Schiaffino K M, Shawaryn M A, Blum D
Psychology Department, Fordham University, Bronx, New York 10458, USA.
Health Psychol. 1998 May;17(3):262-8. doi: 10.1037//0278-6133.17.3.262.
Illness representations were assessed in 63 adults with rheumatoid arthritis (RA) and 66 with multiple sclerosis (MS). The relationship of illness representations to concurrent and later mood was explored. MS patients' beliefs in symptom variability were associated with higher depressed mood 4 months later, over and above initial levels of depression. RA patients who saw RA as curable or who saw themselves as responsible for the illness reported significant increases in depression over time. Belief in the serious consequences of RA interacted with later illness severity to predict change in depression. When belief in the serious consequences of RA was high, less severe illness status was associated with less depression and more severe illness status was associated with more depression. When RA was initially viewed as only moderately serious, less severe illness was associated with somewhat higher levels of depression.
对63名类风湿性关节炎（RA）成年患者和66名多发性硬化症（MS）成年患者的疾病认知进行了评估。探讨了疾病认知与当前及后续情绪之间的关系。MS患者对症状变异性的信念与4个月后更高的抑郁情绪相关，超过了最初的抑郁水平。将RA视为可治愈或认为自己对疾病负责的RA患者报告称，随着时间的推移，抑郁情绪显著增加。对RA严重后果的信念与后期疾病严重程度相互作用，以预测抑郁情绪的变化。当对RA严重后果的信念较高时，病情较轻与抑郁程度较低相关，病情较重与抑郁程度较高相关。当RA最初被视为仅中度严重时，病情较轻与抑郁水平略高相关。
