Wiedl K H, Schöttner B
Dept. of Psychology, Osnabrück, Germany.
Schizophr Bull. 1991;17(3):525-38. doi: 10.1093/schbul/17.3.525.
This article describes a method developed to assess coping with schizophrenia by inpatients and outpatients. The approach is based on a transactional theory of coping. Symptoms related to the disease, subjective appraisals given by the 40 patients, and coping behavior are assessed using a list of disease-related strains, rating scales, and a semi-structured interview. Results of this study indicate that the patients' appraisals of the effects of their efforts to cope may not be realistic, leading to a low degree of satisfaction. Coping, described as "problem-centered" versus "nonproblem-centered" and as behavioral, cognitive, or emotional, seemed to be related to the patients' clinical status. Nonproblem-centered strategies predominated in the highly strained groups, along with a tendency to more emotional and less cognitive coping.
本文介绍了一种为评估住院患者和门诊患者应对精神分裂症的情况而开发的方法。该方法基于一种应对的交互理论。使用一系列与疾病相关的压力源、评定量表和半结构化访谈，对与疾病相关的症状、40名患者给出的主观评价以及应对行为进行评估。本研究结果表明，患者对其应对努力效果的评价可能不切实际，导致满意度较低。被描述为“以问题为中心”与“非以问题为中心”以及行为、认知或情感方面的应对方式，似乎与患者的临床状况有关。在压力较大的群体中，非以问题为中心的策略占主导，同时存在更多情感性应对和较少认知性应对的倾向。
