Evolution of disease coping styles in patients with keloid: a qualitative study
10.3760/cma.j.issn.1671-0290.2025.01.013
- VernacularTitle:瘢痕疙瘩患者疾病应对方式演变的质性研究
- Author:
Yue HE
1
;
Dan LIU
1
;
Zirong LI
1
;
Mengmeng ZHOU
1
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院整形美容外科国际医疗部（西单院区），北京 100032
- Publication Type:Journal Article
- Keywords:
Keloid;
Self-depletion;
Self-control;
Coping style;
Qualitative research
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(1):68-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the evolution process of coping styles in patients with keloids.Methods:A purposive sampling method was used to select 35 keloid patients from the Department of Plastic Surgery, Peking Union Medical College Hospital from August 2022 to May 2024. The cohort included 13 males and 22 females, aged 12-66 (35.1±3.5) years. Semi-structured interviews were conducted with the patients based on the self-depletion theory, and themes were extracted to construct a theoretical framework.Results:During the course of keloid disease, the initiating factors leading to maladaptive coping styles in patients included symptom distress, body image disturbance, lack of support, and excessive family reactions. Under the influence of these initiating factors, patients exhibited impairments in cognition, emotion, and attention control, followed by impulsive decision-making, negative emotions and avoidance, as well as diminished willpower and submission, ultimately resulting in maladaptive coping styles.Conclusions:Maladaptive coping styles in patients with keloids are a self-depletion process triggered by multiple factors. Intervening at the cognitive, emotional, and attention control levels can help patients develop effective coping styles for their condition.
