Grover Sandeep, Chakrabarti Subho
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
Ind Psychiatry J. 2015 Jan-Jun;24(1):5-11. doi: 10.4103/0972-6748.160907.
Coping is understood as the process of managing external or internal demands that are considered as taxing or exceeding the resources of the person. There is no formal classification of coping strategies, and these are understood as adaptive versus maladaptive and problem focuses versus emotion-focused. Understanding the commonly used coping strategies in a particular group of subjects can provide valuable insights for designing interventions to reduce the stress. In this review, we look at the literature which is available with regards to the coping strategies used by the caregivers of patients with schizophrenia. Findings suggest that caregivers of patients with schizophrenia use mixed type of coping mechanisms to deal with the stress of caregiving. The coping strategies are shown to have association with variables such as caregiver burden, caregiving experience, expressed emotions, social support, psychological morbidity in the caregivers, quality of life of caregivers and psychopathology in patients. One of the major limitations of the literature is that there is a lot of variability in the assessment instruments used across different studies to assess coping.
应对被理解为管理外部或内部需求的过程，这些需求被认为给个人带来了压力或超出了其资源承受范围。应对策略没有正式的分类，人们将其理解为适应性与非适应性的，以及问题聚焦型与情绪聚焦型的。了解特定群体中常用的应对策略可为设计减轻压力的干预措施提供有价值的见解。在本综述中，我们审视了关于精神分裂症患者照料者所采用应对策略的现有文献。研究结果表明，精神分裂症患者的照料者使用混合型应对机制来应对照料压力。这些应对策略显示出与诸如照料者负担、照料经历、表达性情绪、社会支持、照料者的心理疾病、照料者的生活质量以及患者的精神病理学等变量存在关联。该文献的主要局限性之一在于，不同研究用于评估应对的测量工具存在很大差异。
