Wciórka J
Z I Kliniki Psychiatrycznej IPiN w Warszawie.
Psychiatr Pol. 1996 Jan-Feb;30(1):5-16.
Description of patients' attitudes toward their experience of illness as well as relationships between these attitudes and some other clinical variables (praemorbid background, picture and dynamics of clinical status, insight of illness, and indices of early prognosis) were examined in the group of 20 firstly addmitted inpatients suffering for schizophrenia (ICD-10 criteria). As a measure the scale "Experience of Illness" was used allowing to point the typus of the whole attitude (isolating, undecided, or integrating) and its three dimensions (cognitive, emotional and behavioural). Isolating or undecided attitudes prevailed over assimilating ones when patients were leaving the hospital (2:2:1). In addition, the findings suggest also that assimilating the illness was for patients more easy to achieve in the domain of knowledge about it (identifying the illness with self) or of reaction to it (ability to reflection) than in the domain of feelings (readiness to evaluate it positively). Some interesting correlations between attitudes and clinical variables need confirmation in larger sample of patients.
在20例首次入院的精神分裂症患者(符合ICD - 10标准)中,研究了患者对其患病经历的态度描述,以及这些态度与其他一些临床变量(病前背景、临床状况的表现和动态、对疾病的洞察力以及早期预后指标)之间的关系。采用“疾病体验”量表作为一种测量方法,该量表能够指出整体态度的类型(孤立型、未决型或整合型)及其三个维度(认知、情感和行为)。患者出院时,孤立或未决态度比同化态度更为普遍(2:2:1)。此外,研究结果还表明,对患者来说,在关于疾病的知识领域(将疾病与自身认同)或对疾病的反应领域(反思能力)中同化疾病,比在情感领域(积极评价的意愿)更容易实现。态度与临床变量之间的一些有趣相关性需要在更大样本的患者中得到证实。