Heijmans M J
Department of Clinical and Health Psychology, Utrecht University, The Netherlands.
J Psychosom Res. 1998 Jul;45(1):39-51. doi: 10.1016/s0022-3999(97)00265-1.
In this study, the relations between illness representations, coping behavior, and adaptive outcomes in chronic fatigue syndrome (CFS) patients (N=98) were examined. Following Leventhal's self-regulation model, it was hypothesized that illness representations would be directly related to coping and, via coping, to adaptive outcome. The results showed patients who considered their illness to be a serious condition, who believed that they had no control over their illness, who saw little possibility for cure, and who believed their illness to have serious consequences to cope with their illness in a passive way, report higher levels of impairment in physical and social functioning and report greater problems in mental health and vitality. A series of regression analyses showed illness representations to be stronger predictors of adaptive outcome than coping scores. The implications of these findings for the treatment of CFS patients are discussed.
在本研究中，我们考察了慢性疲劳综合征（CFS）患者（N = 98）的疾病表征、应对行为与适应性结果之间的关系。依据莱文索尔的自我调节模型，我们假设疾病表征会直接与应对方式相关，并通过应对方式与适应性结果相关。结果显示，那些认为自己病情严重、认为自己无法控制病情、认为治愈可能性很小、认为自己的疾病会带来严重后果的患者，会以消极的方式应对疾病，他们在身体和社会功能方面的损伤程度更高，在心理健康和活力方面也存在更多问题。一系列回归分析表明，疾病表征比应对得分更能有力地预测适应性结果。我们还讨论了这些发现对CFS患者治疗的意义。
