This study examined the hypothesized illness self-schemas construct in persons with rheumatoid arthritis (RA). Biases in self-description, information processing, and schema-consistent illness behavior were examined in depressed and nondepressed persons with RA and compared with those of depressed and nondepressed controls. Major findings revealed that RA-depressed subjects exhibited pervasively negative self-description and biased processing of negative illness-related information. RA-nondepressed subjects demonstrated a bias for positive self-description and enhanced processing of positive illness-related information. Using regression analysis, the illness self-schema construct predicted unique variance in self-reported functional disability. Findings are reviewed in the context of previous research on self-schemas, chronic pain, and cognitive variables in chronic illness. Potential clinical implications and directions for future research are discussed. The illness self-schema construct has significant heuristic value which could guide further research on the psychosocial adjustment of individuals with chronic illnesses.

译文

这项研究检查了类风湿关节炎(RA)患者的假设疾病自身方案。在抑郁和非抑郁的RA患者中检查了自我描述,信息处理和模式一致的疾病行为方面的偏见,并与抑郁和非抑郁的对照组进行了比较。主要发现表明,RA抑郁的受试者普遍表现出负面的自我描述,并且对与疾病相关的负面信息的处理有偏见。 RA非抑郁受试者表现出对自我自我描述的积极偏见,并增强了对与疾病相关的积极信息的处理。使用回归分析,疾病自我模式构建可以预测自我报告的功能障碍中的独特差异。在先前关于自我方案,慢性疼痛和慢性病认知变量的研究背景下,对研究结果进行了综述。讨论了潜在的临床意义和未来研究的方向。疾病自我模式构建具有重要的启发性价值,可以指导进一步研究慢性病患者的心理社会适应。

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