躯体形式障碍患者非理性信念、应对方式及社会支持研究  

A Study on Irrational Beliefs, Coping Style and Social Supports in Patients with Somatoform Disorders

作　　者：杨泗学 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] 

机构地区：[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

出　　处：《中国临床心理学杂志》2014年第6期1020-1022,共3页Chinese Journal of Clinical Psychology

基　　金：连云港市卫生局2014年第一批科研项目(项目编号:局-1425)

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.

关 键 词：躯体形式障碍 非理性信念量表 应对方式问卷 社会支持评定量表 

分 类 号：R395.2[哲学宗教—心理学]