Cardile Davide, Cappadona Irene, Patti Erika, Ansaldo Aurora, De Luca Rosaria, Corallo Francesco, Pagano Maria, Anselmo Anna, Quartarone Angelo, Calabrò Rocco Salvatore
IRCCS Centro Neurolesi "Bonino-Pulejo", 98124 Messina, Italy.
Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
J Clin Med. 2025 Jul 18;14(14):5121. doi: 10.3390/jcm14145121.
Cerebral hemorrhage (CH) has physical, cognitive, and emotional consequences. Recovery requires a complex rehabilitation process in which coping strategies play a fundamental role in supporting psychological adaptation. The aim of this study is to investigate and understand the extent and manner in which coping strategies have been assessed in the CH population within the scientific literature. Studies were identified through searches in the PubMed, Scopus, and Embase databases. Eight studies published between 2014 and 2024 were selected. The most frequently adopted coping strategies include task-oriented coping, avoidance, emotion-focused coping, acceptance, planning, and emotional support. Task-oriented strategies and acceptance are associated with better psychological outcomes. Conversely, avoidant and emotion-focused strategies correlate with higher levels of anxiety, depression, and poorer adaptation. Resilience and social participation emerge as protective factors. Finally, Action/Distraction is associated with a better quality of life, while Trivialization/Resignation is linked to lower levels. Coping seems to represent a modifiable, patient-centered lever that can mitigate the psychosocial sequelae of intracranial hemorrhage when assessed systematically and addressed through tailored rehabilitation programs. Our findings lay the groundwork for evidence-based, coping-focused interventions and highlight critical avenues for future longitudinal and mechanistic research.
脑出血（CH）会产生身体、认知和情感方面的后果。康复需要一个复杂的过程，其中应对策略在支持心理适应方面起着至关重要的作用。本研究的目的是调查和了解科学文献中对脑出血患者应对策略的评估程度和方式。通过检索PubMed、Scopus和Embase数据库来识别相关研究。选取了2014年至2024年间发表的八项研究。最常采用的应对策略包括任务导向型应对、回避、情绪聚焦型应对、接受、计划和情感支持。任务导向型策略和接受与更好的心理结果相关。相反，回避和情绪聚焦型策略与更高水平的焦虑、抑郁以及较差的适应能力相关。恢复力和社会参与是保护因素。最后，行动/分散注意力与更好的生活质量相关，而轻视/顺从则与较低水平相关。当通过系统评估并通过量身定制的康复计划加以应对时，应对策略似乎是一个可改变的、以患者为中心的杠杆，可以减轻颅内出血的心理社会后遗症。我们的研究结果为基于证据的、以应对为重点的干预措施奠定了基础，并突出了未来纵向和机制研究的关键途径。
