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与健康人群相比,慢性躯体疾病患者应对压力的方式、健康相关的控制源及正念水平

The Style of Coping with Stress, the Health-Related Locus of Control, and the Level of Mindfulness of Patients with Chronic Somatic Diseases in Comparison to Healthy People.

作者信息

Gruszczyńska Magdalena, Bąk-Sosnowska Monika, Daniel-Sielańczyk Anna, Wyszomirska Julia, Modrzejewska Adriana

机构信息

Department of Psychology, Chair of Social Science and Humanities, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.

出版信息

Healthcare (Basel). 2022 Sep 12;10(9):1752. doi: 10.3390/healthcare10091752.

Abstract

Background: Psychological factors may be involved in both the development and treatment of somatic diseases. Our study aimed to evaluate the style of coping with stress, health-related locus of control, and level of mindfulness of adult patients with the most common chronic somatic diseases compared with healthy subjects. Methods: 502 chronically ill people were examined (M = 49.27; SD = 14.25), including 288 women and 214 men. The control group consisted of 117 healthy people (M = 45.66; SD = 17.86). The diagnostic survey involved using the Coping Inventory for Stressful Situations (CISS), Multidimensional Health Locus of Control Scale (MHLC), and Mindful Attention Awareness Scale (MAAS). Results: Differences between the clinical and control groups were demonstrated for MHLC: Internal (p < 0.001), Powerful Others (p < 0.05), and Chance (p < 0.001); CISS: Task (p < 0.001) and Avoidance (p < 0.05); and MAAS (p < 0.01). Conclusion: People with chronic somatic diseases, compared to healthy people, have a stronger external and weaker internal health-related locus of control, lower level of task and avoidance style for coping with stress, and lower level of mindfulness.

摘要

背景

心理因素可能与躯体疾病的发生和治疗都有关。我们的研究旨在评估患有最常见慢性躯体疾病的成年患者与健康受试者相比应对压力的方式、健康控制点以及正念水平。方法:对502名慢性病患者进行了检查(平均年龄49.27岁;标准差14.25),其中包括288名女性和214名男性。对照组由117名健康人组成(平均年龄45.66岁;标准差17.86)。诊断调查包括使用应激情境应对量表(CISS)、多维健康控制点量表(MHLC)和正念注意觉知量表(MAAS)。结果:临床组和对照组在以下方面存在差异:MHLC:内控(p < 0.001)、有势力的他人(p < 0.05)和机遇(p < 0.001);CISS:任务应对(p < 0.001)和回避(p < 0.05);以及MAAS(p < 0.01)。结论:与健康人相比,患有慢性躯体疾病的人具有更强的外部健康控制点和较弱的内部健康控制点,应对压力的任务应对和回避方式水平较低,正念水平也较低。

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