Priorello Laura Jean, Arbona Consuelo
Mayo Clinic Arizona , USA.
Health Psychol Open. 2024 May 8;11:20551029241250311. doi: 10.1177/20551029241250311. eCollection 2024 Jan-Dec.
Disease severity, illness intrusiveness, and health locus of control (HLC) each contribute to psychosocial wellbeing in patients with congestive heart failure (CHF). To better understand the relationships between these variables regarding anxiety symptoms, we analyzed data from 116 adult male veterans with comorbid CHF and anxiety. Results suggested that illness intrusiveness significantly mediated the relation of CHF severity to anxiety symptom severity, and that the illness intrusiveness domains of physical well-being/diet, work/finances, and other aspects of life (religious/spirituality, community/civic, self-improvement/expression) were also significant mediators of that relationship. The relation of illness intrusiveness to anxiety was not moderated by internal HLC. Findings highlight the importance of assessing and treating various aspects of illness intrusiveness to manage anxiety symptoms in CHF patients.
疾病严重程度、疾病侵扰性和健康控制点（HLC）均对充血性心力衰竭（CHF）患者的心理社会幸福感有影响。为了更好地理解这些变量与焦虑症状之间的关系，我们分析了116名患有CHF和焦虑症的成年男性退伍军人的数据。结果表明，疾病侵扰性显著介导了CHF严重程度与焦虑症状严重程度之间的关系，并且身体健康/饮食、工作/财务以及生活其他方面（宗教/精神、社区/公民、自我提升/表达）的疾病侵扰性领域也是该关系的重要介导因素。疾病侵扰性与焦虑之间的关系未受内在HLC的调节。研究结果凸显了评估和治疗疾病侵扰性的各个方面以管理CHF患者焦虑症状的重要性。
