Department of Medicine, National Jewish Health, Denver, CO 80206, United States.
J Psychosom Res. 2012 Jan;72(1):78-83. doi: 10.1016/j.jpsychores.2011.10.004. Epub 2011 Dec 7.
To assess behavioral and characterological self-blame, identify demographic and relational correlates of self-blame, and determine the association of self-blame with psychological and clinical outcomes of chronic obstructive pulmonary disease (COPD).
Data were collected via self-report questionnaires completed by 398 individuals with COPD who had at least a 10 pack-year history of smoking. Behavioral and characterological self-blame were measured, and multiple regression was used to identify correlates of both types of self-blame. Multiple regression was also used to determine the association of self-blame with outcomes of COPD.
More than one-third of participants endorsed the maximum possible score on the measure of behavioral self-blame. The perception that family members blamed the individual for having COPD (p=.001), tobacco exposure (p=.005), and general family functioning (p=.002) were associated with behavioral self-blame. Current smoking status (p=.001) and perception of blame from family (p<.001) were associated with characterological self-blame. While behavioral self-blame was associated with fewer symptoms of depression (p=.02), characterological self-blame was associated with more symptoms of depression (p=.02).
Individuals with COPD tend to blame themselves for smoking and other behaviors that may have led to their COPD. Smoking-related variables and the perception that family members blamed the individual for having COPD were associated with self-blame. Findings support the importance of distinguishing between behavioral and characterological self-blame in COPD, as behavioral self-blame had a negative association with depression and characterological self-blame had a positive association with depression.
评估行为和性格自责，确定自责与人口统计学和关系相关的因素，并确定自责与慢性阻塞性肺疾病（COPD）的心理和临床结果之间的关联。
通过自我报告问卷收集了 398 名具有 COPD 的个体的数据，这些个体的吸烟史至少有 10 包年。测量了行为和性格自责，并使用多元回归确定了两种自责的相关因素。多元回归还用于确定自责与 COPD 结果之间的关联。
超过三分之一的参与者在行为自责量表上的得分达到了最高可能分数。家庭成员认为个体应该对 COPD（p=.001）、烟草暴露（p=.005）和一般家庭功能（p=.002）负责与行为自责有关。目前的吸烟状况（p=.001）和来自家庭的责备感（p<.001）与性格自责有关。虽然行为自责与抑郁症状较少有关（p=.02），但性格自责与更多的抑郁症状有关（p=.02）。
COPD 患者往往会自责自己吸烟和其他可能导致 COPD 的行为。与吸烟相关的变量和家庭成员因患有 COPD 而责备个体的看法与自责有关。研究结果支持在 COPD 中区分行为和性格自责的重要性，因为行为自责与抑郁呈负相关，而性格自责与抑郁呈正相关。
