Thomas C, Turner P, Madden F
Department of Psychiatry, Leicester General Hospital, U.K.
J Psychosom Res. 1988;32(4-5):457-67. doi: 10.1016/0022-3999(88)90030-x.
A prospective 12 month study of 106 subjects who underwent stoma surgery was conducted and has been described previously. Coping responses to the underlying diagnosis and to the stoma itself were assessed at 3 and 12 months post operatively and are related to the outcome 3 years after the operation. Difficulty coping with the stoma itself was a greater determinant of later psychiatric disturbance than difficulty in coping with the illness. Physical outcome, in those with colorectal carcinoma, was influenced by coping strategies only in the males, denial over diagnosis was significantly associated with poor outcome whereas fighting spirit over the stoma was associated with a good outcome.
对106名接受造口手术的受试者进行了一项为期12个月的前瞻性研究，该研究先前已有描述。在术后3个月和12个月评估了对潜在诊断和造口本身的应对反应，并将其与术后3年的结果相关联。与应对疾病的困难相比，应对造口本身的困难是后期精神障碍的更大决定因素。在患有结肠直肠癌的患者中，身体结果仅在男性中受到应对策略的影响，对诊断的否认与不良结果显著相关，而对造口的斗志与良好结果相关。
