疾病感知和行为反应作为改变解决问题治疗机制的机制,以解决海湾战争疾病的退伍军人
Laura M Lesnewich1, Darren M Winograd1,2, Shou-En Lu1,3
1War Related Illness and Injury Study Center (WRIISC), Veterans Affairs New Jersey Healthcare System, East Orange, New Jersey, USA.
解决问题的治疗 (PST) 通过减少负面的疾病感知和不适应行为,帮助海湾战争退伍军人患有海湾战争疾病 (GWI). 这些变化是推动这些持续性身体症状治疗成功的关键机制.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 退伍军人健康 退伍军人的健康
- 行为医学是一种行为医学.
背景情况:
- 持续的医学上无法解释的身体症状和综合征 (PPS) 影响了许多海湾战争退伍军人.
- 海湾战争疾病 (GWI) 是一种常见的PPS形式,行为干预,如解决问题的治疗 (PST) 显示有效性.
- 通过PST改善GWI症状的具体机制尚不清楚.
研究的目的:
- 为了确定改变的机制,负责PST的有效性在退伍军人与GWI.
- 研究疾病感知和行为反应的变化如何调解症状改善.
主要方法:
- 患有GWI的退伍军人被随机分配到PST或主动对照组.
- 这项分析的重点是接受PST的135名退伍军人.
- 调解分析检查了疾病感知 (威胁/保护) 和行为反应 (不适应/适应) 的变化,作为残疾和症状等结果的潜在调解者.
主要成果:
- 减少威胁疾病的感知显著介导了残疾,抑郁和身体症状的改善 (p < .05).
- 减少了不适应的行为反应 (一切或没有,限制) 也显著介导了这些结果 (p < .01).
- 保护性感知和适应性行为的变化并不是显著的调解者.
结论:
- 负面疾病感知和不适应的行为反应的变化似乎是推动GWI中PST疗效的关键机制.
- 这些发现支持PPS的认知行为模型和自我调节的常识模型.
- 了解这些机制可以完善对有GWI和类似疾病的退伍军人的行为干预措施.
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