Objective: Individuals with chronic obstructive pulmonary disease (COPD) exhibit low physical and mental health-related quality of life (HRQL) and high susceptibility to disability. We investigated the influence of psychological factors on HRQL and disability in COPD individuals recruited from the general population. In line with Leventhal’s common sense model, we expected psychological factors to be associated with HRQL and disability even after controlling for medical status.
Methods: Individuals with COPD (n = 502; 59.7 years old; GOLD grades were I: 3%, II: 17%, III: 34%, IV: 46%) were assessed through an online survey administered via COPD patient organisations in Germany. Individuals filled in the Short Form Health Survey (SF-12), COPD Assessment Test, Patient Health Questionnaire (modules: GAD-2, PHQ-15, PHQ-9), Brief Illness Perception Questionnaire, a questionnaire that assesses causal illness attributions, and the internal illness-related locus of control scale of the ‘KKG questionnaire for the assessment of control beliefs about illness and health’. Multiple linear regressions were calculated.
Results: The investigated factors explained high variances (disability = 56%, physical HRQL = 28%, mental HRQL = 63%, p ≤ .001). Better mental health, more optimistic illness perceptions, attribution to psychological causes, and stronger internal locus of control were associated with lower disability and better HRQL. Comorbid somatic symptoms contributed to high disability and low quality of life.
Conclusion: Psychological factors, such as illness perception, attribution and internal locus of control, were associated with disability and HRQL. These factors should be considered when designing treatments for individuals with COPD, and adequate interventions should be provided to enhance illness understanding and self-management skills. 相似文献
The hostile attribution bias (HAB) is a well‐established risk factor for aggression. It is considered part of the suspicious mindset that may cause highly victim‐justice sensitive individuals to behave uncooperatively. Thus, links of victim justice sensitivity (JS) with negative behavior, such as aggression, may be better explained by HAB. The present study tested this hypothesis in N = 279 German adolescents who rated their JS, HAB, and physical, relational, verbal, reactive, and proactive aggression. Victim JS predicted physical, relational, verbal, reactive, and proactive aggression when HAB was controlled. HAB only predicted physical and proactive aggression. There were no moderator effects. Injustice seems an important reason for aggression irrespective of whether or not it is intentionally caused, particularly among those high in victim JS. Thus, victim JS should be considered as a potential important risk factor for aggression and receive more attention by research on aggression and preventive efforts. 相似文献
While research indicates that mindfulness can benefit individual well-being, less is known about its potential impact in the interpersonal domain. In the current research, we examined whether a central element of mindfulness—decentering—decreases hostile attributions in ambiguous social situations. We hypothesized that decentering from experiences—observing and considering them as mental events that arise and disappear—hampers the development of hostile attributions. A series of three laboratory studies, two of which were high-powered and pre-registered, demonstrated that decentering decreases hostile attribution in response to ambiguous social scenarios as compared to immersion instructions, and as compared to baseline. Additionally, the results suggest that decentering may be particularly beneficial in reducing hostile attribution bias among participants high in trait rumination. The current findings provide initial insights into the effect of decentering on the development of hostile attribution bias, and the association between mindfulness and interpersonal responses more generally. 相似文献
We tested the notion that angered persons' aggression would be increased through a process of excitation transfer when they are deindividuated, but that individuated subjects would be most aggressive in circumstances under which they could use the information that they had ingested an arousing drug as a pretext for their aggression. Sixty-two male undergraduates participated under either deindividuated or individuated conditions, ingested either 350 mg of caffeine or a placebo, were informed that they had either taken a stimulant or a nonarousing drug, and were all angered by a confederate. According to prediction, when deindividuated and aroused by caffeine the amount of noxious stimulation subjects delivered to the provocateur was greater if they believed that the drug they had taken was nonarousing than if they thought it was a stimulant; in contrast, individuated subjects' aggression was greater when aroused subjects believed the drug was a stimulant. The results are discussed in terms of excitation transfer and the effect of aggression inhibition on the use of information about one's arousal. 相似文献
East Asian and American causal reasoning differs significantly. East Asians understand behavior in terms of complex interactions between dispositions of the person or other object and contextual factors, whereas Americans often view social behavior primarily as the direct unfolding of dispositions. These culturally differing causal theories seem to be rooted in more pervasive, culture-specific mentalities in East Asia and the West. The Western mentality is analytic, focusing attention on the object, categorizing it by reference to its attributes, and ascribing causality based on rules about it. The East Asian mentality is holistic, focusing attention on the field in which the object is located and ascribing causality by reference to the relationship between the object and the field. 相似文献
Two studies investigated whether the importance and valence of a target person's achievement outcome affect (a) the intensity of surprise an observer feels about the actual outcome and (b) the role surprise plays in the motivation of the search for a causal explanation for the target's outcome. The present experiments involved conditions controlling for the confounds among outcome valence, importance, and surprise. Both studies revealed that surprise intensity was affected by outcome valence and importance so that an important negative outcome elicits the highest surprise and unimportant success elicited the second highest surprise. Causal search was strong only after (unexpected) important failures. Results are explained in terms of an extended expectancy-disconfirmation approach. 相似文献