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与身体残疾者心理困扰相关的人口学、心理社会和健康及残疾相关因素。

Demographic, psychosocial, and health- and disability-related factors associated with psychological distress among people with physical disabilities.

机构信息

School of Social Work.

出版信息

Rehabil Psychol. 2018 Aug;63(3):392-399. doi: 10.1037/rep0000206. Epub 2018 Jul 26.

DOI:10.1037/rep0000206
PMID:30047749
Abstract

OBJECTIVES

Psychological distress among people with physical disabilities (PWPD) might affect their physical morbidity, reduce their quality and duration of life, and increase their need for health care services. Therefore, it is essential to explore the factors that might affect psychological distress among PWPD. The current study assesses the association between demographic factors (gender, education, and employment status), health- and disability-related factors (type of disability, visibility of the disability, disability duration, and self-rated health), and psychosocial factors (perceived discrimination and perceived social support), and psychological distress among PWPD in Israel.

DESIGN

The data were collected through structured questionnaires administered to a sample of 433 PWPD.

RESULTS

The findings suggest negative associations between education, employment status, duration of disability, self-rated health, and perceived social support, and psychological distress among PWPD. In addition, the findings indicate a positive association between perceived discrimination and psychological distress. No association was found between gender, type of disability, and visibility of the disability, and psychological distress.

CONCLUSIONS AND IMPLICATIONS

PWPD who are unemployed, less educated, with a shorter duration of disability and lower self-rated health, as well as those who feel more discriminated against and less social support, are more likely to experience higher levels of psychological distress. Therefore, it is important to raise PWPD's awareness of their rights and of the social possibilities and services available to them, to provide them with mental help, to engage in extensive social activities aimed at providing resources to PWPD, and to act to eliminate discrimination. (PsycINFO Database Record

摘要

目的

身体残疾者(PWPD)的心理困扰可能会影响他们的身体健康,降低他们的生活质量和寿命,并增加他们对医疗保健服务的需求。因此,探索可能影响 PWPD 心理困扰的因素至关重要。本研究评估了人口统计学因素(性别、教育和就业状况)、健康和残疾相关因素(残疾类型、残疾可见性、残疾持续时间和自我评估健康)以及心理社会因素(感知歧视和感知社会支持)与以色列 PWPD 心理困扰之间的关联。

设计

通过向 433 名 PWPD 发放结构化问卷收集数据。

结果

研究结果表明,教育、就业状况、残疾持续时间、自我评估健康和感知社会支持与 PWPD 的心理困扰呈负相关。此外,研究结果表明,感知歧视与心理困扰呈正相关。性别、残疾类型和残疾可见性与心理困扰之间没有关联。

结论和意义

失业、受教育程度较低、残疾持续时间较短、自我评估健康状况较差、感到更多歧视和较少社会支持的 PWPD 更有可能经历更高水平的心理困扰。因此,提高 PWPD 对自身权利以及为他们提供的社会可能性和服务的认识、为他们提供心理帮助、开展广泛的社会活动,为 PWPD 提供资源以及消除歧视非常重要。

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