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[应对慢性肾衰竭中的疾病。简短干预参与者的心理社会关联及预测意义]

[Coping with illness in chronic renal failure. Psychosocial correlates and predictive significance in participants of a brief intervention].

作者信息

Herrle J

机构信息

Klinische Psychologie und Psychotherapie, Technische Universität Dresden.

出版信息

Psychother Psychosom Med Psychol. 1998 Jan;48(1):13-9.

PMID:9499715
Abstract

Although the ways of coping with chronic illness are relatively well explored in end-stage renal disease (ESRD) patients, only little is known as to their correlates and predictive impact in the context of psychosocial intervention programs. This article reports on results from a project, as part of which professionally guided mutual exchange weekends for ESRD-patients were conducted. Some very specific patterns of association between single types of coping and psychosocial variables became evident in the participants (n = 56) before the intervention. The initial coping behaviour allowed for a significant prediction of outcome. Higher values in information-seeking and threat minimisation were predictive of lower gain from the intervention, whereas search for affiliation was positively related to favourable change.

摘要

尽管在终末期肾病(ESRD)患者中,应对慢性病的方式已得到较为充分的研究,但对于这些方式在心理社会干预项目中的相关因素及预测影响,人们所知甚少。本文报告了一个项目的结果,该项目的一部分是为ESRD患者举办由专业人员指导的互助交流周末活动。在干预前,参与者(n = 56)中单一应对方式与心理社会变量之间呈现出一些非常特殊的关联模式。初始应对行为能够显著预测结果。寻求信息和威胁最小化得分较高预示着干预收益较低,而寻求归属感则与积极变化呈正相关。

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