Giorgino K B, Blalock S J, DeVellis R F, DeVellis B M, Keefe F J, Jordan J M
Arthritis Care Res. 1994 Mar;7(1):20-8. doi: 10.1002/art.1790070106.
We examined whether or not there are systematic differences in how people appraise different types of illness-related problems and in how they cope with these problems.
Two hundred thirty-five adults with recently diagnosed rheumatoid arthritis completed a mailed questionnaire followed by a telephone interview. A series of stress appraisal and coping variables were assessed in relation to three areas: household activities, leisure activities, and pain management.
Pain differed significantly from household and leisure activities with regard to several appraisal and coping variables. Participants reported the least control over problems with pain, while attaching the most importance to pain control. Leisure activities also stood out as unique on several variables. Participants perceived greater ability and were more satisfied with their ability in relation to leisure activities.
These findings show that, at least early in the disease, appraisal and coping strategies differ across the areas of household activities, leisure activities, and pain management.
我们研究了人们在评估不同类型的疾病相关问题以及应对这些问题的方式上是否存在系统性差异。
235名近期被诊断为类风湿性关节炎的成年人完成了一份邮寄问卷，随后进行了电话访谈。针对三个领域评估了一系列压力评估和应对变量：家务活动、休闲活动和疼痛管理。
在几个评估和应对变量方面，疼痛与家务活动和休闲活动存在显著差异。参与者报告对疼痛问题的控制最少，同时又最重视疼痛控制。在几个变量上，休闲活动也表现出独特性。参与者认为自己在休闲活动方面能力更强，对自己的能力也更满意。
这些研究结果表明，至少在疾病早期，家务活动、休闲活动和疼痛管理领域的评估和应对策略存在差异。
