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关节炎患者的身体意象、疼痛和资源水平:性别调节作用。

Body image, pain and level of resources among arthritis patients: the moderating role of gender.

机构信息

Faculty of Psychology, University of Warsaw , Warsaw, Poland.

National Institute of Geriatrics, Rheumatology and Rehabilitation , Warsaw, Poland.

出版信息

Psychol Health Med. 2020 Aug;25(7):802-811. doi: 10.1080/13548506.2019.1668566. Epub 2019 Sep 17.

Abstract

Arthritis is a highly debilitating group of chronic diseases that affects both physical and psychosocial functioning. The aim of this study was to examine the associations between body image, subjective pain intensity and level of resources described by Conservation of Resources (COR) theory among arthritis patients. In particular, the moderating role of the participants' gender was explored via multiple linear regression analysis. 200 arthritis patients were recruited, including 141 females and 59 males. Body image was evaluated using the Multidimensional Body-Self Relations Questionnaire, subjective pain intensity was measured via the Numerical Rating Scale and level of resources was assessed using the COR evaluation questionnaire. A negative relationship was confirmed between the level of satisfaction with body image and pain intensity among participants. A positive relationship was found between body-image subscales and level of COR resources. These relationships were moderated by the participants' gender, i.e. only among males a positive association between body image and pain and, respectively, body image and resources was found. Enhancing body awareness is an essential part of psychological counselling for patients with arthritis and our study added to the literature by showing how body image may be related to pain and resources in this patient group.

摘要

关节炎是一组高度致残的慢性疾病,影响身体和社会心理功能。本研究旨在探讨关节炎患者的身体意象、主观疼痛强度和资源水平(由资源保存理论描述)之间的关联。特别通过多元线性回归分析探讨了参与者性别在其中的调节作用。共招募了 200 名关节炎患者,其中包括 141 名女性和 59 名男性。使用多维身体自我关系问卷评估身体意象,使用数字评分量表评估主观疼痛强度,使用资源保存评估问卷评估资源水平。研究结果证实了参与者的身体意象满意度与疼痛强度之间呈负相关。身体意象子量表与资源水平之间呈正相关。这些关系受到参与者性别调节,即仅在男性中,发现身体意象与疼痛之间以及身体意象与资源之间存在正相关。增强身体意识是关节炎患者心理辅导的重要组成部分,我们的研究通过表明身体意象如何与该患者群体的疼痛和资源相关,为文献增添了新内容。

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