Havik O E, Maeland J G
Institute of Clinical Psychology, University of Bergen, Norway.
J Psychosom Res. 1988;32(2):145-57. doi: 10.1016/0022-3999(88)90049-9.
In a prospective study of 367 myocardial infarction patients, in-hospital measures of three aspects of verbal denial were examined with regard to medical, social and psychological outcome during a 3-5 yr follow-up. A low level of Denial of Illness was associated with more problems related to work, sexual life, and physical activities; and with a higher mortality rate. Higher levels of Denial of Impact were related to better emotional outcome, but also weakly associated with increased mortality. In contrast, Suppression proved to be related only to self-reported emotional distress. The findings indicate that it is useful to distinguish among several forms of denial in medical patients according to what is being denied.
在一项针对367名心肌梗死患者的前瞻性研究中，对言语否认三个方面的住院测量指标进行了考察，以了解其在3至5年随访期间对医疗、社会和心理结果的影响。疾病否认水平较低与工作、性生活和体育活动方面的更多问题相关；且死亡率较高。影响否认水平较高与更好的情绪结果相关，但也与死亡率增加存在微弱关联。相比之下，压抑仅与自我报告的情绪困扰相关。研究结果表明，根据被否认的内容对医学患者的几种否认形式进行区分是有用的。
