Faculty of Social Sciences, Institute of Psychology, Institute of Pedagogy, University of Silesia in Katowice, Katowice, Poland.
Gastein Healing Gallery, Bad Gastein, Austria.
Br J Health Psychol. 2025 Feb;30(1):e12749. doi: 10.1111/bjhp.12749. Epub 2024 Aug 26.
Patients with rheumatic and musculoskeletal diseases (RMDs) often experience poor well-being. Common limitations of the studies on this topic involve using variable-centred and deficit-based approaches. In this study, we used the person-centred approach to identify profiles of positive (life satisfaction and health status) and negative (depression, anxiety, fatigue, and stress) indicators of well-being among patients with RMDs. Moreover, we tested self-forgiveness, forgiveness of others, gratitude, and sociodemographics as contributors to latent profile membership.
A cross-sectional questionnaire survey.
Using a latent profile analysis, we investigated well-being profiles among 892 patients with RMDs (759 patients with arthritis and 133 with fibromyalgia [FM]) and examined the correlates of latent profile membership.
We identified four profiles of well-being: (1) 'life dissatisfaction' (9.2%), (2) 'high well-being' (43.4%), (3) 'suboptimal well-being' (35.2%), and (4) 'very poor well-being' (12.2%). Members of Profile 2 had higher levels of self-forgiveness and gratitude than members of the remaining profiles, had higher levels of forgiveness of others than Profile 3, and were older than members of Profile 4. Moreover, members of Profile 2 had a higher proportion of patients with arthritis relative to those with FM than all other profiles and men to women than Profile 4.
Patients with RMDs are heterogeneous in terms of well-being. Self-forgiveness, gratitude, and forgiveness of others may serve as psychological capital that enhances patients' well-being. Special attention should be paid to patients with FM, women, and younger patients since they can be especially susceptible to poor well-being.
患有风湿和肌肉骨骼疾病（RMDs）的患者通常体验到较差的健康状况。该主题研究的常见局限性涉及使用以个体为中心和基于缺陷的方法。在本研究中，我们使用以个体为中心的方法来确定 RMD 患者的积极（生活满意度和健康状况）和消极（抑郁、焦虑、疲劳和压力）幸福感指标的特征。此外，我们测试了自我宽恕、宽恕他人、感恩和社会人口统计学因素对潜在特征群成员的贡献。
横断面问卷调查。
使用潜在剖面分析，我们调查了 892 名 RMD 患者（759 名关节炎患者和 133 名纤维肌痛 [FM] 患者）的幸福感特征，并检查了潜在特征群成员的相关性。
我们确定了四种幸福感特征：（1）“生活不满”（9.2%），（2）“高幸福感”（43.4%），（3）“次优幸福感”（35.2%）和（4）“非常差的幸福感”（12.2%）。特征群 2 的成员比其他特征群的成员具有更高的自我宽恕和感恩水平，比特征群 3 的成员具有更高的宽恕他人的水平，并且比特征群 4 的成员年龄更大。此外，特征群 2 的关节炎患者比例相对高于其他所有特征群，且男性比例相对高于特征群 4 的女性。
患有 RMDs 的患者在幸福感方面存在异质性。自我宽恕、感恩和宽恕他人可能是增强患者幸福感的心理资本。应特别关注患有 FM、女性和年轻患者，因为他们特别容易出现幸福感较差的情况。
