Seiffer A, Clare L, Harvey R
Mental Health Services for Older Adults, West London Mental Health NHS Trust, West Middlesex University Hospital, Twickenham Road, Middlesex, UK.
Aging Ment Health. 2005 Nov;9(6):535-41. doi: 10.1080/13607860500193245.
This study investigated the role of psychological factors in unawareness in early-stage dementia, focusing on personality and coping strategies. Forty-nine individuals with a 'non-frontal' dementia and their partners completed standardized self-report questionnaires. Multiple regression analyses indicated that personality factors, in particular negative attitudes towards emotional expression, were related to avoidant coping in managing the threat of dementia. Neither negative attitudes towards emotional expression nor avoidant behavioural coping related to unawareness after controlling for relevant disease-related and emotional variables. However, a relationship was found between conscientiousness and unawareness. The findings were interpreted with reference to literature on processes of denial and a distinction between conscious behavioural avoidance and unconscious defensive denial was made. Implications for clinical practice were considered.
本研究调查了心理因素在早期痴呆症无意识状态中的作用，重点关注人格和应对策略。49名患有“非额叶”痴呆症的个体及其伴侣完成了标准化的自我报告问卷。多元回归分析表明，人格因素，特别是对情绪表达的消极态度，与应对痴呆症威胁时的回避应对方式有关。在控制了相关的疾病相关和情绪变量后，对情绪表达的消极态度和回避行为应对均与无意识状态无关。然而，尽责性与无意识状态之间存在关联。研究结果参照了关于否认过程的文献进行解释，并区分了有意识的行为回避和无意识的防御性否认。同时考虑了对临床实践的启示。
