Bowers Hannah, Wroe Abigail L, Pincus Tamar
Psychology Department, Royal Holloway University of London, Egham, TW10 0EX, UK.
Department of Clinical Psychology, Royal Holloway University of London, Egham, UK.
Clin Rheumatol. 2017 May;36(5):1121-1128. doi: 10.1007/s10067-017-3590-0. Epub 2017 Mar 2.
Beliefs about the unacceptability of experiencing and expressing emotions have been found to be related to worse outcomes in people with persistent physical symptoms. The current study tested mediation models regarding emotional suppression, beliefs about emotions, support-seeking and global impact in fibromyalgia. One hundred eighty-two participants took part in an online questionnaire testing potential mechanisms of this relationship using mediation analysis. The model tested emotional suppression and affective distress as serial mediators of the relationship between beliefs about emotions and global impact. In parallel paths, two forms of support-seeking were tested (personal/emotional and symptom-related support-seeking) as mediators. Emotional suppression and affective distress significantly serially mediated the relationship between beliefs about emotions and global impact. Neither support-seeking variable significantly mediated this relationship. Results indicate a potential mechanism through which beliefs about emotions and global impact might relate which might provide a theoretical basis for future research on treatments for fibromyalgia.
研究发现,对于体验和表达情绪不可接受的信念,与患有持续性身体症状的人的较差结果有关。本研究测试了关于纤维肌痛患者情绪抑制、情绪信念、寻求支持和整体影响的中介模型。182名参与者通过在线问卷,使用中介分析测试了这种关系的潜在机制。该模型测试了情绪抑制和情感困扰作为情绪信念与整体影响之间关系的连续中介。在平行路径中,测试了两种寻求支持的形式(个人/情感支持和症状相关支持寻求)作为中介。情绪抑制和情感困扰显著地连续中介了情绪信念与整体影响之间的关系。两种寻求支持的变量均未显著中介这种关系。结果表明了一种情绪信念与整体影响可能相关的潜在机制,这可能为未来纤维肌痛治疗研究提供理论基础。