دانلود مقاله ISI انگلیسی شماره 74775
عنوان فارسی مقاله

آیا افشای هیجانی در مورد استرس، باعث بهبود سلامت در آرتریت روماتوئید می شود؟ کارآزمایی های تحت کنترل نوشتاری و گفتاری

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
74775 2011 12 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Does emotional disclosure about stress improve health in rheumatoid arthritis? Randomized, controlled trials of written and spoken disclosure
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : PAIN®, Volume 152, Issue 4, April 2011, Pages 866–877

کلمات کلیدی
آرتریت روماتوئید، درد، افشای هیجانی؛ بیانی رسا؛ فشار؛ هیجانی؛ کارازمایی بالینی
پیش نمایش مقاله
پیش نمایش مقاله آیا افشای هیجانی در مورد استرس، باعث بهبود سلامت در آرتریت روماتوئید می شود؟ کارآزمایی های تحت کنترل نوشتاری و گفتاری

چکیده انگلیسی

Studies of the effects of disclosing stressful experiences among patients with rheumatoid arthritis (RA) have yielded inconsistent findings, perhaps due to different disclosure methods – writing or speaking – and various methodological limitations. We randomized adults with RA to a writing (n = 88) or speaking (to a recorder) sample (n = 93), and within each sample, to either disclosure or 1 of 2 control groups (positive or neutral events), which conducted four 20-minute, at-home sessions. Follow-up evaluations at 1, 3, and 6 months included self-reported, behavioral, physiological, and blinded physician-assessed outcomes. In both writing and speaking samples, the disclosure and control groups were comparably credible, and the linguistic content differed as expected. Covariance analyses at each follow-up point indicated that written disclosure had minimal effects compared with combined controls – only pain was reduced at 1 and 6 months, but no other outcomes improved. Spoken disclosure led to faster walking speed at 3 months, and reduced pain, swollen joints, and physician-rated disease activity at 6 months, but there were no effects on other outcomes. Latent growth curve modeling examined differences in the trajectory of change over follow-up. Written disclosure improved affective pain and walking speed; spoken disclosure showed only a marginal benefit on sensory pain. In both analyses, the few benefits of disclosure occurred relative to both positive and neutral control groups. We conclude that both written and spoken disclosure have modest benefits for patients with RA, particularly at 6 months, but these effects are limited in scope and consistency.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.