Coping with severe mental illness: Relations of the brief COPE with symptoms, functioning, and well-being
Coping with severe mental illness: Relations of the brief COPE with symptoms, functioning, and well-being
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DOI：
10.1023/a:1012731520781
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发表时间：
2001-12-01
影响因子：
1.6
通讯作者：
Meyer, B
中科院分区：
文献类型：
--
作者：
Meyer, B
患者应对精神疾病发作和住院经历的方式可能与症状严重程度、社会功能和心理健康有关。对 70 名主要诊断为精神分裂症、重度抑郁症和分裂情感障碍的精神科住院患者进行了应对评估。 Brief COPE 是健康心理学中开发的问卷（C.S.Carver，1997），在患者入住病房期间以访谈员协助的形式进行。30 名患者在出院后平均 6 周接受了重新访谈。在精神分裂症患者中，精神分裂症症状的严重程度与适应性应对（例如接受、计划、寻求支持）呈负相关，但与适应不良的应对（例如自责、否认）无关。在精神分裂症患者中，适应性应对的缺陷也预测精神分裂症症状随着时间的推移相对增加，控制了摄入症状的严重程度。在没有精神分裂症的患者中，适应不良的应对方式与抑郁症状同时相关。还记录了同时应对、功能和幸福之间的几种假设关联。
The way patients cope with the experience of having an episode and being hospitalized for psychiatric disorder may relate to symptom severity, social functioning, and psychological well-being. Coping was assessed among 70 psychiatric inpatients diagnosed primarily with schizophrenia, major depressive disorder, and schizoaffective disorder. The Brief COPE a questionnaire developed in health psychology (C. S. Carver, 1997)-was administered in interviewer-assisted format during patients' stay on the ward, Thirty patients were re-interviewed an average of 6 weeks after discharge. Among patients with schizophrenia, schizophrenia symptom severity correlated inversely with adaptive coping (e.g., acceptance, planning, seeking support) but did not correlate with maladaptive coping (e.g., self-blame, denial), Among those with schizophrenia, deficits in adaptive coping also predicted relative increases in schizophrenia symptoms over time, controlling for intake symptom severity. Among patients without schizophrenia, maladaptive coping correlated concurrently with depressive symptoms. Several hypothesized associations between concurrent coping, functioning, and well-being were also documented.