Towards a better understanding of the role of psychological variables in arthritis outcome research 英文参考文献.docVIP

Boonen Arthritis Research Therapy 2010,12:106 /content/12/1/106 EDITORIAL Towards a better understanding of the role of psychological variables in arthritis outcome research Annelies Boonen* See related research by Brionez et al., /content/11/6/R182 by experts in ankylosing spondylitis because of their Abstract subjective nature, this paper helps to understand mecha- In the previous issue of Arthritis Research and Therapy, Brionez and colleagues show that helplessness, depression, and passive coping account for signi?cant nisms underlying these e? ects and quanti? es the magnitude of their in? uence. variability in self-reported functional limitations in patients with ankylosing spondylitis, beyond the e?ect of age, in?ammation and radiographic damage. Since the perspective of the patients in the experience of health is increasingly important, insight into the type of psychological variables, the pathways by which they in?uence health and the approaches for how to deal with these variables are challenging. What are psychological variables? Psychology is the discipline that attempts to understand the role of mental functions in individual and social behavior. In medicine, psychology became more widely integrated when the biopsychosocial model of disease was adopted by the World Health Organization, through the approval of the International Classi? cation of Functioning, Disability and Health (ICF) (Figure 1) as the framework and classi? cation of health. In the biopsychosocial model, functioning and health results from a complex interplay of the health compo nents – body functions and structures, activities and parti ic aption – and the contextual factors – environmental factors and personal factors [2]. In the ICF, psychological variables can be found either within the body functions or within the personal factors. Depression, as in the study by Brionez