Ene Cristina, Burtaverde Vlad, Jonason Peter Karl, Brehar Felix, Pruna Viorel
Faculty of Psychology and Educational Sciences, University of Bucharest, Bucharest, Romania.
School of Psychology, University of Padua, Padua, Veneto, Italy.
Front Psychol. 2024 Aug 20;15:1346597. doi: 10.3389/fpsyg.2024.1346597. eCollection 2024.
According to evolutionary psychologists, an individual-consciously or not-who allocates resources for somatic effort focuses on homeostasis and the protection of themselves and others. During health crises, patients must choose between mobilizing their remaining resources to either recover or accepting the disease as inevitable. When patients choose to be proactive in terms of protecting their health, are conscientious, and compliant in the recovery process, a high level of patient activation is achieved. Therefore, we examined ( = 252) whether the patients' fitness strategies are predictors for engagement in patient activation-type behavior. In addition, we tested the mediating effect of pain catastrophizing and the moderating effect of romantic satisfaction. We found that people with a medical diagnosis, who were in a romantic relationship, and had high- fitness were much more likely to be activated patients. Moreover, pain catastrophizing mediated the relationship between high- fitness strategy and patient activation, while romantic satisfaction moderated this relationship, amplifying its intensity. The findings highlight the importance of identifying patients' psychological resources (e.g., high- strategy, romantic satisfaction, or pain perception) to keep them engaged in the health recovery process.
根据进化心理学家的观点，一个有意识或无意识地为身体活动分配资源的个体，关注的是体内平衡以及对自己和他人的保护。在健康危机期间，患者必须在动用剩余资源来康复和接受疾病不可避免这两者之间做出选择。当患者选择积极主动地保护自己的健康，在康复过程中认真负责且依从时，就实现了高水平的患者激活。因此，我们研究了252名患者的健康策略是否是参与患者激活型行为的预测因素。此外，我们还测试了灾难化疼痛的中介作用以及浪漫满意度的调节作用。我们发现，患有医学诊断疾病、处于恋爱关系且健康水平较高的人更有可能成为积极主动的患者。此外，灾难化疼痛在高健康策略与患者激活之间起中介作用，而浪漫满意度调节了这种关系，增强了其强度。这些发现凸显了识别患者心理资源（如高健康策略、浪漫满意度或疼痛感知）对于使他们参与健康恢复过程的重要性。
