Grant I, Patterson T, Olshen R, Yager J
J Behav Med. 1987 Jun;10(3):231-40. doi: 10.1007/BF00846537.
The effects of life events and previous symptoms on current symptom levels were examined in a model using data from a 3-year prospective study. Male psychiatric patients and nonpatients reported on life events and symptoms every 2 months on 18 occasions. Logistic regression analysis of these data revealed little dependence of psychiatric symptoms on preceding life events as measured by the Holmes and Rahe Schedule of Recent Experiences (SRE). The best predictor of the current symptom level was the level of previous symptoms. It is concluded that efforts to relate changes in the social environment to health must first consider the possible contribution of the antecedent symptom level to the variability in health outcome.
在一个使用来自一项为期3年的前瞻性研究数据的模型中,研究了生活事件和既往症状对当前症状水平的影响。男性精神科患者和非患者每2个月报告一次生活事件和症状,共报告了18次。对这些数据进行的逻辑回归分析显示,按照霍尔姆斯和拉赫近期经历量表(SRE)衡量,精神症状对既往生活事件的依赖性很小。当前症状水平的最佳预测指标是既往症状水平。得出的结论是,将社会环境变化与健康联系起来的努力必须首先考虑既往症状水平对健康结果变异性可能产生的影响。