Proactive coping among persons diagnosed with severe mental illness: An exploratory study
Proactive coping among persons diagnosed with severe mental illness: An exploratory study
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DOI：
10.1097/00005053-200102000-00009
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发表时间：
2001-02-01
影响因子：
1.9
通讯作者：
Yanos, PT
中科院分区：
文献类型：
--
作者：
Yanos, PT
与压力范式的传统重点一致（Lazarus和Folkman，1984），对被诊断患有严重精神疾病的人所使用的应对努力的研究通常集中在科普症状和压力的策略上（例如，Breier和Strauss，1983; Carter等人，1996; Cohen和Berk，1985; Wiedl和Schöttner，1991）。与应对压力不同的应对结构的一个方面是”积极应对”（Aspinwall和Taylor，1997）。包括“在潜在的压力事件发生之前所做的努力，以防止它或在它发生之前修改它的形式”（第103页）。417），积极应对并不涉及对症状或压力源的直接反应。积极应对可能与被诊断患有严重精神疾病的人的治疗和康复有相当大的相关性。患有严重精神疾病的人可能会发现，在某些情况下比其他情况下更容易出现令人痛苦的精神症状，并可能从事特定活动，以努力减少经历这些症状的可能性。定期使用积极应对策略的个人可能会在其整体科普能力方面取得更大的成功，并可能体验到更好的生活质量和/或社会功能。关于严重精神疾病康复过程的自传体描述和定性研究强调了这种行为的重要性（洛夫乔伊，1984; Young和Ensing，1999）。此外，一些在治疗被诊断患有严重精神疾病的人方面显示出有希望的结果的认知行为治疗项目报告说，教导参与者从事”健康行为”活动（Andres等人，2000年）。
Consistent with the traditional emphasis of the stress paradigm (Lazarus and Folkman, 1984), studies of the coping efforts used by persons diagnosed with severe mental illness have typically focused on the strategies to cope with symptoms and stress (eg, Breier and Strauss, 1983; Carter et al., 1996; Cohen and Berk, 1985; Wiedl and Schöttner, 1991). An aspect of the construct of coping that is distinct from coping with stress is" proactive coping"(Aspinwall and Taylor, 1997). Consisting of" efforts undertaken in advance of a potentially stressful event to prevent it or to modify its form before it occurs"(pp. 417), proactive coping does not involve a direct reaction to a symptom or stressor.Proactive coping may have considerable relevance to the treatment and recovery of persons diagnosed with severe mental illness. Persons who are dealing with severe mental illness may find that distressing psychiatric symptoms are more likely to occur under certain circumstances than others, and may engage in specific activities in an effort to reduce the likelihood of experiencing them. Individuals using proactive coping strategies on a regular basis may find greater success in their overall ability to cope and may experience a better resulting quality of life and/or social functioning. Autobiographical accounts and qualitative studies on the process of recovery from severe mental illness highlight the importance of such behavior (Lovejoy, 1984; Young and Ensing, 1999). In addition, some cognitive-behavioral treatment programs that show promising results in the treatment of persons diagnosed with severe mental illness report teaching participants to engage in" health behavior" activities (Andres et al., 2000).