Profiles of well-being and their associations with self-forgiveness, forgiveness of others, and gratitude among patients with rheumatic and musculoskeletal diseases.

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-08-26 DOI:10.1111/bjhp.12749
Edyta Charzyńska, Martin Offenbächer, Kjerstin Halverson, Jameson K Hirsch, Niko Kohls, Christian Hanshans, Fuschia Sirois, Loren Toussaint
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Abstract

Objectives: Patients with rheumatic and musculoskeletal diseases (RMDs) often experience poor well-being. Common limitations of the studies on this topic involve using variable-centred and deficit-based approaches. In this study, we used the person-centred approach to identify profiles of positive (life satisfaction and health status) and negative (depression, anxiety, fatigue, and stress) indicators of well-being among patients with RMDs. Moreover, we tested self-forgiveness, forgiveness of others, gratitude, and sociodemographics as contributors to latent profile membership.

Design: A cross-sectional questionnaire survey.

Methods: Using a latent profile analysis, we investigated well-being profiles among 892 patients with RMDs (759 patients with arthritis and 133 with fibromyalgia [FM]) and examined the correlates of latent profile membership.

Results: We identified four profiles of well-being: (1) 'life dissatisfaction' (9.2%), (2) 'high well-being' (43.4%), (3) 'suboptimal well-being' (35.2%), and (4) 'very poor well-being' (12.2%). Members of Profile 2 had higher levels of self-forgiveness and gratitude than members of the remaining profiles, had higher levels of forgiveness of others than Profile 3, and were older than members of Profile 4. Moreover, members of Profile 2 had a higher proportion of patients with arthritis relative to those with FM than all other profiles and men to women than Profile 4.

Conclusions: Patients with RMDs are heterogeneous in terms of well-being. Self-forgiveness, gratitude, and forgiveness of others may serve as psychological capital that enhances patients' well-being. Special attention should be paid to patients with FM, women, and younger patients since they can be especially susceptible to poor well-being.

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风湿病和肌肉骨骼疾病患者的幸福感特征及其与自我宽恕、宽恕他人和感恩的关系。
目的:风湿病和肌肉骨骼疾病(RMDs)患者的幸福感往往很差。有关这一主题的研究普遍存在以变量为中心和以缺陷为基础的局限性。在本研究中,我们采用了以人为本的方法来确定 RMD 患者幸福感的积极指标(生活满意度和健康状况)和消极指标(抑郁、焦虑、疲劳和压力)。此外,我们还测试了自我宽恕、对他人的宽恕、感恩以及社会人口统计学对潜在特征成员的贡献:设计:横断面问卷调查:方法:我们采用潜特征分析法,调查了 892 名 RMD 患者(759 名关节炎患者和 133 名纤维肌痛患者[FM])的幸福感特征,并研究了潜特征成员资格的相关因素:我们发现了四种幸福感特征:(1) "生活不满意"(9.2%),(2) "幸福感高"(43.4%),(3) "幸福感不理想"(35.2%),(4) "幸福感很差"(12.2%)。与其他类型的成员相比,"类型 2 "成员的自我宽恕和感恩水平较高,与 "类型 3 "成员相比,"类型 2 "成员对他人的宽恕水平较高,而且与 "类型 4 "成员相比,"类型 2 "成员的年龄较大。此外,与所有其他类型的患者相比,类型 2 患者中患有关节炎的比例相对于患有调频功能障碍的比例更高,与类型 4 相比,类型 2 患者中男性相对于女性的比例更高:RMD患者在幸福感方面存在差异。自我宽恕、感恩和宽恕他人可作为心理资本,提高患者的幸福感。应特别关注 FM 患者、女性和年轻患者,因为他们特别容易出现幸福感不佳的情况。
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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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