Günther V, Mur E, Traweger C, Hawel R
Department of Psychiatry, University Hospital, Innsbruck, Austria.
J Psychosom Res. 1994 Jul;38(5):419-27. doi: 10.1016/0022-3999(94)90103-1.
Seventy-six male patients with ankylosing spondylitis (SA) and sixteen healthy controls were assessed for their stress coping mechanisms. As compared to healthy controls, the coping behaviour of the patients with SA was characterized by a significantly higher degree of playing down the stressful situation through comparison with others and by more substitutive gratification; they also showed less self-accusation and resignation. These coping mechanisms apparently do not change significantly in the course of the illness, as in our study we found that patients with different durations of illness did not differ from each other with regard to the coping strategies they used. When comparing the different strategies of coping the subjective intensity of pain, we found at a low intensity of pain a significant positive correlation with the strategies of 'playing down the stressful situation through comparison with others' and 'positive self-instruction', and a negative correlation with 'self-accusation'.
对76名男性强直性脊柱炎（SA）患者和16名健康对照者的应激应对机制进行了评估。与健康对照者相比，SA患者的应对行为特点是，通过与他人比较来淡化应激状况的程度显著更高，替代性满足更多；他们的自责和顺从也较少。这些应对机制在疾病过程中显然没有显著变化，因为在我们的研究中，我们发现病程不同的患者在使用的应对策略方面彼此没有差异。在比较应对疼痛主观强度的不同策略时，我们发现在低疼痛强度下，与“通过与他人比较来淡化应激状况”和“积极的自我指导”策略呈显著正相关，与“自责”呈负相关。
