成人アトピー性皮膚炎患者におけるアトピー性皮膚炎に対する認知とｗｅｌｌ‐ｂｅｉｎｇとの関連―アトピー性皮膚炎否定的認知尺度・アトピー性皮膚炎肯定的認知尺度の作成と認知パターンがＱＯＬおよび自己肯定意識に及ぼす影響の検討―

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  • Relationship between Illness-related Cognition and Well-being in Adult Patients with Atopic Dermatitis: Development of Negative and Positive Cognition Scales for Atopic Dermatitis and Influences of Cognitive Pattern on the Quality of Life and Self-affirmation

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This study aimed to develop a scale to assess illness-related cognition in adult patients with atopic dermatitis (AD) and examine the influences of cognition on well-being. A questionnaire concerning AD-related cognition, quality of life (QOL) , and self-affirmation was answered by 197 patients (aged 16-70 years; M=33.15, SD=10.38) . Exploratory and confirmatory factor analyses were conducted to examine the factor structure of Negative Cognition Scale for Atopic Dermatitis (NCS-AD) and Positive Cognition Scale for Atopic Dermatitis (PCS-AD) , both comprising three factors. Cluster analysis was conducted to reveal the subjects' cognitive patterns; consequently, the subjects could be classified into five groups. One-way ANOVA was used to find differences among the groups and it revealed the following characteristics: (1) the group with a high score in NCS-AD and a low score in PCS-AD was lower in both QOL and self-affirmation, (2) the group with a low score in NCS-AD was higher in both QOL and self-affirmation, and (3) the group with a high score in PCS-AD was lower in QOL, but higher in self-affirmation. Thus, measures that aim to reduce negative cognition and encourage positive cognition toward AD could be useful in promoting patients' well-being.<br>

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  • ストレス科学研究

    ストレス科学研究 26 53-60, 2011

    公益財団法人 パブリックヘルスリサーチセンター

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