Psychological and physical wellness in older adults from the patient perspective 外文参考文献.doc

Psychological and physical wellness in older adults from the patient perspective 外文参考文献

Vol.4, No.2, 80-87 (2012) Health /10.4236/health.2012.42013 Psychological and physical wellness in older adults from the patient perspective Sharon Song , Frank J. Prerost , Emmanuel Gonzalez , Jonathan Woodin 1 2* 3 3 1 2 3 Department of Biomedical Sciences, Midwestern University, Downers Grove, USA Department of Family Medicine, Midwestern University, Downers Grove, USA; Corresponding Author: fprero@ Department of Behavioral Medicine, Midwestern University, Downers Grove, USA * Received 10 November 2011; revised 22 December 2011; accepted 4 January 2012 ABSTRACT Keywords: Wellness; Illness Burden The authors of this study examined the relation- ship between life attitude and physical disease state and found that psychological well being me- diated patients’ illness course. Coherence and life control were endorsed as the important compo- nents of psychological well being. A multi-dimen- sional measure of life purpose was administered to 97 older adults on the acute rehabilitation unit of a major medical center in the United States. The severity of their illness burden was compu- ted blindly by a physician rater. Regression ana- lysis was conducted to determine if life attitude was predictive of the symptom ratings and factor analysis was performed on the individual items of the life attitude instrument to highlight the psy- chological profile of the older adults in this study for whom health challenges were primary. There was a significant relationship between life attitude and disease severity, even though the fit of the model indicated the need for other expla- natory factors to fully account for sickness. Fac- tor analysis demonstrated that items defined as measuring coherence and life control explained the largest proportion of total variance. Coher- ence incorporated the log

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