Nazarian Deborah, Smyth Joshua M, Sliwinski Martin J
Center for Health and Behavior, Department of Psychology, Huntington Hall, Syracuse University, Syracuse, NY 13244-2340, USA.
Chronic Illn. 2006 Mar;2(1):51-8. doi: 10.1177/17423953060020010101.
To examine how the use of dispositional avoidant coping traits prospectively predicts ambulatory asthma severity in daily life.
An ecological momentary assessment (EMA) design enabled examination of stable coping styles across dynamic daily changes of ambulatory peak expiratory flow rate (PEFR), asthma symptoms and stress in the natural environment of patients with asthma. A community sample of 61 adults with asthma reported their typical use of avoidant coping styles and carried palmtop computers that alerted them to record their stress and symptoms five times per day for 1 week.
Some aspects of dispositional avoidant coping predicted more asthma symptoms and worse PEFR. Denial and behavioural disengagement as typical coping styles predicted more symptoms and worse PEFR. Mental disengagement was unrelated to symptoms and PEFR.
These data suggest that individuals with asthma who report typically utilizing avoidant coping may have worse health parameters in momentary reports when examined in their natural environments. Differences between avoidant coping styles emerged, suggesting the existence of moderating factors of coping effectiveness.
探讨使用特质性回避应对方式如何前瞻性地预测日常生活中的非卧床哮喘严重程度。
采用生态瞬时评估（EMA）设计，能够在哮喘患者自然环境中，针对动态的日常呼气峰值流速（PEFR）、哮喘症状及压力变化，对稳定的应对方式进行检测。61名成年哮喘患者组成的社区样本报告了他们典型的回避应对方式的使用情况，并携带掌上电脑，电脑每天提醒他们记录压力和症状5次，持续1周。
特质性回避应对的某些方面预测了更多的哮喘症状和更差的PEFR。否认和行为脱离作为典型的应对方式预测了更多症状和更差的PEFR。心理脱离与症状和PEFR无关。
这些数据表明，在自然环境中进行检测时，报告通常采用回避应对方式的哮喘患者在瞬时报告中可能有更差的健康参数。回避应对方式之间出现了差异，表明存在应对效果的调节因素。
