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疾病不确定性和疾病侵扰对患有慢性病的大学生抑郁和焦虑症状的预测作用

Illness uncertainty and illness intrusiveness as predictors of depressive and anxious symptomology in college students with chronic illnesses.

作者信息

Mullins Alexandria J, Gamwell Kaitlyn L, Sharkey Christina M, Bakula Dana M, Tackett Alayna P, Suorsa Kristina I, Chaney John M, Mullins Larry L

机构信息

a Department of Psychology , Oklahoma State University , Stillwater , Oklahoma , USA.

出版信息

J Am Coll Health. 2017 Jul;65(5):352-360. doi: 10.1080/07448481.2017.1312415. Epub 2017 Mar 31.

DOI:10.1080/07448481.2017.1312415
PMID:28362166
Abstract

OBJECTIVE

To examine predictors of psychological functioning in college students with chronic illnesses.

PARTICIPANTS

Participants (N = 1413) included 364 students with self-reported diagnoses of asthma or allergies, 148 students with other chronic illnesses (eg, epilepsy, type 1 diabetes), and 901 healthy students. Data were collected between November 2013 and May 2015.

METHODS

Participants completed online measures of psychosocial functioning, including illness uncertainty, illness intrusiveness, depression, and anxiety.

RESULTS

Students with chronic illnesses other than asthma or allergies evidenced the greatest levels of anxious (p <. 05), but not depressive symptomology. Additionally, this group reported greater illness uncertainty and intrusiveness (p <. 05) compared to their peers. Uncertainty and intrusiveness independently predicted depressive and anxious symptoms for students in both illness groups.

CONCLUSIONS

Compared to peers with asthma or allergies, college students with other chronic illnesses reported higher levels of anxious symptoms. Illness uncertainty and intrusiveness appear to be predictors of psychological distress, regardless of illness.

摘要

目的

研究患有慢性疾病的大学生心理功能的预测因素。

参与者

参与者(N = 1413)包括364名自我报告诊断为哮喘或过敏的学生、148名患有其他慢性疾病(如癫痫、1型糖尿病)的学生以及901名健康学生。数据收集于2013年11月至2015年5月之间。

方法

参与者完成了心理社会功能的在线测量,包括疾病不确定性、疾病侵扰性、抑郁和焦虑。

结果

患有哮喘或过敏以外慢性疾病的学生表现出最高水平的焦虑(p <.05),但抑郁症状并非如此。此外,与同龄人相比,该组报告的疾病不确定性和侵扰性更高(p <.05)。不确定性和侵扰性分别预测了两个疾病组学生的抑郁和焦虑症状。

结论

与患有哮喘或过敏的同龄人相比,患有其他慢性疾病的大学生报告的焦虑症状水平更高。疾病不确定性和侵扰性似乎是心理困扰的预测因素,与疾病无关。

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