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精神分裂症与抑郁症中的应对方式和认知

Coping and cognition in schizophrenia and depression.

作者信息

van den Bosch R J, Rombouts R P

机构信息

Department of Psychiatry, University Hospital Groningen, The Netherlands.

出版信息

Compr Psychiatry. 1997 Nov-Dec;38(6):341-4. doi: 10.1016/s0010-440x(97)90930-5.

Abstract

We examined the stable relations between coping style and cognitive function in schizophrenic and depressed patients and in patient and normal controls on two test occasions. The results show that a poor self-report of coping style is independent of psychiatric diagnosis, but there are associations with both subjective and objective cognitive malaise. Poor cognitive task performance is associated with a dependent coping style, perhaps pointing to a "giving-up" attitude. Subjective cognitive dysfunction and high levels of mental effort during task performance are associated with an avoidant coping style and with worrying, which suggest failing compensatory cognitive strategies as a causal mechanism of this coping dimension.

摘要

我们在两个测试阶段研究了精神分裂症患者、抑郁症患者以及患者与正常对照组中应对方式与认知功能之间的稳定关系。结果表明,应对方式的自我报告不佳与精神疾病诊断无关,但与主观和客观的认知不适均有关联。认知任务表现不佳与依赖型应对方式相关,这可能表明一种“放弃”的态度。主观认知功能障碍以及任务执行过程中的高心理努力程度与回避型应对方式和担忧有关,这表明代偿性认知策略失败是这种应对维度的因果机制。

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