青少年的功能性发作疾病代表性的定性表达
Andrea L Tanner1, Jane R von Gaudecker2, Sharron J Crowder2
1School of Nursing, Indiana University, Bloomington, Indiana, USA.
Journal of adolescence
|December 6, 2023
概括
功能性发作的青少年认为他们的病情是无法控制和无休止的,影响着学校生活. 了解这些疾病的感知是有效的自我管理干预的关键.
科学领域:
- 心理学 心理学 心理学
- 青少年健康 青少年健康
- 神经科学是一个神经科学.
背景情况:
- 功能性发作的青少年在自我管理方面面临重大挑战,特别是在学校环境中.
- 压力因素包括欺凌,被指控伪装,以及社会耻辱.
- 青少年的疾病代表性,对他们的状况的看法,可能会影响自我管理,但这在这个人群中研究不足.
研究的目的:
- 探索功能性发作的青少年如何代表他们的疾病,重点关注身份,原因,后果,可控性和时间表等特征.
- 了解青少年在学校背景下对其功能性发作的看法.
主要方法:
- 对10名具有功能性发作的青少年 (12-19岁,全部为女性) 的半结构化访谈进行了定性分析.
- 在讨论学校经验期间,诱导性分析和大小编码疾病表现的未经请求的表达.
主要成果:
- 青少年表达了所有五种疾病表示特征:身份 (冲突的标签,心身立面),原因 (压力),后果 (收益/损失),可控性 (控制/缺乏控制) 和时间表 (没有尽头).
- 缺乏可控性/治愈性和无尽时间线的感知是突出的.
结论:
- 在常识模型中,青少年的疾病表现,特别是那些表明缺乏控制和无尽时间线的表现,被认为是威胁的.
- 这些看法可能会对健康和学业成绩产生负面影响.
- 常识模型为开发干预措施提供了一个框架,以修改这些观念并改善结果.
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