Hughes I, Budd R, Greenaway S
Department of Clinical Psychology, Cardiff Community Healthcare NHS Trust, UK.
Br J Clin Psychol. 1999 Sep;38(3):295-304. doi: 10.1348/014466599162872.
This study aimed to explore the coping styles that agoraphobia sufferers adopt when attempting to cope with symptoms of anxiety and panic. It aimed to extend Watts's (1989) Coping with Anxiety Questionnaire (CAQ) by including items to assess self-vigilance. It was hypothesized that agoraphobia sufferers would adopt consistent coping styles that would be related to symptom severity.
A factor analysis was performed on questionnaire data.
A postal questionnaire was completed by members (N = 112) of a self-help group for agoraphobia and panic sufferers. All participants completed the Beck Anxiety Inventory, an Agoraphobia Severity Scale and a slightly modified version of the CAQ. Coping styles were identified via factor analysis of the CAQ items.
Three coping styles were identified, which were labelled Effective Coping, Avoidant Coping and Self-vigilance. The latter two coping styles were found to be correlated with increased levels of agoraphobic symptomatology and with higher levels of anxiety.
The present results support the previous research on coping tactics in anxiety and are compatible with cognitive therapy accounts of the role of self-vigilance in anxiety disorders.
本研究旨在探索广场恐惧症患者在试图应对焦虑和惊恐症状时所采用的应对方式。其目的是通过纳入评估自我警惕性的项目来扩展瓦茨（1989年）的《应对焦虑问卷》（CAQ）。研究假设为广场恐惧症患者会采用与症状严重程度相关的一致应对方式。
对问卷数据进行因子分析。
一份邮寄问卷由一个针对广场恐惧症和惊恐症患者的自助小组的成员（N = 112）完成。所有参与者都完成了贝克焦虑量表、广场恐惧症严重程度量表以及CAQ的一个稍作修改的版本。通过对CAQ项目的因子分析确定应对方式。
确定了三种应对方式，分别标记为有效应对、回避应对和自我警惕。发现后两种应对方式与广场恐惧症症状水平的增加以及更高的焦虑水平相关。
目前的结果支持了先前关于焦虑应对策略的研究，并且与认知疗法中关于自我警惕在焦虑症中作用的观点相符。
