van Lankveld W, Näring G, van der Staak C, van 't Pad Bosch P, van de Putte L
University of Nijmegen, The Netherlands.
J Behav Med. 1993 Jun;16(3):309-21. doi: 10.1007/BF00844762.
Two integrated studies, examining the chronic stressors specific to the disease rheumatoid arthritis, are described. Pain, limitation, and dependence were rated as the most annoying chronic stressors of the disease. Pain was measured with the Visual Analog Scale and the McGill Pain Questionnaire. Both pain scores were only weakly related to the medical assessment variables. New scales were developed to measure perceived limitation and dependence. Perceived limitation was inversely related to both mobility and self-care, but this association was not strong. Perceived dependence was unrelated to any of the health status measures. All three stressors were associated with indicators of quality of life even after controlling for interaction with clinical assessment and functional status variables. It was concluded from these studies that patients with rheumatoid arthritis must cope simultaneously with pain, limitation, and dependence.
本文描述了两项综合研究，这些研究考察了类风湿性关节炎所特有的慢性应激源。疼痛、功能受限和依赖被评定为该疾病最令人苦恼的慢性应激源。疼痛通过视觉模拟量表和麦吉尔疼痛问卷进行测量。两种疼痛评分与医学评估变量的相关性都较弱。开发了新的量表来测量感知到的功能受限和依赖程度。感知到的功能受限与活动能力和自我护理能力均呈负相关，但这种关联并不强烈。感知到的依赖与任何健康状况指标均无关联。即使在控制了与临床评估和功能状态变量的相互作用之后，所有这三种应激源都与生活质量指标相关。从这些研究得出的结论是，类风湿性关节炎患者必须同时应对疼痛、功能受限和依赖问题。
