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在EQ-5D上的时间视角概况和自我报告的健康状况
Fanni Rencz1, Mathieu F Janssen2
1Department of Health Policy, Corvinus University of Budapest, 8 Fővám tér, Budapest, 1093, Hungary. fanni.rencz@uni-corvinus.hu.
概括
时间视角影响自我报告的健康状况和对健康状况措施的反应行为. 了解时间视角 (TP) 等心理因素对于解释健康结果数据至关重要.
科学领域:
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 时间视角 (TP) 是一种与饮食,吸烟和药物坚持等健康行为相关的心理构造.
- 自我报告的健康指标,如EQ-5D-5L,受到各种因素的影响,包括心理因素.
研究的目的:
- 通过使用EQ-5D-5L.调查时间视角资料和自我报告的健康状况之间的关联.
- 识别与时间视角相关的表现出响应异质性的EQ-5D-5L域 (切割点转移).
主要方法:
- 来自匈牙利普通人口样本 (n=996) 的EQ-5D-5L数据的二次分析.
- 使用Zimbardo时间前景库存 (17个项目,5个子尺度) 评估时间前景.
- 使用部分比例赔率模型和多变量线性回归的统计分析.
主要成果:
- 在过去负面和现在命运主义的TP中得分更高,在现在享乐主义和未来TP中得分更低,与报告更多的健康问题相关.
- EQ-5D-5L的焦虑/抑郁领域显示了与多个TP子尺度和切割点转移的证据的显著关联.
- 通常的活动和疼痛/不适的领域也显示了与特定的TP子尺度的关联.
结论:
- 心理特征,特别是时间视角,有助于自我报告健康的反应异质性.
- 时间视角影响自我报告的健康,既通过影响潜在的健康状况,也通过影响反应行为.
- 研究结果强调了在标准化的健康状况评估中考虑与健康无关的心理因素的重要性.
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