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多发性硬化症的管理:应对自我效能感和自尊的作用。

Management of multiple sclerosis: the role of coping self-efficacy and self-esteem.

机构信息

a Faculty of Medicine, Department of Social and Behavioural Medicine , PJ Safarik University , Kosice , Slovakia.

b Faculty of Medicine, Department of Neurology , PJ Safarik University , Kosice , Slovakia.

出版信息

Psychol Health Med. 2018 Sep;23(8):964-969. doi: 10.1080/13548506.2018.1437277. Epub 2018 Feb 7.

DOI:10.1080/13548506.2018.1437277
PMID:29409337
Abstract

Patients with multiple sclerosis (MS) engage in various coping behaviours in order to manage their disease. The aim of this study is to find out if the self-esteem of patients is associated with coping strategies - problem-focused (e.g. making a plan of action when confronted with a problem); emotion focused (e.g. get emotional support from community); and focused on stopping unpleasant emotions and thoughts (e.g. keeping oneself from feeling sad), and if it can enhance or hinder coping efforts in the disease management. We collected data from 155 consecutive MS patients who completed the Coping Self-Efficacy Scale (CSE) and the Rosenberg Self-esteem Scale (RSE). Explained variance for problem-focused coping, emotion-focused coping, and coping focused on stopping unpleasant emotions and thoughts was 33, 24, and 31%, respectively. Self-esteem seems to be associated with coping strategies indicating that feelings of self-worth are linked with the ability to handle difficult life situations and can be helpful in chronic disease management.

摘要

多发性硬化症(MS)患者会采取各种应对行为来管理疾病。本研究旨在探究患者的自尊是否与应对策略有关,包括问题聚焦型(例如,在遇到问题时制定行动计划)、情绪聚焦型(例如,从社区获得情感支持)和专注于阻止不愉快情绪和想法(例如,避免感到悲伤),以及它是否可以增强或阻碍疾病管理中的应对努力。我们从 155 名连续的 MS 患者中收集了数据,他们完成了应对自我效能感量表(CSE)和罗森伯格自尊量表(RSE)。问题聚焦型应对、情绪聚焦型应对和专注于阻止不愉快情绪和想法的应对解释方差分别为 33%、24%和 31%。自尊似乎与应对策略有关,这表明自我价值感与处理困难生活情况的能力有关,并且在慢性病管理中可能有所帮助。

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