检查了三虫痴呆症患者内化耻辱和应对策略之间的关系
Dilan Altınmakas1, Hasan Demirci1, Efruz Pirdoğan Aydın2
1Department of Psychology, University of Health Sciences, Istanbul, Turkey.
Archives of psychiatric nursing
|August 15, 2025
概括
与对照组相比,患有三虫痴呆症 (TTM) 的患者使用了更多不适应的应对策略和更少的自助策略. 在TTM中增加的内化耻辱与更多地使用回避和自我惩罚应对机制有关.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 三病 (Trichotillomania,TTM) 是一种疾病,其特点是经常出现,不可抗拒的冲动,以拔掉自己的头发.
- 内化污名是患有心理健康状况的个人的重要关注点,可能会影响治疗和幸福感.
研究的目的:
- 研究被诊断为三虫痴呆症的患者内化耻辱和应对策略之间的关系.
- 为了比较TTM个体与健康对照个体之间的应对策略.
主要方法:
- 一项病例控制研究,涉及34名TTM患者和34名健康对照.
- 评估社会人口学因素,抑郁症 (贝克抑郁 inventory),应对策略 (经过修订的应对导向经历的问题 - R-COPE),拉头发的严重程度 (马萨诸塞州总医院拉头发量表) 和内化耻辱 (精神疾病内化耻辱量表 - ISMI).
主要成果:
- 与对照组相比,TTM患者的自我帮助应对得分较低,避免和自我惩罚应对得分较高.
- 在R-COPE适应和ISMI歧视经验之间发现了负相关性.
- 在R-COPE避免和ISMI-总,刻板印象认可和歧视经验之间观察到积极的相关性;以及在R-COPE自我惩罚和ISMI-总,疏远和社会退出之间.
结论:
- 患有TTM的人在面对压力因素时倾向于采用更不适应的应对策略.
- 在TTM中,较高水平的内化耻辱与对不适应的应对机制的依赖程度增加有关.
- 临床注意力应集中在TTM个体对其疾病的认知和应对态度上.
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