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乐观、悲观、应对方式与抑郁:一项关于帕金森病患者的研究。

Optimism, Pessimism, Coping, and Depression: A Study on Individuals With Parkinson's Disease.

作者信息

Anzaldi Kristen, Shifren Kim

机构信息

1 Towson University, Towson, MD, USA.

出版信息

Int J Aging Hum Dev. 2019 Apr;88(3):231-249. doi: 10.1177/0091415018763401. Epub 2018 Mar 20.

Abstract

Few published studies exist on how individuals with Parkinson's disease (PD) deal with their disease. We conducted this study to examine the relationship between optimism, pessimism, coping strategies, and depressive symptoms in individuals with PD. Specifically, we assessed the possible mediator role of optimism and pessimism on the relation between coping strategies and depressive symptoms in those with PD. Seventy individuals with PD (35 females and 35 males) were assessed with the Brief COPE scale, Life Orientation Test-Revised, and Center for Epidemiological Studies Depression Scale. Findings showed that individuals with PD used similar amounts of problem-focused coping strategies and emotion-focused coping strategies, and they reported more optimism than pessimism. There was only one gender difference: Females reported more problem-focused coping than males. Optimism was positively related to both emotion-focused and problem-focused coping, and pessimism was negatively related to emotion-focused and problem-focused coping. Optimism and pessimism fully mediated the relation between coping strategies and depressive symptoms.

摘要

关于帕金森病(PD)患者如何应对自身疾病的已发表研究很少。我们开展这项研究以检验PD患者中乐观、悲观、应对策略与抑郁症状之间的关系。具体而言,我们评估了乐观和悲观在PD患者应对策略与抑郁症状关系中可能的中介作用。对70名PD患者(35名女性和35名男性)使用简易应对方式问卷、生活取向测验修订版以及流调中心抑郁量表进行评估。结果显示,PD患者使用的问题聚焦应对策略和情绪聚焦应对策略数量相近,且他们报告的乐观情绪多于悲观情绪。仅存在一个性别差异:女性报告的问题聚焦应对比男性更多。乐观与情绪聚焦应对和问题聚焦应对均呈正相关,而悲观与情绪聚焦应对和问题聚焦应对均呈负相关。乐观和悲观完全中介了应对策略与抑郁症状之间的关系。

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