McNeill Shannon A, Galovski Tara E
Department of Psychology, University of Missouri - St. Louis, One University Blvd, St. Louis, MO, 63121, USA,
Community Ment Health J. 2015 Aug;51(6):663-73. doi: 10.1007/s10597-015-9887-z. Epub 2015 Jun 5.
There is little known about coping styles used by individuals with severe mental illness (SMI) and even less known about the influence of a comorbid posttraumatic stress disorder (SMI-PTSD) diagnosis on coping. The current study examines differences in utilization of coping strategies, overall psychological distress, and exposure to traumatic events between SMI only and SMI-PTSD individuals seeking community mental health clinic services (N = 90). Results demonstrate that overall psychological distress and use of avoidance coping were significantly higher among the SMI-PTSD sample. Avoidance coping partially mediated the relationship between PTSD symptom severity and psychological distress. Findings suggest that the experience of PTSD for those with SMI is associated with increases in avoidance coping, a coping style that significantly contributes to psychological distress. Implications for further study and treatment within community mental health clinics are considered.
对于患有严重精神疾病（SMI）的个体所采用的应对方式，人们了解甚少，而关于共病创伤后应激障碍（SMI-PTSD）诊断对应对的影响，了解得更少。当前的研究考察了仅患有SMI的个体与患有SMI-PTSD的个体在寻求社区心理健康诊所服务时（N = 90），在应对策略的运用、总体心理困扰以及创伤事件暴露方面的差异。结果表明，在患有SMI-PTSD的样本中，总体心理困扰和回避应对的使用显著更高。回避应对部分介导了PTSD症状严重程度与心理困扰之间的关系。研究结果表明，对于患有SMI的人来说，PTSD的经历与回避应对的增加有关，回避应对是一种显著导致心理困扰的应对方式。文中还考虑了对社区心理健康诊所进一步研究和治疗的启示。
