Das Bewältigungsverhalten von Schlaganfallpatienten: Intensität und Effektivität

Abstract

This study longitudinally examines the intensive and effective ways of coping in a cohort of 63 stroke patients (aged 38±85 yrs.). The coping activities of the stroke patients are investigated with the (cid:185)Freiburg Questionnaire of Coping with Illness (FQCI)™. In the acute phase (t 1 ), especially the compliance-focused coping strategies are (cid:185)very often™ used, whereas the problem-focused, self-constructive strategies leading to a quest for sense are only used (cid:185)quite often™. Three months later (t 2 ), compliance-and pro-blem-focused coping strategies are employed with less intensity, the self-constructive ones, however, in a more intensive way. The strategies leading to a quest for sense are hardly employed in an intensive way any longer. A subjective estimation made by the examined stroke patients shows that the most effective coping strategies in the acute phase (t 1 ) are problem-and compliance-focused. Self-constructive coping strategies come second and strategies with regard to a quest for sense only third in view of their effectiveness. Three months later (t 2 ), the effective coping strategies are still problem-focused but only to a very small degree, while the effectiveness of compliance-focused strategies is lost completely. The self-constructive coping behaviour will now become the most effective one, a behaviour which proves to be even more inclined to a quest for sense than in the acute phase.