Christensen A J, Benotsch E G, Wiebe J S, Lawton W J
Department of Psychology, University of Iowa, Iowa City 52242, USA.
J Consult Clin Psychol. 1995 Jun;63(3):454-9. doi: 10.1037//0022-006x.63.3.454.
With a modified version of the Ways of Coping Checklist, the relation of coping to adherence among 57 hemodialysis patients was examined. The association of a particular type of coping to adherence was predicted to depend on the specific type of stressful encounter being considered. As predicted, coping efforts involving planful problem solving were associated with more favorable adherence when used in response to stressors involving a relatively controllable aspect of the hemodialysis context. For less controllable stressors, coping efforts involving emotional self-control were associated with more favorable adherence. The seeking of informational support in response to an uncontrollable encounter was associated with poorer fluid-intake adherence. Confrontive coping was associated with poorer adherence for both high- and low-control situations.
通过使用应对方式清单的修订版，研究了57名血液透析患者的应对方式与治疗依从性之间的关系。预计特定类型的应对方式与依从性之间的关联将取决于所考虑的应激遭遇的具体类型。正如预测的那样，当针对涉及血液透析环境中相对可控方面的应激源时，采用有计划地解决问题的应对努力与更好的依从性相关。对于较不可控的应激源，采用情绪自我控制的应对努力与更好的依从性相关。针对无法控制的遭遇寻求信息支持与较差的液体摄入依从性相关。对抗性应对在高控制和低控制情况下均与较差的依从性相关。
