Pietrzyk Agnieszka, Lizińczyk Sebastian
Wydział Nauk Społecznych US w Katowicach, Studium Pomocy Socjalnej, Uniwersytetu Slaskiego, Bankowa.
Psychiatr Pol. 2008 Jan-Feb;42(1):59-71.
The aim of our study was to evaluate the impact of perceived control of own life on schizophrenics' strategies of coping with their illness and daily problems. Patients' and their caregivers' opinions were compared after 1 year of participation in the psychosocial rehabilitation programme.
40 schizophrenics and 40 caregivers completed 3 instruments: Bryant's Perceived Control of Life Questionnaire, Mini-Mac and WCQ.
Both groups recognized a higher level of regained perceived secondary control (over feelings) than the perceived primary control (over events). The patients estimated the perceived control over life as differentiating their destructive strategies of coping with schizophrenia and the caregivers estimated the constructive strategies of coping with illness. Both groups appreciated that recovery of control of life diminished social isolation, apathy of schizophrenics and, unfortunately, strategies of problem-solving and looking for the information. They stressed that the recovery of control of life increased the level of emotional and behavioural regulation of patients. The 1 year psychosocial rehabilitation programme augmented the control over own life and constructive style of coping with schizophrenia. It enriched patients' strategies of coping with daily problems. But it did not make the mutual communication of patients and their caregivers more efficient.
我们研究的目的是评估对自身生活的感知控制对精神分裂症患者应对疾病及日常问题策略的影响。在参与心理社会康复项目1年后，对患者及其照料者的意见进行了比较。
40名精神分裂症患者和40名照料者完成了3份问卷：布莱恩特生活感知控制问卷、简易应对方式问卷和特质应对方式问卷。
两组均认识到，重新获得的对继发性（情绪方面）的感知控制水平高于对原发性（事件方面）的感知控制水平。患者将对生活的感知控制视为区分其应对精神分裂症的消极策略，而照料者则将其视为应对疾病的积极策略。两组均认识到，恢复对生活的控制可减少精神分裂症患者的社会隔离和冷漠，遗憾的是，也会减少解决问题和寻求信息的策略。他们强调，恢复对生活的控制可提高患者的情绪和行为调节水平。为期1年的心理社会康复项目增强了对自身生活的控制以及应对精神分裂症的积极方式。它丰富了患者应对日常问题的策略。但它并未提高患者及其照料者之间的相互沟通效率。
