消极压力信念可预测学业压力下学生的躯体症状。
Negative Stress Beliefs Predict Somatic Symptoms in Students Under Academic Stress.
作者信息
Fischer Susanne, Nater Urs M, Laferton Johannes A C
机构信息
Department of Psychology, Clinical Biopsychology, University of Marburg, Gutenbergstr. 18, 35032, Marburg, Germany.
Psychological Medicine, King's College London, Institute of Psychiatry, Psychology & Neuroscience, 103 Denmark Hill, PO74, London, SE5 8AF, UK.
出版信息
Int J Behav Med. 2016 Dec;23(6):746-751. doi: 10.1007/s12529-016-9562-y.
PURPOSE
Medically unexplained symptoms are abundantly present in the general population. Stress may lead to increased symptom reporting because of widespread beliefs that it is dangerous for one's health. This study aimed at clarifying the role of stress beliefs in somatic symptom reporting using a quasi-experimental study design.
METHODS
Two hundred sixteen German university students (60 % of an initial sample of 363) were examined at the beginning of the term (less stressful period) and at the end of the term (stressful period due to exams). Negative beliefs about stress at baseline were expected to predict somatic symptoms at follow-up.
RESULTS
Negative beliefs about stress at baseline significantly predicted somatic symptoms at follow-up (β = 0.16, p = .012), even when controlling for general strain, physical and mental health status, neuroticism, optimism, and somatosensory amplification.
CONCLUSIONS
Being convinced that "stress is bad for you" was prospectively associated with somatic symptoms during a stressful period. Further research in patients with medically unexplained conditions is warranted to corroborate these findings.
目的
医学上无法解释的症状在普通人群中大量存在。由于人们普遍认为压力对健康有害，压力可能导致更多症状报告。本研究旨在采用准实验研究设计阐明压力信念在躯体症状报告中的作用。
方法
对216名德国大学生（初始样本363人的60%）在学期初（压力较小的时期）和学期末（考试导致的压力时期）进行检查。预期基线时对压力的消极信念能够预测随访时的躯体症状。
结果
即使在控制了一般应激、身心健康状况、神经质、乐观主义和体感放大等因素后，基线时对压力的消极信念仍能显著预测随访时的躯体症状（β = 0.16，p = 0.012）。
结论
坚信“压力对你有害”与压力时期的躯体症状存在前瞻性关联。有必要对医学上无法解释症状的患者进行进一步研究以证实这些发现。
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