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  • 标题:Physical function and quality of well-being in fibromyalgia: the applicability of the goodness-of-fit hypothesis
  • 本地全文:下载
  • 作者:Maya S. Santoro ; Charles Van Liew ; Terry A. Cronan
  • 期刊名称:Health Psychology and Behavioral Medicine: An Open Access Journal
  • 电子版ISSN:2164-2850
  • 出版年度:2014
  • 卷号:2
  • 期号:1
  • 页码:496-508
  • DOI:10.1080/21642850.2014.905205
  • 出版社:Taylor and Francis Ltd
  • 摘要:

    Objective: The goodness-of-fit hypothesis suggests that the effectiveness of a coping strategy depends on the match between type of strategy (problem-focused, emotion-focused) and the level of perceived control. This hypothesis was examined as a predictor of physical functioning and quality of well-being (QWB) in a large sample of women with fibromyalgia. Methods: Participants were 478 women with diagnosed fibromyalgia (Mage = 54.31, SD = 11.2), who were part of a larger intervention in which no intervention effects were found. Hierarchical, mixed selection regressions were performed to determine whether the relationship between coping and control-predicted physical functioning and QWB. Results: Participants who reported having lower levels of perceived control over their fibromyalgia syndrome and who engaged in more self-controlling coping (emotion-focused strategy) experienced greater QWB and physical functioning than those who used less self-controlling coping. Various main effects for coping and perceived control were also found. Level of physical functioning was also related to escape-avoidance, distancing, and perceived control. The level of QWB was related to social-support seeking, accepting responsibility, distancing, problem-solving, and perceived control. Conclusions: This study provides a greater understanding of the relationships among coping, perceived control, physical functioning, and well-being for women with fibromyalgia. Implications and directions for future research are discussed.

  • 关键词:fibromyalgia syndrome; quality of well\-being; physical function; coping; control
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