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区分因阑尾炎切除术和准自杀入院前的生活压力。

Differentiating life stresses prior to admission to hospital for appendicectomy and parasuicide.

作者信息

Vassilas C A

机构信息

University Department of Psychiatry, Edinburgh.

出版信息

J Psychosom Res. 1990;34(6):699-707. doi: 10.1016/0022-3999(90)90114-j.

Abstract

Life events were collected (using the Bedford College method) in 78 women patients aged 15-40 yr, of whom 39 were admitted for the removal of an appendix which proved to be normal at operation and in whom no organic cause for their pain was found, and a matched group of 39 parasuicide patients. Utilizing measures derived from previous life event studies the parasuicide group were characterized as having recently experienced life stressors containing threat, uncertainty, impaired relationships and choice of action. They were likely to have played some part in bringing about these stressors and to have had poor social supports. In contrast 'normal appendix' patients had recently experienced life stressors characterized by threat and uncertainty. These stressors were unlikely to have been brought about by the subject and the patients had good social supports.

摘要

采用贝德福德学院的方法,收集了78名年龄在15至40岁之间的女性患者的生活事件。其中39名患者因阑尾切除入院,但术中发现阑尾正常,且未发现导致其疼痛的器质性原因;另有一组与之匹配的39名自杀未遂患者。利用先前生活事件研究得出的测量方法,自杀未遂组的特征是最近经历了包含威胁、不确定性、人际关系受损和行动选择的生活压力源。他们可能在引发这些压力源方面起到了一定作用,且社会支持较差。相比之下,“阑尾正常”组的患者最近经历的生活压力源以威胁和不确定性为特征。这些压力源不太可能由患者自身引发,且患者有良好的社会支持。

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