University of Warsaw, Faculty of Psychology, Poland.
Maria Curie-Sklodowska Medical Academy, Institute of Clinical Sciences, Warsaw, Poland.
Respir Med. 2023 May;211:107171. doi: 10.1016/j.rmed.2023.107171. Epub 2023 Mar 9.
Although stress and styles of coping with it can have a major impact on one's health and can determine the course and management of chronic diseases, no previous studies have evaluated coping strategies and their relation to emotional distress and clinical symptoms in sarcoidosis.
In two consecutive studies, we investigated differences in coping styles of sarcoidosis patients in comparison to healthy control subjects and the association of identified profiles to an objective measurement of disease (Forced Vital Capacity) and symptoms such as dyspnoea, pain, anxiety and depressive symptoms in 36 patients with sarcoidosis (study 1) and 93 patients with sarcoidosis (study 2).
Across two studies we found that patients with sarcoidosis used emotion-focused and avoidant coping significantly less often than healthy individuals, and that in both groups the profile with dominant problem (task)-focus style was the most beneficial in terms of mental health. Further, the profile of sarcoidosis patients characterized by the lowest intensity of all coping strategies was found to be superior in terms of physical health status (dyspnoe, pain and FVC level).
These findings suggest that successful management of sarcoidosis should include coping styles assessment and call for a multidisciplinary approach in diagnosis and treatment of sarcoidosis patients.
尽管压力和应对压力的方式会对一个人的健康产生重大影响，并决定慢性病的进程和管理，但以前没有研究评估过应对策略及其与结节病患者的情绪困扰和临床症状之间的关系。
在两项连续的研究中，我们调查了结节病患者与健康对照组之间应对方式的差异，并将确定的特征与客观的疾病测量（用力肺活量）以及呼吸困难、疼痛、焦虑和抑郁症状等症状联系起来，研究对象为 36 例结节病患者（研究 1）和 93 例结节病患者（研究 2）。
在两项研究中，我们发现结节病患者使用情绪聚焦和回避应对的频率明显低于健康个体，在这两个群体中，以主导问题（任务）为焦点的应对方式特征的患者在心理健康方面最有益。此外，在身体健康状况方面（呼吸困难、疼痛和 FVC 水平），所有应对策略强度最低的结节病患者的特征被认为是最有利的。
这些发现表明，结节病的成功管理应包括应对方式评估，并呼吁在结节病患者的诊断和治疗中采用多学科方法。
