Geffken Gary R, Storch Eric A, Duke Danny C, Monaco Linda, Lewin Adam B, Goodman Wayne K
Department of Psychiatry, University of Florida, Gainesville, FL 32610, USA.
J Anxiety Disord. 2006;20(5):614-29. doi: 10.1016/j.janxdis.2005.07.001. Epub 2005 Aug 9.
Obsessive-compulsive disorder (OCD) affects approximately 2-4% of the adult population. Despite the practical and emotional demands of having a family member with OCD, few systematic attempts have been made to assess the coping strategies used by relatives of individuals with such diagnoses. In this study we examined the relationships between hope, coping strategies, and depressive symptoms in a heterogeneous sample of 67 spouses/primary caregivers of individuals with a history of OCD. In support of our hypotheses, hope was negatively related to depressive symptoms, symptom severity, and denial disengagement coping strategies, and positively related to active reframing and social support coping strategies. Active, Reframing, Social Support, and Religiosity were negatively related to depressive symptoms. Denial/Disengagement was positively associated with depressive symptoms. Coping mediated the relationship between hope and depressive symptoms. Given the importance of family members in treatment, clinical implications of these findings are discussed.
强迫症（OCD）影响着约2%至4%的成年人口。尽管照顾患有强迫症的家庭成员会带来实际和情感上的负担，但很少有人系统地尝试评估此类患者亲属所采用的应对策略。在本研究中，我们调查了67名有强迫症病史患者的配偶/主要照顾者这一异质性样本中，希望、应对策略和抑郁症状之间的关系。支持我们的假设的是，希望与抑郁症状、症状严重程度及否认脱离应对策略呈负相关，与积极重新构建和社会支持应对策略呈正相关。积极应对、重新构建、社会支持和宗教信仰与抑郁症状呈负相关。否认/脱离与抑郁症状呈正相关。应对策略在希望和抑郁症状之间起中介作用。鉴于家庭成员在治疗中的重要性，我们讨论了这些发现的临床意义。
