Wahass S, Kent G
Department of Psychiatry, King Fahd Hospital of King Faisal University, Al-Khobar, Saudi Arabia.
J Nerv Ment Dis. 1997 Nov;185(11):664-8. doi: 10.1097/00005053-199711000-00002.
The majority of schizophrenic patients from Western backgrounds develop strategies to cope with the positive symptoms of their condition. However, there is little evidence to indicate how these coping mechanisms are affected by cultural background. Seventy schizophrenic patients from Saudi Arabia (SA) and the United Kingdom (UK) who reported auditory hallucinations were interviewed to explore the ways in which they coped with their voices and sounds. Patients from both cultures had several coping mechanisms, but these varied between cultures. The majority of SA patients used strategies associated with their religion whereas UK patients were more likely to use distraction or physiologically based approaches. The majority of patients were slightly or not at all confident about the effectiveness of their coping strategies. This study suggests that clinicians, when they attempt to facilitate the use of such strategies, may find greater patient acceptance and efficacy if they are familiar with culturally specific factors.
大多数来自西方背景的精神分裂症患者会制定策略来应对其病情的阳性症状。然而，几乎没有证据表明这些应对机制是如何受到文化背景影响的。对70名来自沙特阿拉伯（SA）和英国（UK）且报告有幻听的精神分裂症患者进行了访谈，以探究他们应对幻听和声音的方式。来自两种文化背景的患者都有几种应对机制，但这些机制在不同文化之间存在差异。大多数沙特阿拉伯患者使用与他们宗教相关的策略，而英国患者更可能使用分散注意力或基于生理的方法。大多数患者对其应对策略的有效性略有信心或完全没有信心。这项研究表明，临床医生在试图促进此类策略的使用时，如果熟悉特定文化因素，可能会发现患者的接受度更高且效果更好。
