感知压力,应对压力策略和风湿性关节炎患者的临床状况之间的关系
Aldona Wróbel1, Ilona Barańska2, Joanna Szklarczyk3
1Laboratory of Nursing Theory and Fundamentals, Institute of Nursing and Midwifey, Faculty of Health Sciences, Jagiellonian University Medical College, Michałowskiego 12 Street, 31-126, Krakow, Poland. aldona1.wrobel@uj.edu.pl.
Rheumatology international
|June 18, 2023
概括
类风湿性关节炎患者使用特定的应对策略,否认与更高的疾病活动有关. 在RA患者和对照人群中,压力水平相似,但应对机制不同,影响了临床状态.
科学领域:
- 类风湿病学 类风湿病学
- 心理神经免疫学 心理神经免疫学
- 健康心理学 心理健康心理学
背景情况:
- 慢性疾病,如类风湿性关节炎 (RA) 呈现显著的生活压力.
- 不有效应对压力可能会阻碍RA患者的治疗结果.
研究的目的:
- 研究感知压力,应对策略和RA的临床状态之间的关联.
- 为了将C反应蛋白 (CRP) 和疾病活动评分 (DAS28) 与RA中的压力和应对相关联.
主要方法:
- 在84名RA患者和81名对照人群中进行了横截面研究.
- 使用了迷你COPE和感知压力尺度 (PSS-10) 问卷.
- 测量了血清CRP,皮质醇和DAS28的得分.
主要成果:
- 关节炎患者通常采用积极应对,规划,接受和宗教策略.
- 妇女的皮质醇水平较高与积极的重新评估,情感/工具支持和否认有关.
- 在男性中,高压力与CRP水平的翻倍有关;CRP和DAS28的增加与拒绝策略相关.
结论:
- 特定的应对策略在RA患者中很普遍.
- 拒绝策略与疾病活动标志物 (CRP,DAS28) 的升高和RA中的压力有关.
- 压力和应对机制可能会影响RA的临床状态和治疗反应.
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