慢性病患者自我厌恶研究进展
Research Progress of Self-Disgust in Patients with Chronic Diseases
DOI: 10.12677/acm.2026.1682928, PDF,   
作者: 刘珊珊, 刘晓燕:山东大学护理与康复学院,山东 济南;山东大学齐鲁医院妇产科,山东 济南;张小磊, 王 霞*:山东大学齐鲁医院妇产科,山东 济南;崔思奇, 王 瑾, 张 媛*:山东大学齐鲁医院临床流行病学研究室,山东 济南
关键词: 慢性病患者;自我厌恶;影响因素;研究进展;Chronic Disease Patients; Self-Disgust; Influencing Factors; Research Progress
摘要: 近年来,慢性病的患病率与死亡率呈现持续上升趋势,该患者群体的自我厌恶问题逐渐引发社会关注。自我厌恶作为一种指向自身的负性情绪体验,不仅会直接加重患者的抑郁、焦虑等心理困扰,还可能诱发社交回避行为,降低治疗依从性,导致生活质量显著下降。本文在对自我厌恶概念、测评工具以及慢性病患者自我厌恶的现状进行综述的基础上,重点从临床视角分析人口学、疾病、心理、社会环境等方面的影响因素,并系统梳理了目前针对慢性病患者自我厌恶及相关心理困扰的社会干预研究,旨在为我国开展慢性病患者自我厌恶评估及临床干预提供参考,并结合中国文化情境提出研究与实践启示。
Abstract: In recent years, the prevalence and mortality of chronic diseases have continued to increase, and self-disgust among patients with chronic diseases has gradually attracted increasing social attention. As a negative emotional experience directed toward the self, self-disgust not only directly aggravates psychological distress, such as depression and anxiety, but may also induce social avoidance, reduce treatment adherence, and significantly impair quality of life. This article reviews the concept and measurement instruments of self-disgust, as well as the current status of self-disgust among patients with chronic diseases. From a clinical perspective, it focuses on factors associated with self-disgust, including demographic, disease-related, psychological, and social-environmental factors. It also systematically summarizes existing psychosocial interventions targeting self-disgust and related psychological distress in patients with chronic diseases. This review aims to provide a reference for the assessment and clinical intervention of self-disgust among patients with chronic diseases in China and to propose implications for future research and clinical practice within the Chinese cultural context.
文章引用:刘珊珊, 刘晓燕, 张小磊, 崔思奇, 王瑾, 王霞, 张媛. 慢性病患者自我厌恶研究进展[J]. 临床医学进展, 2026, 16(8): 1500-1509. https://doi.org/10.12677/acm.2026.1682928

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