Cabrera-Perona V, Buunk A P, Terol-Cantero M C, Quiles-Marcos Y, Martín-Aragón M
a Dpto. de Psicología de la Salud, Campus de San Juan, Universidad Miguel Hernández de Elche , Alicante , Spain.
b Royal Netherlands Academy of Sciences , University of Groningen , Groningen , The Netherlands.
Psychol Health. 2017 Jun;32(6):745-764. doi: 10.1080/08870446.2017.1307370. Epub 2017 Apr 3.
In addition to coping strategies, social comparison may play a role in illness adjustment. However, little is known about the role of contrast and identification in social comparison in adaptation to fibromyalgia.
To evaluate through a path analysis in a sample of fibromyalgia patients, the association between identification and contrast in social comparison, catastrophising and specific health outcomes (fibromyalgia illness impact and psychological distress).
131 Spanish fibromyalgia outpatients (mean age: 50.15, SD = 11.1) filled out a questionnaire.
We present a model that explained 33% of the variance in catastrophising by direct effects of more use of upward contrast and downward identification. In addition, 35% of fibromyalgia illness impact variance was explained by less upward identification, more upward contrast and more catastrophising and 42% of the variance in psychological distress by a direct effect of more use of upward contrast together with higher fibromyalgia illness impact.
We suggest that intervention programmes with chronic pain and fibromyalgia patients should focus on enhancing the use of upward identification in social comparison, and on minimising the use of upward contrast and downward identification in social comparison.
除应对策略外，社会比较可能在疾病适应中发挥作用。然而，关于在适应纤维肌痛过程中社会比较里对比和认同的作用，我们所知甚少。
通过对纤维肌痛患者样本进行路径分析，评估社会比较中的认同与对比、灾难化思维和特定健康结果（纤维肌痛疾病影响和心理困扰）之间的关联。
131名西班牙纤维肌痛门诊患者（平均年龄：50.15，标准差 = 11.1）填写了一份问卷。
我们提出了一个模型，该模型通过更多地使用向上对比和向下认同的直接效应解释了33%的灾难化思维方差。此外，纤维肌痛疾病影响方差的35%可通过较少的向上认同、较多的向上对比和较多的灾难化思维来解释，而心理困扰方差的42%可通过更多地使用向上对比以及更高的纤维肌痛疾病影响的直接效应来解释。
我们建议针对慢性疼痛和纤维肌痛患者的干预项目应侧重于增强社会比较中向上认同的使用，并尽量减少社会比较中向上对比和向下认同的使用。
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