van Servellen G, Sarna L, Padilla G, Brecht M L
UCLA School of Nursing 90095-6917, USA.
Int J Nurs Stud. 1996 Oct;33(5):551-65. doi: 10.1016/0020-7489(96)00011-9.
This descriptive survey explored the relationship of health status, functional status, stressful life events, stress resistance resources and emotional distress in 60 men with life-threatening illness (N = 30 with cancer and N = 30 with AIDS). Sixty-two percent met CES-D criteria for clinical depression. This study's results supported the hypotheses that poorer functional status and greater negative stressors are associated with both higher levels of hopelessness and depression. Twenty-four patients constituted a group with severe emotional distress. This group was significantly different from the less vulnerable group with poorer functional status (KPS), a greater number and severity of negative stressors, less satisfaction with social support, and less hopefulness.
这项描述性调查探讨了60名患有危及生命疾病的男性（30名癌症患者和30名艾滋病患者）的健康状况、功能状态、应激性生活事件、抗压资源与情绪困扰之间的关系。62%的人符合临床抑郁症的CES-D标准。本研究结果支持以下假设：功能状态较差和负面压力源较大与较高水平的绝望感和抑郁情绪相关。24名患者构成了一个有严重情绪困扰的群体。该群体与功能状态较差（KPS）、负面压力源数量更多且更严重、对社会支持的满意度较低以及希望感较低的较不易受影响群体存在显著差异。
