Rätsep T, Kallasmaa T, Pulver A, Gross-Paju K
Department of Neurology and Neurosurgery, University of Tartu, Estonia.
Mult Scler. 2000 Dec;6(6):397-402. doi: 10.1177/135245850000600607.
The aim of the study was to explore personality traits as predictors of coping with disease-related distress in patients with multiple sclerosis (MS). All patients with clinically definite MS in a city with a population of approximately 100000 were asked to complete the NEO Personality Inventory and a multidimensional coping inventory (COPE). There was an 83% response rate yielding 49 patients for the study population and 49 controls, matched for age, gender and educational level to the MS-patients, were used as comparison. Only Neuroticism correlated significantly with emotion-focused coping in both groups. Extraversion and Openness to Experience were linked to task-oriented coping strategies in normal controls but not in the MS-group. Agreeableness was associated with avoidance-oriented coping strategies only in the MS-group. Thus, the relation of certain personality characteristics to the choice of strategies for coping with the disease-related distress appear to differ from coping with stressful problems in everyday life. As dispositional characteristics may interfere with adaptive coping responses, analysis of personality traits and coping strategies could contribute while attempting to relieve the consequences of chronic disease on everyday life.
本研究的目的是探讨人格特质作为多发性硬化症（MS）患者应对疾病相关困扰的预测因素。在一个约有10万人口的城市中，所有临床确诊为MS的患者均被要求完成NEO人格量表和多维应对量表（COPE）。应答率为83%，研究人群中有49名患者，另外选取了49名与MS患者年龄、性别和教育水平相匹配的对照者作为比较。两组中只有神经质与情绪聚焦应对显著相关。外向性和开放性经验与正常对照组的任务导向应对策略相关，但在MS组中并非如此。宜人性仅在MS组中与回避导向应对策略相关。因此，某些人格特征与应对疾病相关困扰的策略选择之间的关系似乎与应对日常生活中的压力问题不同。由于性格特征可能会干扰适应性应对反应，在试图减轻慢性病对日常生活的影响时，分析人格特质和应对策略可能会有所帮助。
