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Originalartikel/Original Articles

Inkonsistenz und psychische Gesundheit: Eine Metaanalyse

Published Online:https://doi.org/10.1024/1661-4747.54.2.133

Zusammenfassung: Konsistenz im psychischen Geschehen gilt als Voraussetzung für gutes Funktionieren und für gute Gesundheit. Inkonsistenz dagegen verhindert eine effiziente Auseinandersetzung mit den Anforderungen der Umwelt und somit die Befriedigung der menschlichen Grundbedürfnisse, wird als Stressor gesehen und gilt als mitverantwortlich für die Entstehung von psychischen Störungen (Grawe, 1998, 2004). Inkongruenz als eine Art von Inkonsistenz beschreibt die Divergenz zwischen den Wahrnehmungen der Realität und den Wünschen und Zielen des Menschen. Diskordanz dagegen bezeichnet die gegenseitige Unvereinbarkeit von Zielen, Wünschen oder Motiven. Nach der Konsistenztheorie von Grawe spielen diese beiden Formen von Inkonsistenz, zusammen mit den Vermeidungszielen und dem Grad der Befriedigung von Grundbedürfnissen eine wichtige Rolle bei der Entstehung und Aufrechterhaltung von psychischen Störungen wie auch für das Wohlbefinden des Menschen. Die vorliegende Untersuchung gibt einen kurzen Überblick über Operationalisierungen von Inkonsistenzformen in der psychologischen Literatur und eine metaanalytische Zusammenfassung der Zusammenhänge zwischen Inkonsistenzformen und Merkmalen von Gesundheit und Krankheit. Die Ergebnisse entsprechen größtenteils den Annahmen der Konsistenztheorie. Inkonsistenzformen in unterschiedlichsten Operationalisierungen stehen im Zusammenhang mit Merkmalen von Wohlbefinden, Gesundheit und Krankheit. Zu berücksichtigen ist, dass die Ergebnisse meist aus Korrelationsstudien mit einem Messzeitpunkt stammen und deshalb nicht auf Ursache-Wirkungszusammenhänge geschlossen werden kann.


Inconsistency and Mental Health: A Meta-Analysis

Abstract: Consistency within the psychological processes is accepted as a precondition for efficient functioning and good health. Inconsistency in contrast impairs meeting the requirements of environment and therefore impairs the satisfaction of human needs. It is also seen as a stressor and having the potential to increase the vulnerability for mental disorders (Grawe, 1998, 2004). Incongruence is a form of Inconsistency, describing the divergency between the perception of reality and the goals of a person. Discordance as a second form of Inconsistency is the amount of conflict between goals, wishes and motives. According to the Consistency Theory of Grawe, these two forms of Inconsistency together with avoidance goals and satisfaction of human needs play an important role at the emergence and the maintenance of mental disorders, as well as for the wellbeing of humans. This study includes a short overview of the conceptions of Inconsistency in the psychological literature and a metaanalysis about the interrelations between forms of Inconsistency and characteristics of health and disease. The results support mostly the assumptions of Consistency Theory. Almost all forms of Inconsistency are associated with characteristics of subjective wellbeing, health and disease. One has to take into consideration, that most of the results come from correlational studies with only one measuring time. It is therefore not possible to distinguish between cause and effect.

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