Brajković Lovorka, Bras Marijana, Milunović Vibor, Busić Iva, Boban Maja, Loncar Zoran, Micković Vlatko, Gregurek Rudolf
Clinic for Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.
Coll Antropol. 2009 Dec;33 Suppl 2:135-40.
The aim of this study was to show how different coping mechanisms influence the prevalence of anxiety and depression in people suffering from multiple sclerosis. We also aimed at showing how different coping mechanisms contribute to subjective prosperity of the patients emphasizing general health, cognitive functions and fatigue. A questionnaire was given to attendants of the VI Symposium of Patients Suffering From Multiple Sclerosis. Scales were taken from Multiple Sclerosis Quality of Life Inventory (MSQLI), Hospital Anxiety and Depression Scale (HADS) and COPE inventory. A total of 68 anonymous questionnaires were handed in. A total of 57.9% of examinees had symptoms of depression, and 63.2% suffered from symptoms of anxiety. However, majority of the examinees suffered from the combination of these entities. Hypothesis about impact of various coping factors on depression, anxiety, fatigue was validated except an impact on physical state was not proven significant. Predictors improving these states were positive reinterpretation, social emotional support and humor, Predictors worsening these states were planning, acceptance, focus on emotional ventilation and denial. Psychiatric comorbidity has a high prevalence in people suffering from MS. Different coping mechanisms can help in improvement of everyday life.
本研究的目的是展示不同的应对机制如何影响多发性硬化症患者焦虑和抑郁的患病率。我们还旨在展示不同的应对机制如何促进患者在强调总体健康、认知功能和疲劳方面的主观幸福感。向第六届多发性硬化症患者研讨会的与会者发放了一份问卷。量表取自《多发性硬化症生活质量量表》（MSQLI）、《医院焦虑抑郁量表》（HADS）和《应对方式量表》。共收到68份匿名问卷。共有57.9%的受测者有抑郁症状，63.2%的受测者有焦虑症状。然而，大多数受测者同时患有这两种症状。关于各种应对因素对抑郁、焦虑、疲劳影响的假设得到了验证，但对身体状态的影响未被证明具有显著性。改善这些状态的预测因素是积极重新诠释、社会情感支持和幽默，使这些状态恶化的预测因素是计划、接受、专注于情绪宣泄和否认。精神共病在多发性硬化症患者中患病率很高。不同的应对机制有助于改善日常生活。
