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Differences in life attitudes between general population and hospitalized psychosomatic patients: a comparative cross-sectional study.
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- Author(s): Valdés-Stauber, Juan; Böttinger, Jakob; Kramer, Sarah; Kämmerle, Helen
- Source:
Psychology, Health & Medicine. 2023, Vol. 28 Issue 7, p1729-1740. 12p. 8 Charts. - Source:
- Additional Information
- Subject Terms: RESEARCH; PSYCHOTHERAPY patients; RESEARCH evaluation; PSYCHOSOMATIC disorders; ATTITUDE (Psychology); CROSS-sectional method; MULTIPLE regression analysis; NEUROSES; PATIENTS' attitudes; LIFE; COMPARATIVE studies; CRONBACH'S alpha; T-test (Statistics); PSYCHOLOGICAL tests; PSYCHOSOCIAL factors; HOSPITAL care; DESCRIPTIVE statistics; STATISTICAL correlation; PHILOSOPHY; PUBLIC opinion; ATTITUDES toward death
- Subject Terms:
- Abstract: To compare the extent to which value-based life attitudes measured by means of the Life Attitude Profile (LAP-R) could differ between the general population and people suffering from mental disorders hospitalized in a psychosomatic ward. Cross-sectional comparative study between a sample of general population (n = 409) and a sample of unselected patients (n = 147) at admission in a psychosomatic ward. Comparisons were carried out by means of Cronbach's alpha, correlation matrix, t-tests, robust multivariate linear regression models (MLRM), and using propensity scores. The internal consistency of LAP-R is good (alpha = 0.90). Divergent validity with BFI dimensions is widely given. In MLRM general population scored higher for the indexes 'personal meaning' and 'existential transcendence', whereas psychosomatic patients for the dimensions 'responsibleness', 'death acceptance', 'goal seeking' and especially 'existential vacuum'. Sex, partnership and schooling display few associations. Neuroticism is negatively and agreeableness positively associated with life attitudes considered as protective. Norm values and differences were stratified by age ranges. This study demonstrates that basic human attitudes like personal transcendence, personal meaning, having a biographically supported mission in life, and belief in a reason for existence are so fundamental for individuals that they are to some degree given independently of having a mental disorder or not. Neuroticism is a risk trait and agreeableness a protective trait facing life attitudes. The findings of this study indicate that people suffering from mental disorders treated in a specialized psychosomatic unit in a general hospital have important value-based resources and simultaneously higher levels of existential vacuum that have to be considered in treatment planning but should also be embedded in a therapeutic alliance. The existential vacuum deserves special consideration in the treatment of patients, especially facing risk of suicide. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Psychology, Health & Medicine is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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