Thomas Sharon, Alexander Anson P D, Divakaran Jayachandran, Kallivayalil Roy A
Department of Psychiatry, Sree Gokulam Medical College and Research Foundation, Venjaramoodu, Thiruvananthapuram, Kerala, India.
Kanal Innovations Charitable Trust, Kollam, Kerala, India.
Indian J Psychiatry. 2022 Jul-Aug;64(4):387-394. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_78_22. Epub 2022 Jul 13.
Rape is one of the most heinous of acts. It constitutes a major violation of an individual's basic rights and intensely impacts their mental and physical health. Coping skills used to deal with the trauma could provide information on their quality of life (QOL).
To assess the coping skills and QOL of rape survivors and to explore its association with their coping skills.
Data were collected through a questionnaire, and coping skills were assessed using the Brief COPE scale and QOL using the World Health Organization quality of life questionnaire (WHOQOL-BREF). Results were analyzed using the Kruskal-Wallis H test and Spearman rank correlation.
Adaptive coping skills such as use of instrumental support, active coping, use of emotional support, self-distraction, and acceptance had higher COPE mean scores. QOL in the domain of physical health (mean = 52.71) had the highest mean score, followed by the domains of environment (mean = 51.35) and psychological health (mean = 48.37). Use of coping skills like active coping, use of emotional support, use of instrumental support, positive reframing, and acceptance had a significant positive correlation with the QOL in the domains of physical health and environment. Active coping and positive reframing were positively correlated with the QOL in the domain of psychological health, while positive reframing and humor were positively correlated with the social relationships domain.
Those who employed adaptive coping skills (active coping, use of emotional support, use of instrumental support, positive reframing, acceptance) showed significantly better QOL than those with maladaptive skills.
强奸是最恶劣的行为之一。它严重侵犯个人基本权利，并对其身心健康产生强烈影响。用于应对创伤的应对技巧可以提供有关他们生活质量（QOL）的信息。
评估强奸幸存者的应对技巧和生活质量，并探讨其与应对技巧的关联。
通过问卷调查收集数据，使用简易应对方式问卷评估应对技巧，使用世界卫生组织生活质量问卷（WHOQOL-BREF）评估生活质量。结果采用Kruskal-Wallis H检验和Spearman等级相关性分析。
诸如使用工具性支持、积极应对、使用情感支持、自我分心和接受等适应性应对技巧的简易应对方式问卷平均得分较高。身体健康领域的生活质量（平均 = 52.71）平均得分最高，其次是环境领域（平均 = 51.35）和心理健康领域（平均 = 48.37）。积极应对、使用情感支持、使用工具性支持、积极重新评价和接受等应对技巧的使用与身体健康和环境领域的生活质量呈显著正相关。积极应对和积极重新评价与心理健康领域的生活质量呈正相关，而积极重新评价和幽默与社会关系领域呈正相关。
采用适应性应对技巧（积极应对、使用情感支持、使用工具性支持、积极重新评价、接受）的人比采用适应不良技巧的人生活质量明显更好。
