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焦虑症患者反复暴露于紧急情况后的心理适应

Psychological adaptation of anxiety disorder patients following repeated exposure to emergency situation.

作者信息

Somer E, Keinan G, Carmil D

机构信息

Israel Institute for Treatment and Prevention of Stress, Haifa, Israel.

出版信息

J Trauma Stress. 1996 Apr;9(2):207-21. doi: 10.1007/BF02110656.

DOI:10.1007/BF02110656
PMID:8731543
Abstract

Thirty one patients in treatment for anxiety disorders and 31 controls were interviewed within hours after both the first and second Iraqi missile attacks on Israel during the Gulf war. After the first attack patients did not report higher anxiety levels, nor were they more pessimistic about the war and their fate in the war than the control subjects. Anxiety disorder patients tended to be engaged in cognitive-behavioral tactics for self-calming, while control subjects clearly preferred to cope by interacting with their social and physical environments. Following the second missile bombardment, patients were more inclined to retain their initial levels of anxiety and pessimism, while controls seem to have better adapted and showed significant improvements in those variables. The results are discussed in terms of coping skills and vulnerability as factors influencing adaptation to prolonged emergency situations.

摘要

在海湾战争期间伊拉克对以色列的首次和第二次导弹袭击后的数小时内,对31名接受焦虑症治疗的患者和31名对照组人员进行了访谈。在第一次袭击后,患者并未报告更高的焦虑水平,在对战争及其在战争中的命运的看法上也并不比对照组更悲观。焦虑症患者倾向于采用认知行为策略来自我平静,而对照组人员显然更倾向于通过与社会和自然环境互动来应对。在第二次导弹轰炸后,患者更倾向于维持其最初的焦虑和悲观水平,而对照组似乎适应得更好,并且在这些变量上有显著改善。从应对技巧和易感性作为影响对长期紧急情况适应的因素的角度对结果进行了讨论。

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