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在慢性疾病中寻找意义及其与心理健康的关系:一种混合方法研究

Rebecca J Purc-Stephenson¹, Rachel Edwards²

¹Department of Social Science, Augustana Faculty, University of Alberta, Camrose, Alberta, Canada.

PLOS mental health

|February 9, 2026

概括

患有炎症性肠道疾病 (IBD) 的人在遭遇逆境后发现了意义,他们报告了更好的调整和更多的创伤后生长 (PTG). 创造意义是应对健康挑战的关键.

科学领域:

心理学心理学心理学
健康心理学心理学
医学社会学医学社会学

背景情况:

与健康相关的逆境挑战了核心信念和目的,可能会触发对意义的探索.
这个寻找意义的过程被理论化为促进积极的调整和个人成长.

研究的目的:

为了调查健康的逆境是否激发了寻求意义的动机.
探索个人如何理解他们的健康挑战.
检查创造意义,接受,幸福和创伤后成长 (PTG) 之间的关系.

主要方法:

采用混合方法设计,对317名被诊断患有炎症性肠病 (IBD) 的成年人进行了研究.
通过在线调查收集数据,包括验证的接受度,心理调整和PTG,以及开放式问题.
主题分析确定了创造意义的主题,个人资料分析比较了不同的创造意义的群体.

主要成果:

大约85%的参与者问"为什么是我?" """这是一个很好的例子.
五个创造意义的主题出现了:个人成长的催化剂,自我责怪,神圣的干预,遗传学和机会.
与那些仍在寻找或不寻找意义的人相比,发现意义的人报告了更高的积极影响和更大的感知PTG.

结论:

这些发现支持增长理论,强调创造意义在适应逆境中的关键作用.
创造意义与慢性疾病患者的主观福祉改善和创伤后成长有显著的关联.
认知和叙事治疗策略可以帮助康复顾问通过创造意义来支持患有慢性疾病的患者.

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