中国临床心理学杂志

躯体形式障碍患者非理性信念、应对方式及社会支持研究

作者：杨泗学¹ 张凯² 李祎³ 蔡增林³ 李在坡³ 孙承波³ 曹金霞⁴ 吴江¹ 秦榛¹ 王国强²

单位：1. 连云港市第四人民医院临床心理科连云港 222000
2. 无锡市精神卫生中心心理科无锡 214151
3. 连云港市第一人民医院连云港 222000
4. 连云港市第二人民医院连云港 222000

分类号：R395.2

出版年,卷(期):页码：2014,22(6):1020-1022

摘要：

目的:了解躯体形式障碍患者是否存在非理性信念,通常采取何种应对方式,及其社会支持状况。方法:选取45名躯体形式障碍患者及50名正常对照组,分别予以非理性信念量表、应对方式问卷及社会支持评定量表测量。结果:两组在非理性信念量表各分量表上统计学差异显著(P<0.01);躯体形式障碍病例组的解决问题、求助因子分显著低于对照组(P<0.01),自责、回避因子分显著高于对照组(P<0.01),幻想因子分也明显高于对照组(P<0.05),合理化因子分两组比较无统计学差异(P>0.05);两组在社会支持总分和主观社会支持因子分上存在差异(P<0.05),在社会支持利用度因子分上存在显著性差异(P<0.01),而客观社会支持因子分无统计学差异(P>0.05)。结论:躯体障碍患者存在非理性信念,而且对于自身躯体症状无法采取积极的应对方式,虽然不缺少社会支持,但其感受和利用社会支持的能力不如正常对照组。

Objective: To exploring psychological features of irrational beliefs, coping style and social support in the patients with somatoform disorders. Methods: 45 patients with somatoform disorders and 50 normal volunteers were recruited into this study, who all completed the irrational beliefs scale, coping style questionnaire and social support revalued scale. Results: The somatoform disorder patients group had lower scores at problem solving and help asking, compared with the control group( P <0.01). The patients group had higher score at blame, avoid, and imagine( P <0.05). Moreover, there were significant differences between the two groups at scores of social support, subject support and social support utilization( P < 0.05). Conclusion: Somatic disorder patients have irrational beliefs, take more negative coping style for its physical symptoms. Moreover, the patients cannot perceive and take advantage of their social supporting resources, although the patients revceive the same social support as normal controls.

基金项目：

作者简介：

参考文献：

1 沈渔邨. 精神病学. 第4版. 北京: 人民卫生出版社, 2003. 475-478
2 崔利军, 栗克清, 江琴普, 等. 河北省躯体形式障碍的流行病学调查. 中国健康心理学杂志, 2008, 16(2): 121-123
3 赵树霞, 李喜泼, 张月卿, 等. 保定市躯体形式障碍的流行病学调查. 中国健康心理学杂志, 2008, 16(7): 776-778
4 Hilderink PH, Collard R, Rosmalen JGM, et al. Prevalence of somatoform disorders and medically unexplained symp-toms in old age populations in comparison with younger age groups: A systematic review. Ageing Research Reviews, 2013, 12(1): 151-156
5 Murray AM, Toussaint A, Althaus A, et al. Barriers to the di-agnosis of somatoform disorders in primary care: Protocol for a systematic review of the current status. Systematic Revi-ews, 2013, 2(1): 99
6 Liu L, Bi B, Qin X, et al. The prevalence of somatoform dis-orders in internal medicine outpatient departments of 23 ge-neral hospitals in Shenyang, China. General Hospital Psych-iatry, 2012, 34(4): 339-344
7 Witthöft M, Hiller W. Psychological approaches to origins and treatments of somatoform disorders. Annual Review of Clinical Psychology, 2010, 6: 257-283
8 Kimerling R, Karen SC. Somatic symptoms, social support, and treatment seeking among sexual assault victims. Journal of Consulting and Clinical Psychology, 1994, 62(2): 333-340
9 Moos RH, Charles JH. Dispositional and contextual perspec-tives on coping: Toward an integrative framework. Journal of Clinical Psychology, 2003, 59(12): 1387-1403
10 杨清艳, 李占江, 姜长青, 等. 非理性信念量表的初步编制. 中国临床心理学杂志, 2008, 15(6): 562-564
11 姜乾金. 特质应对方式问卷. 中国心理卫生杂志, 1999, 12: 120-122
12 肖水源.《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994, 4(2): 98-100
13 Jones RG. A factored measure of Ellis' irrational belief sys-tem with personality and maladjustment correlates. Disserta-tion Abstracts International, 1968, 29: 4379-4380
14 Bridges KR, Harnish RJ. Role of irrational beliefs in depres-sion and anxiety: a review. Health, 2010, 2(8): 1949-4998
15 黄芳芳, 李占江, 韩海英, 等. 强迫症患者非理性信念和社会支持状况及其与症状的关系. 中国临床心理学杂志, 2013, 21(6): 950-952
16 Wiborg JF, Gieseler D, Fabisch AB, et al. Suicidality in pri-mary care patients with somatoform disorders. Psychosomat-ic Medicine, 2013, 75(9): 800-806
17 马云, 李占江, 徐子燕, 等. 认知行为治疗对精神分裂症患者应对方式的影响. 中国临床心理学杂志, 2013, 21(3): 455-457
18 Brenner K, St-Hilaire A, Liu A, et al. Cortisol response and coping style predict quality of life in schizophrenia. Schizo-phrenia Research, 2011, 128(1): 23-29
19 Vedhara K, Miles JNV, Wetherell MA, et al. Coping style and depression influence the healing of diabetic foot ulcers: Observational and mechanistic evidence. Diabetologia, 2010, 53(8): 1590-1598
20 Oddone CG, Hybels CF, McQuoid DR, et al. Social support modifies the relationship between personality and depressive symptoms in older adults. The American Journal of Geriatric Psychiatry, 2011, 19(2): 123-131

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