THE DAILY LIFE OF AMBULATORY CHRONIC MENTAL-PATIENTS
THE DAILY LIFE OF AMBULATORY CHRONIC MENTAL-PATIENTS
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DOI：
10.1097/00005053-198709000-00005
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发表时间：
1987-09-01
影响因子：
1.9
通讯作者：
DEVRIES, MW
中科院分区：
文献类型：
--
作者：
DELESPAUL, PAEG;DEVRIES, MW
本研究的目的是更详细地描述11名流动慢性精神病人和11名非精神病人的日常生活经历。这些研究对象，虽然在诊断上是不同的，但都是荷兰慢性精神病患者的代表。采用经验抽样法，连续6天，每天随机给被试发10次信号，让被试填写自评表，评估被试发出信号时的心理状态和情境信息。依从性很好。在与非精神科受试者的时间分配比较中，发现患者过着相对“正常”的生活。正如预期的那样，他们的精神病理受到社会环境的影响，比如独处、在家或在整个社会中。与强调这些人的社会孤立的其他研究相反，慢性受试者报告说，与正常受试者相比，远离家和与人交往感觉更好。独处时，慢性患者报告说他们做白日梦的次数更多，并且注意到他们倾向于不去想当前的活动。心理状态波动和日常互动，这一群体的特点，检查与脆弱性理论和慢性精神病人的应对方式，着眼于个性化的治疗应用。
The purpose of this research is to describe in greater detail than is typically done the daily life experiences of 11 ambulatory chronic mental patients and 11 nonpsychiatric controls. The subjects, although diagnostically heterogeneous, were representative of Dutch chronic mental patients. The experience-Sampling Method was used to signal subjects randomly 10 times a day for 6 consecutive days to fill out self-rating forms assessing mental state and contextual information at the moment of the signal. Compliance was good. In time-allocation comparisons with nonpsychiatric subjects the patients were found to live relatively "normal" lives. As expected, their psychopathology was influenced by social environments such as being alone, at home, or in society at large. Contrary to other studies that stress the social isolation of such individuals, the chronic subjects reported feeling better away from home and among people than normal subjects. When alone, chronic patients reported daydreaming more and noted a tendency to drift away from thoughts about current activities. Mental state fluctuations and daily interactions, characteristic of this group, are examined in relation to theories of vulnerability and coping style of chronic mental patients, with an eye to individualized treatment applications.