精神分裂症患者疾病不确定感与应对方式的相关性研究

Relationship between uncertainty in illness and coping style among patients with schizophrenia

目的探讨精神分裂症患者疾病不确定感和应对方式的关系。方法采用Mishel疾病不确定感与压力情景应对方式问卷对114位精神分裂症康复期患者进行问卷调查。结果92.1%的患者有中等水平或以上的疾病不确定感。精神分裂症患者较少采用任务应对方式,较多采用的是回避与情绪应对策略。精神分裂症患者的任务应对(r=-0.243,P<0.05)和回避应对(r=-0.263,P<0.05)与疾病不确定感呈负相关,情绪应对方式与疾病不确定感呈正相关(r=0.321,P<0.01)。结论精神分裂症患者的应对方式与其疾病不确定感具有一定的相关性,采用任务应对与回避应对方式可降低疾病不确定感水平。

Objective To study the relationship between uncertainty in illness and coping style of patients with schizophrenia .Methods One hundred and fourteen patients who were in the rehabilitation stage were surveyed by Mishel′s uncertainty in illness scale and coping inventory for stressful situations .Results Most of the patients （92 .1% ） experienced moderate or above level of uncertainty in illness .Patients with schizophrenia seldom adopt task coping style ,and usually adopt avoiding style and emotional coping style .The uncertainty in illness had negative correlation to task coping style（r= -0 .243 ,P〈0 .05）or avoiding coping style（r= -0 .263 ,P〈0 .05） .There were positive correlations among emotional coping style and uncertainty in illness（r=0 .321 ,P〈0 .01） . Conclusion There is a correlation between coping style and uncertainty in illness .Adopting task style and avoiding coping style might reduce the level of uncertainty in illness among patients with schizophrenia .