惊恐障碍患者非理性信念、应对方式及其与症状的关系

Study of the Characteristics of Irrational Beliefs,Coping Style and Their Relationship with Symptoms in Panic Disorder Patients

目的:探讨惊恐障碍患者非理性信念、应对方式特点及其与症状的关系。方法:采用非理性信念问卷、应对方式问卷测评40例惊恐障碍患者及40例正常对照,并对惊恐障碍患者进行惊恐障碍严重程度量表的测评。结果:①与正常对照组相比,患者的非理性信念水平明显偏高(P<0.01),在自责、求助、幻想、回避、合理化应对方式上得分较高(P<0.05);②多元逐步回归结果显示:疾病严重程度量表总分受幻想因子与求助因子影响,与幻想呈正相关(β=0.422,P<0.01),与求助呈负相关(β=-0.339,P<0.05)。结论:惊恐障碍患者具有概括化评论、低挫折耐受和绝对化要求的非理性信念,且多采用自责、求助、幻想、回避、合理化的应对策略;幻想、求助应对方式可预测惊恐障碍严重程度。

Objective： To investigate the characteristics of irrational beliefs,coping style and their relationship with symptoms of panic disorder（PD）.Methods： 40 PD patients and 40 normal persons as control group were assessed with Irrational Beliefs Scale（IBS）,Coping Style Questionnaire（CSQ）,and the PD patients were assessed with Panic Disorder Severity Scale（PDSS）.Results： ①Compared with the control group,the sub-scores of irrational beliefs of the patients were significantly higher（P0.01）,and the scores of self-blame,help-seeking,fantasy,avoidance and rationalization were higher（P0.05）.②The score of PDSS was influenced by the level of fantasy and help-seeking.It was positively correlated with the scores of fantasy factor（β=0.422,P 0.01）,negatively correlated with the scores of help-seeking factor（β=-0.339,P0.05）.Conclusion： The PD patients have irrational beliefs such as global evaluation,low frustration tolerance and absolute demands.Most of the PD patients select the coping styles such as self-blame,help-seeking,fantasy,avoidance and rationalization.The severity of PD is influenced by the level of coping strategy,such as fantasy and help-seeking.