躯体形式障碍患者非理性信念、应对方式及社会支持研究

发布时间：2018-06-12 16:04

本文选题：躯体形式障碍 + 非理性信念量表　；参考：《中国临床心理学杂志》2014年06期

【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(P0.01);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(P0.01),自责、回避因子分显著高于对照组(P0.01),幻想因子分也明显高于对照组(P0.05),合理化因子分两组比较无统计学差异(P0.05);两组在社会支持总分和主观社会支持因子分上存在差异(P0.05),在社会支持利用度因子分上存在显著性差异(P0.01),而客观社会支持因子分无统计学差异(P0.05)。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。
[Abstract]:Objective: to investigate whether there is irrational belief in somatoform disorders, what coping styles are usually adopted, and their social support. Methods: 45 patients with somatoform disorder and 50 normal controls were measured with irrational belief scale, coping style questionnaire and social support rating scale. Results: there were significant statistical differences between the two groups in the scores of irrational belief scale (P0.01), and the score of help seeking factor in the patients with somatoform disorder was significantly lower than that in the control group (P 0.01), and the score of help seeking was significantly lower than that of the control group (P 0.01). The score of avoidance factor was significantly higher than that of control group (P 0.01), and the score of fantasy factor was significantly higher than that of control group (P 0.05). There was no significant difference between the two groups in the scores of rationalization factor (P 0.05), there was significant difference between the two groups in the total score of social support and the score of subjective social support factor (P 0.05). There was significant difference in the scores of social support utilization factors (P 0.01), but there was no significant difference in objective social support factor scores (P 0.05). Conclusion: the patients with somatic disorders have irrational beliefs and can not adopt positive coping style for their own physical symptoms. Although there is no lack of social support, their ability to feel and use social support is not as good as that of the normal control group.
【作者单位】：连云港市第四人民医院临床心理科;无锡市精神卫生中心心理科;连云港市第一人民医院;连云港市第二人民医院;
【基金】：连云港市卫生局2014年第一批科研项目(项目编号:局-1425)
【分类号】：R749.7

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