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身体意象、生活质量和心理困扰:肾移植患者与匹配健康样本的比较。

Body-image, quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample.

机构信息

a Department of Social Work , Tel-Hai College , Upper Galillee , Israel.

b School of Behavioral Sciences , Tel Aviv-Yaffo Academic College , Tel-Aviv , Israel.

出版信息

Psychol Health Med. 2018 Apr;23(4):424-433. doi: 10.1080/13548506.2017.1400668. Epub 2017 Nov 15.

Abstract

The purpose of the current study was to assess the uniqueness of the condition of kidney transplant recipients in comparison to a sample of matching healthy peers in relation to body-image dissatisfaction and identification, quality of life and psychological distress. Participants were 45 kidney transplant recipients who were under follow-up care at a Transplant Unit of a major Medical Center, and a sample of 45 matching healthy peers. Measures were taken using self-report questionnaires [Body-Image Ideals Questionnaire (BIIQ), Body Identification Questionnaire (BIQ), Brief Symptoms Inventory (BSI), and the SF-12]. The major findings were the following: (i) kidney transplant recipients reported lower levels of quality of life and higher levels of PsD when compared to their healthy peers; (ii) no difference in body-image dissatisfaction was found between the two studied groups; (iii) significant correlations between body-image dissatisfaction quality of life and PsD were found only in the kidney transplant recipients. The kidney transplantation condition has a moderating effect in the association between body-image dissatisfaction PsD but not in the association between body-image dissatisfaction and quality of life; (iv) kidney transplant recipients experienced higher levels of body identification than did their healthy peers. Taken together, these findings highlight the unique condition of kidney transplant recipients, as well as the function that body-image plays within the self.

摘要

本研究的目的是评估与匹配的健康对照组相比,肾移植受者在体像不满和认同、生活质量和心理困扰方面的独特性。参与者为 45 名在主要医疗中心的移植科接受随访护理的肾移植受者,以及 45 名匹配的健康对照组。采用自我报告问卷[体像理想问卷(BIIQ)、体像识别问卷(BIQ)、简明症状量表(BSI)和 SF-12]进行评估。主要发现如下:(i)与健康对照组相比,肾移植受者报告的生活质量较低,心理困扰(PsD)水平较高;(ii)两组研究对象的体像不满无差异;(iii)仅在肾移植受者中发现体像不满与生活质量和 PsD 之间存在显著相关性;(iv)肾移植受者的体像识别水平高于健康对照组。肾移植状况对体像不满与 PsD 之间的关系有调节作用,但对体像不满与生活质量之间的关系没有调节作用。综上所述,这些发现强调了肾移植受者的独特状况,以及体像在自我中的作用。

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