Rösche Johannes, Uhlmann Carmen, Weber Raimund
Abteilung Neurologie und Epileptologie, Zentrum für Psychiatrie, Die Weissenau (Abt. Psychiatrie I der Universität Ulm)/Epilepsiezentrum Bodensee, Ravensburg-Weissenau.
Psychother Psychosom Med Psychol. 2004 Jan;54(1):4-8. doi: 10.1055/s-2003-812588.
In this study we examined whether individual coping strategies improve in the course of a ward based treatment with a holistic therapeutic approach. An increase in problem-focussed coping and a decrease in emotion-focussed coping or avoidance-oriented coping were considered as improvement. As a part of a comprehensive therapy monitoring 65 patients with therapy refractory epilepsy were studied with the Freiburg Questionnaire of coping with Illness (FKV) on the day after admittance to a specialized epilepsy ward. A second investigation with the FKV was performed on the day before discharge. A decrease in depressive coping and cognitive avoidance and an increase in problem focussed coping could be documented. These changes could not be interpreted as an effect of better seizure control or antidepressive drugs. This may be a hint for the efficacy of a holistic treatment approach to increase the patient's resources for a successful psychosocial adjustment to therapy refractory epilepsy.
在本研究中，我们考察了在基于病房的整体治疗过程中个体应对策略是否有所改善。问题聚焦应对增加、情绪聚焦应对或回避导向应对减少被视为改善。作为综合治疗监测的一部分，65名难治性癫痫患者在入住专业癫痫病房后的第二天，使用弗莱堡疾病应对问卷（FKV）进行了研究。出院前一天再次使用FKV进行调查。结果显示，抑郁应对和认知回避减少，问题聚焦应对增加。这些变化不能解释为更好的癫痫控制或抗抑郁药物的作用。这可能暗示了整体治疗方法在增加患者资源以成功进行社会心理调整从而应对难治性癫痫方面的有效性。
