Jeżuchowska Alicja, Schneider-Matyka Daria, Rachubińska Kamila, Reginia Artur, Panczyk Mariusz, Ćwiek Dorota, Grochans Elżbieta, Cybulska Anna Maria
Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Front Psychiatry. 2024 May 21;15:1400951. doi: 10.3389/fpsyt.2024.1400951. eCollection 2024.
Non-adherence to treatment recommendations is a significant problem, as it contributes to the progression of the disease and to the exacerbation of distressing symptoms. Failure to cope with the disease and elevated levels of stress, in turn, influence the choice of strategy for coping with a difficult situation, and thus adherence to recommendations.
The purpose of our study was to evaluate the impact of the subjects' stress coping styles on therapeutic adherence, life satisfaction, disease acceptance and quality of life (QoL) in people with mood disorders.
This survey-based study included 102 respondents diagnosed with mood disorders, living in the West Pomeranian Voivodeship. It was performed using the sociodemographic questionnaire and standardized tools: The Coping Inventory for Stressful Situations (CISS), The Satisfaction with Life Scale (SWLS), The Short Form-36 (SF-36) Health Survey, The Adherence to Refills and Medication Scale (ARMS), and The Acceptance of Illness Scale (AIS).
Some 47.06% of the respondents suffered from depressive disorders, while 34.31% had depression or mixed anxiety disorder. Patients who made greater use of an emotion-focused style were found to have significantly lower life satisfaction than other patients. Moreover, this style was related to such SF-36 domains as general health, social functioning, role emotional, vitality, and mental health, as well as to physical component summary (PCS) and mental component summary (MCS).
Treatment non-adherence is a serious challenge in the treatment of patients with mood disorders. Individuals who do not adequately follow treatment recommendations often resort to alternative activities as a mechanism for coping with difficult situations. Patients who predominantly adopt an emotion-oriented coping style tend to experience lower life satisfaction and greater difficulty accepting their condition compared to their peers. Conversely, patients who adopt a task-oriented coping style report better quality of life than those who rely on emotion-oriented coping or alternative activities.
不遵守治疗建议是一个重大问题，因为它会导致疾病进展和痛苦症状加剧。无法应对疾病以及压力水平升高，反过来又会影响应对困难情况的策略选择，进而影响对建议的遵守情况。
我们研究的目的是评估情绪障碍患者的压力应对方式对治疗依从性、生活满意度、疾病接受度和生活质量（QoL）的影响。
这项基于调查的研究纳入了102名被诊断为情绪障碍的受访者，他们居住在西波美拉尼亚省。研究使用了社会人口学问卷和标准化工具：压力情境应对量表（CISS）、生活满意度量表（SWLS）、简短健康调查36项量表（SF - 36）、药物续方与用药依从性量表（ARMS）以及疾病接受度量表（AIS）。
约47.06%的受访者患有抑郁症，而34.31%患有抑郁症或混合性焦虑症。发现较多采用以情绪为中心应对方式的患者，其生活满意度显著低于其他患者。此外，这种应对方式与SF - 36量表中的多个领域相关，包括总体健康、社会功能、角色情感、活力和心理健康，以及身体成分总结（PCS）和心理成分总结（MCS）。
治疗不依从是情绪障碍患者治疗中的一个严峻挑战。未充分遵循治疗建议的个体常常诉诸替代活动作为应对困难情况的机制。与同龄人相比，主要采用以情绪为导向应对方式的患者往往生活满意度较低，且更难接受自己的病情。相反，采用以任务为导向应对方式的患者报告的生活质量比那些依赖以情绪为导向应对方式或替代活动的患者更好。
