对风湿性关节炎应对策略和心理痛苦的元分析
Rebecca Hinch1, Fuschia M Sirois2
1University of Sheffield, Sheffield, UK.
British journal of health psychology
|May 5, 2024
概括
不适应的应对策略,如情绪回避,与类风湿性关节炎 (RA) 患者的心理痛苦增加有关. 在这次元分析中,适应性应对策略与痛苦没有显著的关联.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 健康心理学 心理健康心理学
背景情况:
- 应对策略对于治疗风湿性关节炎 (RA) 患者的心理痛苦至关重要.
- 以前的研究表明,适应性和不适应性应对对 RA 患者的痛苦产生不同的影响.
研究的目的:
- 对适应性和不适应性应对策略与类风湿性关节炎中心理痛苦之间的关联进行元分析.
- 量化这些关系,并探索影响这些联系的因素.
主要方法:
- 通过对四个数据库进行系统搜索,确定了16项符合条件的研究.
- 两个随机效应的元分析检查了适应性 (以问题为中心,情绪化方法) 和不适应性 (情绪化回避,前职业) 应对和心理痛苦 (压力,焦虑,抑郁) 之间的联系.
- 评估了研究质量,并对样本特征和应急类型进行了调节者分析.
主要成果:
- 在不适应应对和心理痛苦之间发现了一个显著的,中等规模的关联 (r=.347).
- 适应不良的应对对抑郁症的影响比联合困境的影响更大.
- 在适应性应对和痛苦方面没有发现显著的关联 (r=-.155).
结论:
- 适应不良的应对策略与风湿性关节炎患者的心理痛苦增加有关.
- 在这次元分析中,适应性应对策略与痛苦没有显著的关联.
- 建议进行进一步的研究来验证这些发现,特别是关于适应性应对.
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