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经前烦躁症中的心理社会因素:压力源、评估及应对过程。

Psychosocial factors in premenstrual dysphoria: stressors, appraisal, and coping processes.

作者信息

Fontana A M, Palfai T G

机构信息

Department of Psychology, Colgate University, Hamilton, NY 13346.

出版信息

J Psychosom Res. 1994 Aug;38(6):557-67. doi: 10.1016/0022-3999(94)90053-1.

DOI:10.1016/0022-3999(94)90053-1
PMID:7990064
Abstract

Relationships between event content of daily stressors, appraisal of daily stressors, coping processes, and menstrual cycle phase were examined in women with premenstrual dysphoria (PMD) and controls. Seventy-eight women completed the Daily Rating Form, the Daily Coping Scale and the Multiple Affect Adjective Checklist-Revised on a daily basis during the premenstrual and postmenstrual phases. No premenstrual-postmenstrual differences in frequency of occurrence of stressors were reported. Academic and interpersonal stressors were the most frequently reported stressors during both cycle phases. PMD women appraised daily stressors as being more stressful, undesirable, and changeable premenstrually than postmenstrually as compared to controls. Catharsis was used more frequently premenstrually as compared to postmenstrually by PMD women. Premenstrually, women with PMD sought social support more frequently than controls. Interactive relationships between appraisal and coping style varied as a function of cycle phase for PMD women. A state-dependent model of menstrual-related mood changes is supported.

摘要

对患有经前烦躁障碍(PMD)的女性和对照组女性,研究了日常应激源的事件内容、对应激源的评估、应对过程与月经周期阶段之间的关系。78名女性在经前期和月经后期每天填写《每日评定表》《每日应对量表》和修订后的《多种情绪形容词检查表》。未报告应激源发生频率在经前期和月经后期存在差异。学业和人际应激源是两个周期阶段中报告最频繁的应激源。与对照组相比,PMD女性在经前期比月经后期更将日常应激源评估为压力更大、更不可取且更易变。与月经后期相比,PMD女性在经前期更频繁地使用宣泄方式。经前期,患有PMD的女性比对照组更频繁地寻求社会支持。对于PMD女性,评估与应对方式之间的交互关系因周期阶段而异。月经相关情绪变化的状态依赖模型得到了支持。

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