Jannati Yadollah, Nia Hamid Sharif, Froelicher Erika Sivarajan, Goudarzian Amir Hossein, Yaghoobzadeh Ameneh
Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Cent Asian J Glob Health. 2020 Mar 31;9(1):e419. doi: 10.5195/cajgh.2020.419. eCollection 2020.
Psychological aspects are important issues in patients that will have significant effects on disease progression. A new and important psychological concern is self-blame. This review was performed with the aim of systematic review on studies around patient's self-blame.
This is a systematic review using international databases including PubMed (since 1950), Scopus (since 2004), Web ofSciences (since 1900), and ProQuest (since 1938) and Irani an databases including SID (since 2004) and Magiran (since 2001). Mesh terms including "patient," "regret," and "guilt" and non-Mesh terms including "self-blame attribution," "characterological self-blame," "behavioral self-blame," and "blame" were used in Iranian and international databases with OR and AND operators.
The review yielded 59 articles; 15 articles were included in the present study. The ages of patients ranged from 29-68.4 years. Most of studies (86.6%) had cross-sectional design and use characterological self-blame and behavioral self-blame variablesfor assessing self-blame attributions. The results showed that in most studies, a significant relationship among self-blame and psychological distress, anxiety, and depression were reported.
A significant relation was reported between self-blaming and the degree of distress, anxiety, and depression in patients in most of the studies.
心理因素是患者的重要问题，会对疾病进展产生重大影响。一个新的重要心理问题是自责。本综述旨在对围绕患者自责的研究进行系统回顾。
这是一项系统综述，使用了国际数据库，包括PubMed（自1950年起）、Scopus（自2004年起）、Web of Sciences（自1900年起）和ProQuest（自1938年起），以及伊朗数据库，包括SID（自2004年起）和Magiran（自2001年起）。在伊朗和国际数据库中，使用了包括“患者”“后悔”和“内疚”在内的医学主题词以及包括“自责归因”“性格自责”“行为自责”和“责备”在内的非医学主题词，并使用了“或”和“与”运算符。
该综述共检索到59篇文章；本研究纳入了15篇文章。患者年龄范围为29至68.4岁。大多数研究（86.6%）采用横断面设计，并使用性格自责和行为自责变量来评估自责归因。结果表明，在大多数研究中，自责与心理困扰、焦虑和抑郁之间存在显著关系。
大多数研究报告称，患者的自责与痛苦、焦虑和抑郁程度之间存在显著关系。
