Ritsner Michael S, Ratner Yael
Sha'ar Menashe Mental Health Center, Hadera, Israel.
J Nerv Ment Dis. 2006 Apr;194(4):261-7. doi: 10.1097/01.nmd.0000207361.81947.52.
This prospective study aimed to define the long-term changes in coping strategies used by schizophrenia patients and their relation to clinical and psychosocial factors. The Coping Inventory for Stressful Situations, psychiatric scales, and self-report questionnaires were administered to 148 schizophrenia patients at admission and 16 months thereafter. Based on trends of individual coping patterns to show change over time, four temporal coping types were distinguished: stable favorable and unfavorable, and becoming favorable and unfavorable. We found that coping patterns of 62.2% of patients remained stable over time, became unfavorable among 19.6% of patients, and became favorable among 18.2% of patients. Each temporal coping type is associated with a specific pattern of changes in clinical and psychosocial variables. The findings underscore the clinical relevance of temporal coping types and corroborate the appropriateness of focusing on aspects of coping behavior in treatment and rehabilitation of schizophrenia patients.
这项前瞻性研究旨在明确精神分裂症患者应对策略的长期变化及其与临床和心理社会因素的关系。在入院时及之后16个月，对148名精神分裂症患者施测了应激情境应对量表、精神科量表和自我报告问卷。根据个体应对模式随时间变化的趋势，区分出四种时间应对类型：稳定良好型、稳定不良型、转变良好型和转变不良型。我们发现，62.2%的患者应对模式随时间保持稳定，19.6%的患者应对模式变差，18.2%的患者应对模式变好。每种时间应对类型都与临床和心理社会变量的特定变化模式相关。这些发现强调了时间应对类型的临床相关性，并证实了在精神分裂症患者的治疗和康复中关注应对行为方面的合理性。
