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首页> 外文学位 >Illness perceptions and dyadic efficacy in women with rheumatoid arthritis and their husbands.
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Illness perceptions and dyadic efficacy in women with rheumatoid arthritis and their husbands.

机译：类风湿关节炎妇女及其丈夫的疾病知觉和二元疗效。

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摘要

This research addressed how married couples approach, conceptualize, and work as a team to manage rheumatoid arthritis (RA). This study examined from a dyadic perspective two important intrapersonal aspects of Leventhal's Self Regulatory Model (1984)---illness perceptions and self-efficacy. After a measure development pilot study, couple illness perception congruence (the degree of similarity between wife and husband illness perceptions) and dyadic efficacy (perceptions of confidence concerning the dyad's abilities to manage RA as a team) were independently examined as predictors of beneficial outcomes in women with RA. Women with RA and their husbands (n = 190 couples) were recruited for the study (with baseline and 4-month follow-up mailed surveys).; Factor analyses of the new dyadic efficacy items yielded three factors in both female and male versions, concerning Arthritis Problem Solving and Emotions, Active Arthritis Management Strategies, and Arthritis-related Couple Outcomes. The items in each subscale demonstrated high factor loadings and reliability (all alphas ≥0.90); initial evidence of construct validity was also demonstrated.; Illness perception congruence in couples significantly predicted women's subsequent psychological adjustment. When partners shared beliefs about women's personal control over RA and the cyclic nature of RA, women had better psychological adjustment. Women also had less negative affect when they shared beliefs with their husbands about the consequences of RA. Illness perception congruence concerning both illness emotions and timeline was unrelated to adjustment.; There was a reciprocal relationship between dyadic efficacy and marital satisfaction. Also, dyadic efficacy partially mediated the relationship between the extent to which women felt their husbands understood their RA and women's individual perceptions of illness control. Women who were more satisfied with their marriages and believed their husbands understood their arthritis more, had greater confidence in their abilities to work as a team with their husbands to manage RA. Further, women with enhanced dyadic efficacy believed they had more control over their illness.; This research offers support for a dyadic approach to understanding how couples cope with a long-term illness. Future research should examine how couples' illness perceptions and dyadic efficacy relate to support and self-management behaviors and explore intervention possibilities.
机译：这项研究探讨了已婚夫妇如何处理，概念化和团队合作来管理类风湿关节炎（RA）。这项研究从二元论的角度考察了莱文塔尔的自我调节模型（1984）的两个重要的个人内在方面-疾病知觉和自我效能感。在一项措施开发试点研究之后，将夫妇疾病感知的一致性（夫妻疾病感知之间的相似程度）和二元功效（关于二元组以团队方式管理RA的能力的信心感知）独立评估为有益结局的指标RA的女性。招募患有RA的妇女及其丈夫（n = 190对夫妇）进行研究（进行基线和4个月的随访邮寄调查）。新的二元功效项目的因素分析在女性和男性版本中产生了三个因素，分别涉及关节炎的问题解决和情绪，主动的关节炎管理策略以及与关节炎相关的夫妻结局。每个子量表中的项目都显示出较高的因子负荷和可靠性（所有alpha≥0.90）；还证明了构建有效性的初步证据。夫妻之间的疾病知觉一致性可以显着预测女性随后的心理适应。当伴侣之间对女性对RA的个人控制和RA的周期性具有共同的信念时，女性的心理适应能力就会更好。当妇女与丈夫分享对RA后果的看法时，妇女的负面影响也较小。关于疾病情绪和时间表的疾病知觉一致性与调整无关。二进制效力和婚姻满意度之间存在相互关系。同样，二元功效部分地介导了妇女对丈夫了解自己的RA的理解程度与妇女对疾病控制的个人看法之间的关系。妇女对婚姻更加满意，并认为丈夫对关节炎有更多的了解，她们对与丈夫一起管理RA的能力更有信心。此外，具有二元功效的女性认为她们对自己的疾病有更多的控制权。这项研究为了解夫妻如何应对长期疾病提供了一种二元方法。未来的研究应检查夫妻的疾病认知和二元功效如何与支持和自我管理行为相关联，并探讨干预的可能性。

著录项

  • 作者

    Sterba, Katherine Regan.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Health Sciences Public Health.; Education Health.
  • 学位 Ph.D.
  • 年度 2005
  • 页码 177 p.
  • 总页数 177
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;教育;
  • 关键词

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