Coping with psychosis - An integrative developmental framework
Coping with psychosis - An integrative developmental framework
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DOI：
10.1097/01.nmd.0000249108.61185.d3
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发表时间：
2006-12-01
影响因子：
1.9
通讯作者：
Lysaker, Paul H.
中科院分区：
文献类型：
--
作者：
Roe, David;Yanos, Philip T.;Lysaker, Paul H.
精神分裂症等严重精神疾病患者影响康复过程的一个重要方式是应对精神疾病的严重负面影响。尽管有越来越多的证据表明患者在康复过程中发挥了积极作用，但关于应对概念的性质和分类，仍然存在许多概念上的混淆。本文将Schwarzer的积极应对理论应用于重度精神疾病，构建了一个具有临床应用价值的应对框架，描述了平行和连续的应对过程，描述了四种应对模式，包括反应性、预期性、预防性和主动性，并阐述了意义制造作为一个综合框架的作用。未来的研究可以着眼于验证所提出的模型，并调查这些类型的应对与其他相关维度（如症状、功能和恢复）之间的关系。
One important way in which persons with severe mental illness, such as schizophrenia, can influence the recovery process is by coping with the profoundly negative effects of mental illness. Despite accumulating evidence on the active role of the person in his or her recovery, there remains much conceptual confusion regarding the nature and categorization of the concept of coping. The present article constructs a clinically useful framework of coping that describes parallel and consecutive types of coping processes by applying Schwarzer's proactive coping theory to severe mental illness, Four coping modes including reactive, anticipatory, preventive, and proactive are described, and the role of meaning making is elaborated on as an integrative framework. Future research can be directed at validating the presented model and investigating the relationship between these types of coping and other relevant dimensions such as symptoms, functioning, and recovery.