Amyotrophic lateral sclerosis and hopelessness: psychosocial factors

被引:51
作者
Plahuta, JM
McCulloch, BJ
Kasarskis, EJ
Ross, MA
Walter, RA
McDonald, ER
机构
[1] Univ Kentucky, PHD Program Gerontol, Lexington, KY 40536 USA
[2] Univ Kentucky, Dept Family Studies, Lexington, KY 40536 USA
[3] Univ Kentucky, Dept Neurol, Lexington, KY 40536 USA
[4] New Rd Map Fdn, Seattle, WA USA
关键词
USA; amyotrophic lateral sclerosis; locus of control; hopelessness; purpose in life;
D O I
10.1016/S0277-9536(01)00356-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study was to investigate the relationship of psychosocial factors to the presence of hopelessness among patients with amyotrophic lateral sclerosis (ALS). Secondary cross-sectional analyses were conducted with data collected from 136 ALS patients. Primary research questions were examined using hierarchical multiple regression procedures. Results showed that health locus of control and purpose in life were significant predictors of hopelessness among ALS patients. Other factors, including socioeconomic and demographic variables, variables measuring length and severity of illness, and additional psychosocial variables (social support satisfaction and degree to which spiritual beliefs help to cope with ALS) were not significant predictors of hopelessness. Results are discussed in light of the benefit to ALS patients of psychosocial interventions in disease management. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:2131 / 2140
页数:10
相关论文
共 49 条
[1]   Predictive factors for psychological distress in ambulatory lung cancer patients [J].
Akechi, T ;
Kugaya, A ;
Okamura, H ;
Nishiwaki, Y ;
Yamawaki, S ;
Uchitomi, Y .
SUPPORTIVE CARE IN CANCER, 1998, 6 (03) :281-286
[2]   DEPRESSED AFFECT, HOPELESSNESS, AND THE RISK OF ISCHEMIC-HEART-DISEASE IN A COHORT OF UNITED-STATES ADULTS [J].
ANDA, R ;
WILLIAMSON, D ;
JONES, D ;
MACERA, C ;
EAKER, E ;
GLASSMAN, A ;
MARKS, J .
EPIDEMIOLOGY, 1993, 4 (04) :285-293
[3]  
Beck A.T., 1988, MANUAL BECK HOPELESS
[4]   HOPELESSNESS AND SUICIDAL-BEHAVIOR - OVERVIEW [J].
BECK, AT ;
KOVACS, M ;
WEISSMAN, A .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1975, 234 (11) :1146-1149
[5]   MEASUREMENT OF PESSIMISM - HOPELESSNESS SCALE [J].
BECK, AT ;
WEISSMAN, A ;
LESTER, D ;
TREXLER, L .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1974, 42 (06) :861-865
[6]   PREDICTING VULNERABILITY TO HOPELESSNESS - A LONGITUDINAL ANALYSIS [J].
BONNER, RL ;
RICH, AR .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1991, 179 (01) :29-32
[7]   RELATIONSHIPS AMONG HOPE, PSYCHOSOCIAL DEVELOPMENT, AND LOCUS OF CONTROL [J].
BRACKNEY, BE ;
WESTMAN, AS .
PSYCHOLOGICAL REPORTS, 1992, 70 (03) :864-866
[8]   PRESYMPTOMATIC DIAGNOSIS OF DELAYED-ONSET DISEASE WITH LINKED DNA MARKERS - THE EXPERIENCE IN HUNTINGTONS-DISEASE [J].
BRANDT, J ;
QUAID, KA ;
FOLSTEIN, SE ;
GARBER, P ;
MAESTRI, NE ;
ABBOTT, MH ;
SLAVNEY, PR ;
FRANZ, ML ;
KASCH, L ;
KAZAZIAN, HH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (21) :3108-3114
[9]   Predictors of outpatient medical appointment attendance among persons with HIV [J].
Catz, SL ;
McClure, JB ;
Jones, GN ;
Brantley, PJ .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1999, 11 (03) :361-373
[10]   ILLNESS EXPERIENCE IN A CHRONIC DISEASE - ALS [J].
COBB, AK ;
HAMERA, E .
SOCIAL SCIENCE & MEDICINE, 1986, 23 (07) :641-650