Farhall J, Gehrke M
School of Psychological Science, La Trobe University, Bundoora, Victoria, Australia.
Br J Clin Psychol. 1997 May;36(2):259-61. doi: 10.1111/j.2044-8260.1997.tb01411.x.
This study explored application of the theoretical framework of Lazarus & Folkman (1984) to coping with hallucinations in schizophrenia. Eighty-one patients were interviewed with a structured schedule. Unprompted reports of coping indicated wide use of both 'hallucination-specific' and 'general' strategies. Factor analysis of a coping checklist produced three factors which were utilized in regression analyses. The active acceptance factor may relate to control of hallucinations, the passive coping factor predicted distress reduction but, surprisingly, the resistance coping factor, which contained hallucination-specific coping strategies, predicted poor distress reduction. Clinical and research implications are noted.
本研究探讨了拉扎勒斯和福克曼（1984年）的理论框架在应对精神分裂症幻觉方面的应用。采用结构化访谈时间表对81名患者进行了访谈。对应对方式的自发报告表明，“特定于幻觉”和“一般”策略都得到了广泛应用。应对清单的因素分析产生了三个因素，并用于回归分析。积极接受因素可能与幻觉控制有关，被动应对因素预示着痛苦减轻，但令人惊讶的是，包含特定于幻觉的应对策略的抵抗应对因素预示着痛苦减轻不佳。文中指出了临床和研究意义。
