Karasz A, Ouellette S C
The Graduate School and University Center, City University of New York, USA.
Women Health. 1995;23(3):41-57. doi: 10.1300/J013v23n03_03.
This study is an examination of the relationship between disease severity, social role strain, and psychological well-being among a group of women suffering from the chronic disease Systemic Lupus Erythematosus (SLE). In an attempt to explore the question of why chronic disease has a powerful negative impact on some people, causing them to become depressed or anxious, while leaving others relatively unaffected psychologically, we predicted that psychological distress would result in SLE patients when their illness affected their ability to perform valued social roles. Results confirmed this mediator hypothesis, suggesting, in fact, that disease severity has little psychological effect apart from the distress engendered by role strain. This finding indicates the importance of safeguarding patients' social roles in the psychosocial management of the illness.
本研究考察了一组患有慢性疾病系统性红斑狼疮（SLE）的女性患者中疾病严重程度、社会角色压力与心理健康之间的关系。为了探究为何慢性病会对一些人产生强大的负面影响，导致他们变得抑郁或焦虑，而另一些人在心理上却相对未受影响这一问题，我们预测当SLE患者的疾病影响其履行有价值的社会角色的能力时，会导致心理困扰。结果证实了这一中介假设，实际上表明，除了角色压力所带来的困扰外，疾病严重程度对心理影响甚微。这一发现表明在该疾病的心理社会管理中保护患者社会角色的重要性。
