Vaske Isabelle, Kenn Klaus, Keil Daniel C, Rief Winfried, Stenzel Nikola M
1 Philipps-Universität Marburg, Germany.
2 Schön Klinik Berchtesgadener Land, Germany.
J Health Psychol. 2017 Oct;22(12):1570-1581. doi: 10.1177/1359105316631197. Epub 2016 Feb 29.
This study investigated the effects of illness perceptions and coping with disease on health-related quality of life in chronic obstructive pulmonary disease. Therefore, participants ( N = 444) completed online questionnaires assessing illness severity (chronic obstructive pulmonary disease stage), Illness Perceptions Questionnaire, coping with disease (Essener Coping Questionnaire), and health-related quality of life (short form-12). Hierarchical regression and moderation analyses were conducted. The results showed that health-related quality of life was predicted by illness perceptions and several aspects of coping with disease. The association between illness perceptions and health-related quality of life was mediated by the corresponding coping with disease subscales. It is concluded that in order to prevent decreasing health-related quality of life in chronic obstructive pulmonary disease, treatment may be adjusted by promoting coping with disease and functional illness perceptions.
本研究调查了疾病认知和应对疾病对慢性阻塞性肺疾病患者健康相关生活质量的影响。因此，参与者（N = 444）完成了在线问卷，评估疾病严重程度（慢性阻塞性肺疾病阶段）、疾病认知问卷、应对疾病（埃森应对问卷）以及健康相关生活质量（简短健康调查问卷-12）。进行了分层回归和调节分析。结果表明，疾病认知和应对疾病的几个方面可预测健康相关生活质量。疾病认知与健康相关生活质量之间的关联由相应的应对疾病分量表介导。研究得出结论，为防止慢性阻塞性肺疾病患者的健康相关生活质量下降，可通过促进应对疾病和功能性疾病认知来调整治疗方案。
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