Spiess K, Sachs G, Frischenschlager O, Moser G, Prager R
Abt. Endokrinologie und Stoffwechsel, Universität Wien.
Z Psychosom Med Psychoanal. 1994;40(1):52-67.
In a longitudinal study we examined 43 patients with type 1 diabetes one week after onset as well as 8 and 24 month later in order to analyze the psychological role of denial processes in correlation to metabolic functions. Only depression decreased over the studied period while coping and denial remained stable. However, the adaptive function of denial after onset with low anxiety, good coping and few complaints became maladaptive over the first two years and the correlation of denial with a centripetal kinship behavior loosened. The destructive effect of denial was indicated only by delayed requests for assistance while no correlation could be shown for phase-specific internal restructuring of the psychological function of denial to compliance and metabolic control.
在一项纵向研究中，我们对43例1型糖尿病患者在发病一周后以及8个月和24个月后进行了检查，以分析否认过程与代谢功能相关的心理作用。在研究期间，只有抑郁情绪有所下降，而应对方式和否认程度保持稳定。然而，发病后低焦虑、良好应对和较少抱怨情况下否认的适应功能在头两年变得适应不良，且否认与向心亲属行为的相关性减弱。否认的破坏作用仅表现为求助延迟，而否认心理功能的阶段特异性内部重构与依从性和代谢控制之间未显示出相关性。
