Psychological factors in symptom severity and quality of life in Raynaud's phenomenon.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL Behavioural and Cognitive Psychotherapy Pub Date : 2024-07-01 Epub Date: 2024-01-29 DOI:10.1017/S1352465823000620

Dulcie Irving, Jo Daniels

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Abstract

Background: Despite emotional stress being recognised as a key trigger for Raynaud's phenomenon episodes, research in the area is still in its infancy.

Aims: This study investigated the role of psychological factors relating to symptom severity and quality of life, and differences between Raynaud's types (primary and secondary) to further inform the development of intervention in this field.

Method: A cross-sectional design was used. Two hundred and ten adults with Raynaud's completed an online questionnaire measuring stress, anxiety, depression, anxiety sensitivity, beliefs about emotions, symptom severity and quality of life.

Results: Primary and secondary Raynaud's groups differed in anxiety (p < .004), symptom severity (p < .001) and quality of life (p < .001). Stepwise multiple regressions indicated anxiety and Raynaud's type explained 23% variance in hand symptom severity (p < .001); anxiety, Raynaud's type and anxiety sensitivity explained 29% variance in symptom severity (global impact, p < .001); depression, Raynaud's type and anxiety sensitivity explained 32% variance in quality of life (p < .001).

Conclusions: Results highlight the importance of psychological factors in Raynaud's phenomenon, indicating possible targets for treatment. Interventions such as cognitive behavioural therapy, which target both physical and psychological wellbeing, bear some promise as an adjuvant therapy for this group.

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雷诺现象症状严重程度和生活质量的心理因素。

背景：目的：本研究调查了与症状严重程度和生活质量有关的心理因素的作用，以及雷诺氏症类型（原发性和继发性）之间的差异，以便为该领域干预措施的开发提供进一步信息：方法：采用横断面设计。210 名成年雷诺氏症患者完成了一份在线问卷，测量压力、焦虑、抑郁、焦虑敏感性、对情绪的看法、症状严重程度和生活质量：原发性和继发性雷诺氏症群体在焦虑（p < .004）、症状严重程度（p < .001）和生活质量（p < .001）方面存在差异。逐步多元回归表明，焦虑和雷诺氏症类型可解释手部症状严重程度23%的差异（p < .001）；焦虑、雷诺氏症类型和焦虑敏感性可解释症状严重程度29%的差异（整体影响，p < .001）；抑郁、雷诺氏症类型和焦虑敏感性可解释生活质量32%的差异（p < .001）：结论：研究结果强调了心理因素在雷诺现象中的重要性，并指出了可能的治疗目标。认知行为疗法等针对生理和心理健康的干预措施有望成为该群体的辅助疗法。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.