Background In Hungary the psychological care provided during the rehabilitation of patients with chronic illnesses is insufficient. Patients with addiction, on the other hand, appear to make more use of psychological services. Narratives of patients recovering from addiction and patients with various chronic illnesses were examined in order to gain a better understanding of psychological phenomena during rehabilitation. Methods Semi-structured interviews were carried out. Narrative and thematic analysis was used in order to determine the structure and characteristics of patients' narratives. Results The narratives of patients recovering from addiction were found to be more structured and uniform; they identified with their illness and played an active role in their recovery. Patients with a chronic illness mainly recounted passive events and physical difficulties. Stigmatization was mentioned by both groups. Implications for practice The level of stigmatization experienced by patients with a chronic illness may be one of the reasons why they use healthcare services more frequently than patients with an addiction. The authors believe that teaching patients to provide good narratives about suffering from and recovering from chronic illnesses may aid them in the rehabilitation process. An adaptive mixture of different illnesses and addiction narratives might be beneficial in the recovery process of various patient groups.

中文翻译：

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成瘾和慢性疾病的康复：匈牙利患者叙述的比较分析。

背景 在匈牙利，慢性病患者康复期间提供的心理护理不足。另一方面，成瘾患者似乎更多地使用心理服务。为了更好地了解戒毒过程中的心理现象，研究了戒毒者和各种慢性病患者的叙述。方法 进行了半结构化访谈。使用叙事和主题分析来确定患者叙事的结构和特征。结果发现戒毒患者的叙述更加结构化和统一；他们认同自己的疾病，并在康复过程中发挥了积极作用。慢性病患者主要讲述被动事件和身体困难。两组都提到了污名化。实践意义 慢性病患者遭受的污名化程度可能是他们比成瘾患者更频繁地使用医疗服务的原因之一。作者认为，教导患者提供有关慢性病的痛苦和康复的良好叙述可能有助于他们在康复过程中。不同疾病和成瘾叙述的适应性混合可能有利于不同患者群体的康复过程。实践意义 慢性病患者遭受的污名化程度可能是他们比成瘾患者更频繁地使用医疗服务的原因之一。作者认为，教导患者提供有关慢性病的痛苦和康复的良好叙述可能有助于他们在康复过程中。不同疾病和成瘾叙述的适应性混合可能有利于不同患者群体的康复过程。实践意义 慢性病患者遭受的污名化程度可能是他们比成瘾患者更频繁地使用医疗服务的原因之一。作者认为，教导患者提供有关慢性病的痛苦和康复的良好叙述可能有助于他们在康复过程中。不同疾病和成瘾叙述的适应性混合可能有利于不同患者群体的康复过程。