Downe-Wamboldt B L, Melanson P M
Dalhousie University, Halifax, Nova Scotia.
West J Nurs Res. 1995 Jun;17(3):250-65. doi: 10.1177/019394599501700302.
Rheumatoid arthritis, the most destructive and crippling of all forms of arthritis, poses a number of stressful demands on individuals. In a sample of elderly women (N = 59) and men (N = 19) with rheumatoid arthritis, the relationship between social economic status, severity of impairment, sex, stress emotions, type of coping strategy, and psychological well-being was explored. Path analysis results indicated that higher social economic status was directly related to greater use of confrontive types of coping strategies. Severity of impairment had a direct, negative influence on psychological well-being, but sex was not an important factor. Optimistic coping strategies were used most often and emotive coping strategies the least.
类风湿性关节炎是所有关节炎形式中最具破坏性和致残性的,给患者带来了诸多压力。在一个由患有类风湿性关节炎的老年女性(N = 59)和男性(N = 19)组成的样本中,研究了社会经济地位、损伤严重程度、性别、应激情绪、应对策略类型与心理健康之间的关系。路径分析结果表明,较高的社会经济地位与更多地使用对抗性应对策略直接相关。损伤严重程度对心理健康有直接的负面影响,但性别不是一个重要因素。乐观应对策略使用最为频繁,而情绪应对策略使用最少。