K, Spinner J
Yale University School of Nursing, Community Health Center Plan, New Haven, Connecticut.
ANS Adv Nurs Sci. 1989 Jan;11(2):1-11. doi: 10.1097/00012272-198901000-00005.
The weak but significant association between stressful events and illness suggests the importance of understanding the specific conditions under which stress is likely to result in illness. The research was undertaken to determine whether a perception of disintegrity--a perception that life has not gone as it should have--may be such a link. Ninety-one master's-prepared nurses between the ages of 55 and 70 completed a measure of the extent to which they had experienced stress in balancing a career with other life involvements. They also assessed the extent of integrity-disintegrity in their life pattern and recorded the illnesses that had occurred during their middle years. In a path analysis, once the indirect path through disintegrity was considered, the direct path between stress and illness was so minimal that it was considered eliminated. This result suggests that unless stress leads to feelings of disintegrity, it is not likely to lead to illness.
压力事件与疾病之间微弱但显著的关联表明，了解压力可能导致疾病的具体条件非常重要。开展这项研究是为了确定一种不完整感——一种认为生活未按应有的方式发展的感觉——是否可能是这样一种联系。91名年龄在55岁至70岁之间、拥有硕士学位的护士完成了一项关于她们在平衡职业与其他生活事务时所经历压力程度的测量。她们还评估了自己生活模式中完整与不完整的程度，并记录了中年时期发生的疾病。在路径分析中，一旦考虑了通过不完整感的间接路径，压力与疾病之间的直接路径就变得非常小，以至于可以认为它被消除了。这一结果表明，除非压力导致不完整感，否则不太可能导致疾病。
