Gilbar Ora, Or-Han Keren, Plivazky Nirit
School of Social Work, University of Haifa, Haifa, Israel.
J Psychosom Res. 2005 Jun;58(6):471-6. doi: 10.1016/j.jpsychores.2005.01.004.
The study examines the association between mental adjustment, coping strategies [emotion (EF) and problem focused (PF)], and psychological distress.
Sixty end-stage renal disease (ESRD) patients were interviewed a year or more after they began dialysis, measured by the COPE, Mental Adjustment to Cancer (MAC), and Brief Symptom Inventory (BSI) scales.
The main findings indicate that patients with a strong fighting spirit are in less psychological distress. Moreover, patients who tend to use PF strategies rely on a fighting spirit as an adjustment coping style.
ESRD patients in the adjustment phase (patients diagnosed at least 1 year previously) tend to struggle to lead as normal a life as possible despite the dependency caused by the illness.
本研究探讨心理调适、应对策略[情绪聚焦（EF）和问题聚焦（PF）]与心理困扰之间的关联。
对60名终末期肾病（ESRD）患者在开始透析一年或更长时间后进行访谈，采用应对方式问卷（COPE）、癌症心理调适量表（MAC）和简明症状量表（BSI）进行测量。
主要研究结果表明，斗志昂扬的患者心理困扰较少。此外，倾向于使用PF策略的患者将斗志作为一种调适应对方式。
处于调适阶段（确诊至少1年以前）的ESRD患者尽管因疾病产生依赖，但仍努力尽可能正常地生活。
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