Lefebvre R C
Gen Hosp Psychiatry. 1979 Dec;1(4):330-7. doi: 10.1016/0163-8343(79)90009-4.
The present paper is directed toward the conceptualization of disease states and their management from the cognitive point of view. The role of cognitive sytlesand self-statements in the pathogenesis of disease and the execution of coping styles is presented. A review of the literature on the cognitive treatment of medical disorders has documented the utility of such approaches with several medical problems, but a need for more rigorous empirical efficacy remains. The necessity of analyzing the coping processes elicited by specific disease states is viewed as essential to the understanding of the patient and the design of intervention strategies. Finally, a cognitive analysis of patient compliance to treatment regimens is presented.
本文旨在从认知角度对疾病状态及其管理进行概念化阐述。文中介绍了认知风格和自我陈述在疾病发病机制及应对方式执行中的作用。对医学疾病认知治疗文献的综述表明，此类方法在处理多种医学问题时具有实用性，但仍需要更严格的实证疗效验证。分析特定疾病状态引发的应对过程对于理解患者及设计干预策略至关重要。最后，本文对患者对治疗方案的依从性进行了认知分析。
