Heijmans M, de Ridder D
Department of Health Psychology, Utrecht University, The Netherlands.
J Behav Med. 1998 Oct;21(5):485-503. doi: 10.1023/a:1018788427100.
Elaborating on the five-dimensional structure of illness representation, as described in the self-regulation model of Leventhal (1980), the present study is aimed at identifying the relevance of this generic structure for two chronic illnesses: chronic fatigue syndrome (CFS) and Addison's disease (AD). Factor analyses showed the importance of the five dimensions identity, time-line, control/cure, cause, and consequences to differ according to the type of disease. That is, the items representing the five dimensions merged together for CFS patients and AD patients in a different manner and thereby produced different factor solutions for the two patient groups. In CFS patients, a four-factor solution was identified with manageability, seriousness, personal responsibility, and external cause as the factors. In AD patients a four-factor solution was also identified but with seriousness, cause, chronicity, and controllability as the factors. The value of these findings for our understanding of the disease-specific nature of illness representation is discussed.
根据莱文索尔（1980年）的自我调节模型所描述的疾病表征的五维结构进行阐述，本研究旨在确定这种通用结构与两种慢性疾病的相关性：慢性疲劳综合征（CFS）和艾迪生病（AD）。因素分析表明，身份、时间线、控制/治愈、病因和后果这五个维度的重要性因疾病类型而异。也就是说，代表这五个维度的项目在慢性疲劳综合征患者和艾迪生病患者中以不同方式合并在一起，从而为两组患者产生了不同的因素解决方案。在慢性疲劳综合征患者中，确定了一个四因素解决方案，因素为可管理性、严重性、个人责任和外部病因。在艾迪生病患者中也确定了一个四因素解决方案，但因素为严重性、病因、慢性和可控性。讨论了这些发现对于我们理解疾病表征的疾病特异性本质的价值。
