Leiden University, The Netherlands.
J Health Psychol. 2019 Sep;24(11):1461-1472. doi: 10.1177/1359105317752826. Epub 2018 Jan 22.
Applying the Common Sense Model, this cross-sectional study examines associations between illness perceptions and quality of life and the mediating role of coping in 243 adults with alopecia areata, a chronic dermatological condition. At least some QoL impairment was reported by 84 percent of participants, with 31 percent reporting very to extremely large impairment. Stronger perceptions of consequences, emotional representations, identity, and lower attribution to chance were related to more impairment, with avoidant coping acting as (partial) mediator. Illness perceptions and avoidant coping seem to play an important role in QoL and are relevant intervention targets in alopecia areata.
本横断面研究运用常识模型,考察了 243 例斑秃成年人的疾病认知与生活质量之间的关联,以及应对方式在其中的中介作用。至少有 84%的参与者报告了某种程度的 QoL 受损,其中 31%报告了非常大到极大的受损。后果、情绪表达、身份感知认知越强,归因于机会的越少,与更大的受损相关,回避应对起着(部分)中介作用。疾病认知和回避应对似乎在生活质量中起着重要作用,是斑秃的相关干预靶点。