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目的 旨在通过对肠易激综合征 (IBS)患者生活事件、特质性应付和应付具体方式的评价 ,探讨IBS患者的应付特征。方法 采用生活事件量表、特质应付和应付方式问卷对 4 1例连续就诊的IBS患者进行测评 ,并与消化性溃疡 (PU)患者和正常人进行对照。结果 IBS患者的负性生活事件刺激量 (4 3.92± 5 .75 )显著高于正常人 (2 3.4 5± 2 .73,P =0 .0 2 5 )及PU患者 (2 5 .4 3± 2 .98,P =0 .0 35 ) ;特质应付评分中 ,IBS患者的消极应付积分 (4 0 .79± 8.0 1)显著高于正常人 (35 .5 2± 7.6 0 ,P =0 .0 10 )和PU患者 (36 .4 1± 8.4 1,P =0 .0 4 5 ) ;IBS患者的幻想和退避应付方式与正常组存在显著差异 (P <0 .0 5 ) ,IBS患者的退避应付方式与PU组也存在差异 (P <0 .0 5 )。结论 IBS患者经历较多的负性生活事件 ,应付方式不当 ,改变IBS患者的应付方式可能是消除或减轻症状的有效途径。
The purpose of this study was to explore the coping characteristics of patients with IBS by assessing life events, idiosyncrasies and coping styles of patients with irritable bowel syndrome (IBS). Methods A total of 41 consecutive patients with IBS were evaluated using the life event scale, trait coping and coping style questionnaire, and compared with patients with peptic ulcer (PU) and normal controls. Results The amount of negative life events stimulated by IBS patients was significantly higher than that of normal controls (4.34 ± 2.73, P = 0.255) and PU patients (2.53 ± 0.375) 2 .98, P = 0. 35). Among the trait coping scores, negative coping scores of IBS patients (40.78 ± 8.01) were significantly higher than those of normal controls (35.5 ± 7.60; P = 0. There was a significant difference (P <0.05) between IBS patients with fantasy and evasion coping patterns (P <0.05) and PU patients (36.41 ± 8.41, P = 0.045) There was also a difference between withdrawal mode and PU group (P <0.05). Conclusions IBS patients experienced more negative life events and improper coping methods. Changing the coping style of IBS patients may be an effective way to eliminate or relieve the symptoms.