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Predicting Subjective Well-Being in ...

Yaghmaian, Rana.

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Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability./
作者:	Yaghmaian, Rana.
面頁冊數:	133 p.
附註:	Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.
Contained By:	Dissertation Abstracts International77-10B(E).
標題:	Social psychology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10129357
ISBN:	9781339872483

Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability.
Yaghmaian, Rana.

Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability. - 133 p.

Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2016.

Fibromyalgia syndrome (FMS) is a complex disorder that has been subjected to much controversy due to its ambiguous nature, subjective manifestation, and often-unsuccessful treatment. Persons with this diagnosis, particularly women, experience a great deal of frustration, stress, and relational dissatisfaction in their daily lives. FMS is especially unique, as the intersectionality of the diagnosis extends beyond gender and illness alone; the highly stigmatized nature of FMS complicates the processes through which women with this diagnosis are able to achieve full inclusion in social and community life and overall well-being. The present study sought to employ a feminist, biopsychosocial framework of chronic illness and disability in predicting subjective well-being (SWB) in women with FMS. Furthermore, it aimed to determine the potential buffering effect of illness centrality on the relationship between FMS severity and life satisfaction. Lastly, the investigator aimed to measure participation in a way that weighted perceived functioning in life roles in accordance with their importance to the individual; thus, the Meaningful Role Functioning Questionnaire (MRFQ) was developed in conjunction with the present study. In the primary research model, socioenvironmental factors were represented by physician-patient working alliance and physician stigma, biological factors were represented by FMS severity, psychological factors were represented by illness centrality, participation was represented by meaningful role-functioning, and SWB was represented by positive affect, negative affect, and life satisfaction.

ISBN: 9781339872483Subjects--Topical Terms:

520219
Social psychology.

Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability.
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245 1 0 $a Predicting Subjective Well-Being in Women with Fibromyalgia: An Application of a Feminist, Biopsychosocial Framework of Chronic Illness and Disability.
300 $a 133 p.
500 $a Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.
500 $a Adviser: Susan Smedema.
502 $a Thesis (Ph.D.)--The University of Wisconsin - Madison, 2016.
520 $a Fibromyalgia syndrome (FMS) is a complex disorder that has been subjected to much controversy due to its ambiguous nature, subjective manifestation, and often-unsuccessful treatment. Persons with this diagnosis, particularly women, experience a great deal of frustration, stress, and relational dissatisfaction in their daily lives. FMS is especially unique, as the intersectionality of the diagnosis extends beyond gender and illness alone; the highly stigmatized nature of FMS complicates the processes through which women with this diagnosis are able to achieve full inclusion in social and community life and overall well-being. The present study sought to employ a feminist, biopsychosocial framework of chronic illness and disability in predicting subjective well-being (SWB) in women with FMS. Furthermore, it aimed to determine the potential buffering effect of illness centrality on the relationship between FMS severity and life satisfaction. Lastly, the investigator aimed to measure participation in a way that weighted perceived functioning in life roles in accordance with their importance to the individual; thus, the Meaningful Role Functioning Questionnaire (MRFQ) was developed in conjunction with the present study. In the primary research model, socioenvironmental factors were represented by physician-patient working alliance and physician stigma, biological factors were represented by FMS severity, psychological factors were represented by illness centrality, participation was represented by meaningful role-functioning, and SWB was represented by positive affect, negative affect, and life satisfaction.
520 $a The study included 229 participants identifying as women who had FMS for one year or more. Structural equation modeling (SEM) was used to determine the joint influence of the biopsychosocial factors on SWB. Results indicated that the proposed model did not fit the sample data. Following model modifications, the respecified model indicated a strong model-to-data fit, with physician-patient working alliance, FMS severity, illness centrality, and meaningful role-functioning predicting 79% of the variance in SWB. Results of the moderation analysis indicated that illness centrality was not a significant moderator of the relationship between FMS severity and life satisfaction. Lastly, the MRFQ was found to be a reliable measure of role-functioning in this sample of women with FMS, with a test-retest reliability coefficient of .74. Furthermore, the MRFQ correlated significantly with other biopsychosocial constructs, including the variables in the primary research model, as well as social support, core self-evaluations, and chronic pain stigma. The findings in this study extend the current literature on the biopsychosocial factors that influence well-being in women with FMS, reinforcing the notion that SWB is more powerfully predicted by accounting for the joint influence of health condition, socioenvironmental, and psychological factors, as opposed to any of the single factors alone. This study further provides context for evaluating a biopsychosocial model through a feminist lens. Additional implications for rehabilitation research and practice are discussed.
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