适应不良应对方式对结核患者心理结果的影响
Ion Papava1,2,3, Ana-Maria Cristina Daescu1,3, Liana Dehelean1,2,3
1Neurosciences Department, Discipline of Psychiatry, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Healthcare (Basel, Switzerland)
|May 14, 2025
概括
结核病患者经历焦虑和抑郁,受应对风格的影响. 专注于问题的应对有助于恢复,而社会支持应对与持续的痛苦有关.
科学领域:
- 医学心理学 医学心理学
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 结核病 (TB) 与严重的心理痛苦有关,包括焦虑和抑郁.
- 应对机制可能会影响结核病患者的这些心理结果.
研究的目的:
- 评估结核病患者的应对机制,心理结果 (焦虑和抑郁) 和社会人口因素之间的关系.
- 确定结核病患者应对方式的预测因素.
主要方法:
- 100名结核病患者使用COPE问卷和GAD7和PHQ9尺度进行评估.
- 威尔科克森签名等级测试分析了从入院到出院的心理分数的变化.
- 多项式和线性回归确定了应对风格的预测因素.
主要成果:
- 在住院期间,焦虑和抑郁明显改善 (p <0.001对于PHQ9和GAD7).
- 以社会支持为重点的应对方式导致了最大的抑郁减轻 (PHQ9: 13到4).
- 以问题为中心的应对与更好的心理恢复有关,而以社会支持为中心的应对与持续的痛苦有关. 老年人和已婚患者更有可能使用以问题为中心的应对方法.
结论:
- 应对方式显著影响结核病患者的心理结果.
- 将心理健康查整合到结核病护理中,并根据应对方式调整干预措施,可能会提高恢复力和治疗坚持.
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