Middelboe T, Mortensen E L
Department of Psychiatry E, Community Mental Health Center, Bispebjerg University Hospital, Copenhagen, Denmark.
Acta Psychiatr Scand. 1997 Sep;96(3):188-94. doi: 10.1111/j.1600-0447.1997.tb10150.x.
The aim of this study was to explore strategies for coping with symptoms in 98 long-term mentally ill patients. The following characteristics of the strategies were investigated: level, effectiveness, target symptom and problem orientation. In addition, we studied the association between measures of coping and psychopathology. An average of 3.8 coping strategies per patient was reported, and strategies involving behavioural change were most common (48%), followed by changes in socialization (24%) and in cognitive control (15%). Coping efforts were most commonly directed towards non-psychotic symptoms. A high load of general and affective symptoms, few negative symptoms and a high level of illness awareness predicted the total number of coping strategies. Separate analysis of active and passive strategies, including increased and decreased socialization, respectively, revealed very different patterns of clinical predictors. These results are discussed with reference to community-care programmes.
本研究旨在探索98名长期精神病患者应对症状的策略。对这些策略的以下特征进行了调查：水平、有效性、目标症状和问题导向。此外，我们研究了应对措施与精神病理学之间的关联。每位患者平均报告了3.8种应对策略，其中涉及行为改变的策略最为常见（48%），其次是社交方面的改变（24%）和认知控制方面的改变（15%）。应对努力最常针对非精神病性症状。一般症状和情感症状负担较重、阴性症状较少以及疾病意识水平较高预示着应对策略的总数。分别对主动和被动策略进行分析，包括社交增加和减少，揭示了截然不同的临床预测模式。将参考社区护理项目对这些结果进行讨论。
