Blalock S J, deVellis B M, deVellis R F, Sauter S H
Rehabilitation Program Office, School of Medicine, University of North Carolina, Chapel Hill 27599-7200.
Arthritis Rheum. 1988 Oct;31(10):1245-51. doi: 10.1002/art.1780311005.
In this study we examined whether the impact of rheumatoid arthritis (RA) on psychological well-being is mediated by the way patients evaluate their physical abilities. The primary focus was on patients' satisfaction with their physical abilities and the types of comparisons that patients make between themselves and other people (i.e., social comparisons) when evaluating their abilities. Seventy-five women with RA were interviewed. Findings indicate that satisfaction with one's physical abilities appears to mediate the relationship between physical and psychological impairment. Furthermore, satisfaction was associated not only with one's abilities per se, but also with the types of comparisons patients made when evaluating their abilities. These findings help explain differences in the levels of psychological well-being noted among individuals with the same degree of physical impairment.
在本研究中，我们探讨了类风湿性关节炎（RA）对心理健康的影响是否通过患者评估自身身体能力的方式来介导。主要关注点在于患者对自身身体能力的满意度，以及患者在评估自身能力时与他人进行比较的类型（即社会比较）。我们对75名患有RA的女性进行了访谈。研究结果表明，对自身身体能力的满意度似乎介导了身体损伤与心理损伤之间的关系。此外，满意度不仅与个人自身的能力相关，还与患者在评估自身能力时所做比较的类型有关。这些发现有助于解释在身体损伤程度相同的个体中观察到的心理健康水平差异。
