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认知应对策略与抑郁和焦虑症状:青少年与成年人的比较

Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults.

作者信息

Garnefski Nadia, Legerstee Jeroen, Kraaij Vivian V, Van Den Kommer Tessa, Teerds Jan

机构信息

Department of Clinical and Health Psychology, University of Leiden, The Netherlands.

出版信息

J Adolesc. 2002 Dec;25(6):603-11. doi: 10.1006/jado.2002.0507.

Abstract

The present study focused on comparability of adolescents and adults in the reporting of cognitive coping strategies and their relationship to symptoms of depression and anxiety. Two samples were included: 487 adolescents attending a secondary school and 630 adults from a general practitioners practice. Data were obtained on symptoms of depression and anxiety and the use of nine cognitive coping strategies: acceptance, catastrophizing, other-blame, positive reappraisal, putting into perspective, refocus on planning, positive refocusing, rumination and self-blame. The results showed that all cognitive coping strategies were reported by adolescents to a significantly lesser extent than by adults. Further, it was shown that both in adolescents and adults a considerable percentage of the variance in symptomatology was explained by the use of cognitive coping strategies. Although adolescents and adults differed in relative strength of the relationships, generally speaking, conclusions were the same: in both groups, the cognitive coping strategies self-blame, rumination, catastrophizing and positive reappraisal were shown to play the most important role in the reporting of symptoms of psychopathology, showing the importance of introducing prevention and intervention programmes at an early stage.

摘要

本研究聚焦于青少年和成年人在认知应对策略报告方面的可比性,以及这些策略与抑郁和焦虑症状的关系。研究纳入了两个样本:487名就读于中学的青少年和630名来自全科医生诊所的成年人。收集了关于抑郁和焦虑症状以及九种认知应对策略使用情况的数据,这九种策略分别是:接受、灾难化、责备他人、积极重新评价、正确看待、重新聚焦于计划、积极重新聚焦、沉思和自责。结果显示,青少年报告的所有认知应对策略的程度均显著低于成年人。此外,研究表明,在青少年和成年人中,相当一部分症状学变异可由认知应对策略的使用来解释。尽管青少年和成年人在关系的相对强度上存在差异,但总体而言,结论是相同的:在两组中,认知应对策略自责、沉思、灾难化和积极重新评价在精神病理学症状报告中显示出最重要的作用,这表明早期引入预防和干预计划的重要性。

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