Dittmann J, Schüttler R
Abteilung Psychiatrie II der Universität Ulm.
Fortschr Neurol Psychiatr. 1990 Dec;58(12):473-83. doi: 10.1055/s-2007-1001211.
For a long time, the coping and compensatory mechanisms of patients with schizophrenic psychoses have mostly been neglected by the psychiatric research. We extended the six categories of coping mechanisms described in the Bonn Scale for the Assessment of Basic Symptoms (BSABS) by three further categories. With fifty schizophrenic patients in different stages of their disease semistructured interviews concerning these categories were done. The main sociodemographic and historical parameters were registered as well. Then the protocols of the interviews were analyzed, the coping strategies were quantified, and it was tried to disclose relations between the disease progress and sociodemographic parameters. Patients used to a certain degree of autonomy e. g. unmarried patients had--compared to less independent patients--stronger coping strategies. Patients with a strong interest for their disease and a positive opinion about neuroleptic therapy had--compared to patients without interest for their disease and/or negative opinion about neuroleptic therapy--stronger coping and compensatory psychisms. It is concluded that the coping strategies might be reinforced by influencing these parameters.
长期以来，精神分裂症患者的应对和补偿机制在很大程度上被精神病学研究忽视了。我们在《波恩基本症状评估量表》（BSABS）所描述的六类应对机制基础上，又增加了三类。对五十名处于疾病不同阶段的精神分裂症患者就这些类别进行了半结构化访谈。主要的社会人口统计学和病史参数也进行了记录。然后对访谈记录进行分析，对应对策略进行量化，并试图揭示疾病进展与社会人口统计学参数之间的关系。具有一定自主程度的患者，例如未婚患者——与自主性较差的患者相比——有更强的应对策略。对疾病有浓厚兴趣且对抗精神病药物治疗持积极态度的患者——与对疾病无兴趣和/或对抗精神病药物治疗持消极态度的患者相比——有更强的应对和补偿心理机能。研究得出结论，通过影响这些参数可能会强化应对策略。
