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[类风湿关节炎中的疾病应对]

[Coping with illness in rheumatoid arthritis].

作者信息

Schüssler G, Spiess K, Rüger U

机构信息

Zentrum Psychologische Medizin der Georg-August-Universität Göttingen.

出版信息

Z Psychosom Med Psychoanal. 1988;34(3):291-305.

PMID:3213277
Abstract

Rheumatoid arthritis, a lifelong chronic disease, creates serious psychosocial as well as medical problems. We investigated coping with rheumatoid arthritis in 50 patient. The examination of coping-strategies used by R. A.-patients seems to show no fundamental difference to the coping behavior of patients with other chronic diseases. Biomedical conditions of the disease (Rheumafactor sero-positiv, sero-negativ) are related to different coping-strategies. Patient without psychiatric problems have a better medical health condition and, compared to depressive R. A.-patient prefer more active and optimistic coping. However, the context between psychological well-being and health (before the onset of R. A.), coping, adjustment to illness, and course of the illness is unclear.

摘要

类风湿性关节炎是一种终身慢性疾病,会引发严重的心理社会问题以及医学问题。我们对50名患者应对类风湿性关节炎的情况进行了调查。类风湿性关节炎患者所采用的应对策略检查结果似乎表明,与其他慢性疾病患者的应对行为并无根本差异。该疾病的生物医学状况(类风湿因子血清阳性、血清阴性)与不同的应对策略相关。没有精神问题的患者有更好的健康状况,与患有抑郁症的类风湿性关节炎患者相比,他们更喜欢采用更积极乐观的应对方式。然而,心理健康与健康(类风湿性关节炎发病前)、应对、疾病适应以及疾病进程之间的关系尚不清楚。

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