影响生殖器疱疹复发的心理社会因素：线性模型与中介模型

Psychosocial factors affecting genital herpes recurrences: linear vs mediating models.

作者信息

Longo D J, Clum G A

机构信息

Department of Behavioral Medicine, Geisinger Medical Center, Danville, PA 17822.

出版信息

J Psychosom Res. 1989;33(2):161-6. doi: 10.1016/0022-3999(89)90043-3.

DOI:10.1016/0022-3999(89)90043-3

PMID:2724192

Abstract

Psychosocial factors (emotional distress, stress, health locus of control, and social support) and genital herpes activity (episode frequency, severity, and duration) were assessed for 46 individuals with recurrent genital herpes infections (HSV) in order to predict psychosocial status associated with herpes episodes. Multiple regression analyses revealed that stress and emotional distress accounted for 52% of HSV episode frequency variance, whereas 49% of the episode severity variance was determined by emotional distress and health locus of control. The buffering effects of time and health locus of control were functional only for herpes frequency. Linear predictive models appear to offer a better opportunity for understanding how psychosocial factors affect genital herpes outbreaks than do interactive or buffering models. Results were discussed in terms of the biopsychosocial model of health.

摘要

对46例复发性生殖器疱疹感染（HSV）患者的心理社会因素（情绪困扰、压力、健康控制点和社会支持）及生殖器疱疹活动情况（发作频率、严重程度和持续时间）进行了评估，以预测与疱疹发作相关的心理社会状况。多元回归分析显示，压力和情绪困扰占HSV发作频率变异的52%，而发作严重程度变异的49%由情绪困扰和健康控制点决定。时间和健康控制点的缓冲作用仅对疱疹发作频率起作用。与交互或缓冲模型相比，线性预测模型似乎为理解心理社会因素如何影响生殖器疱疹发作提供了更好的机会。根据健康的生物心理社会模型对结果进行了讨论。