应对方式在情感障碍中的临床应用：文献综述
Clinical use of coping in affective disorder, a critical review of the literature.
作者信息
Christensen Maj Vinberg, Kessing Lars Vedel
机构信息
Department of Psychiatry, Rigshospitalet, University Hospital of Copenhagen, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.
出版信息
Clin Pract Epidemiol Ment Health. 2005 Oct 7;1(1):20. doi: 10.1186/1745-0179-1-20.
BACKGROUND
The relationship between life stressors, coping and affective disorder is interesting when predicting onset of a affective disorder and relapse of mood episodes.
METHODS
A literature review of cross-sectional and longitudinal studies concerning coping and affective disorder in adults including a Medline and Embase search was conducted.
RESULTS
11 cross-sectional studies and 17 longitudinal studies concerning affective disorder and coping were found, among these, two studies include patients with bipolar disorder exclusively. Only four studies elucidate whether emotion-oriented and/or avoidance coping styles are associated with a higher risk of developing affective disorder, so this hypothesis remains unclear. Most studies shows that emotion-oriented and avoidance coping strategies are associated with relapse of depressive episodes. Conversely, problem-focused and task-oriented coping seem to be associated with a good outcome.
CONCLUSION
There is a gap between coping theory and clinical use of coping and the clinical relevance of coping is, though promising, still unclear. In future research it is recommended to concentrate on development of a semi-structured interview combining coping style, life events and personality traits.
背景
在预测情感障碍的发作和情绪发作的复发时，生活压力源、应对方式与情感障碍之间的关系很有趣。
方法
对关于成人应对方式与情感障碍的横断面和纵向研究进行文献综述，包括检索Medline和Embase数据库。
结果
发现了11项关于情感障碍与应对方式的横断面研究和17项纵向研究，其中两项研究仅纳入了双相情感障碍患者。仅有四项研究阐明了以情绪为导向和/或回避的应对方式是否与发生情感障碍的较高风险相关，因此这一假设仍不明确。大多数研究表明，以情绪为导向和回避的应对策略与抑郁发作的复发相关。相反，以问题为中心和以任务为导向的应对方式似乎与良好的结果相关。
结论
应对理论与应对方式的临床应用之间存在差距，应对方式的临床相关性虽然有前景，但仍不明确。在未来的研究中，建议集中精力开发一种结合应对方式、生活事件和人格特质的半结构化访谈。
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