Blalock S J, Orlando M, Mutran E J, DeVellis R F, DeVellis B M
Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill 27599-7330, USA.
Arthritis Care Res. 1998 Jun;11(3):158-65. doi: 10.1002/art.1790110303.
The purpose of this study was to examine the effect that self-evaluation processes have on psychologic well-being among individuals with rheumatoid arthritis (RA).
The study used a longitudinal research design with 4 data collection points. Participants were 227 adults with recently diagnosed RA. Data were collected via mailed questionnaire and telephone interview. Two dimensions of psychologic well-being were assessed--positive affect and negative affect.
We found that, among participants who viewed the abilities being evaluated as very important, greater satisfaction at time 1 was associated with less negative affect at time 2 and time 4. Satisfaction was not associated with positive affect at any of the time points, however.
Study findings indicate that dissatisfaction with illness-related abilities can exacerbate psychologic distress. The findings also highlight the need for research examining the role that positive affect plays in adaptation to RA.
本研究旨在探讨自我评估过程对类风湿关节炎（RA）患者心理健康的影响。
本研究采用纵向研究设计，有4个数据收集点。参与者为227名近期诊断为RA的成年人。数据通过邮寄问卷和电话访谈收集。评估了心理健康的两个维度——积极情绪和消极情绪。
我们发现，在那些认为被评估的能力非常重要的参与者中，第1次更高的满意度与第2次和第4次较少的消极情绪相关。然而，在任何时间点，满意度与积极情绪均无关联。
研究结果表明，对与疾病相关能力的不满会加剧心理困扰。研究结果还凸显了研究积极情绪在适应RA中所起作用的必要性。
