Miller A C, Gordon R M, Daniele R J, Diller L
Columbia University, Teachers College, New York, New York.
J Pediatr Psychol. 1992 Oct;17(5):587-605. doi: 10.1093/jpepsy/17.5.587.
The cognitive-behavioral model of stress and coping provided the framework for this study of mothers of physically disabled children (n = 69) and mothers of nondisabled children (n = 63). The first aim was to test for differences between groups in responses to stressful parenting events. As hypothesized, mothers of disabled children reported higher levels of depressive symptomatology. Differences in psychological distress and health status approached significance. The second aim was to explore the mediating influences of coping strategies and cognitive appraisals. As predicted, emotion-focused coping was related to increased psychological distress in mothers of disabled children whereas problem-focused coping was associated with decreased distress. Both relationships were significant even after controlling for differences in type of parenting stressor. Hierarchical regressions showed that 58 and 25% of the variance in psychological distress was explained by the independent variables; however, the predictors were different for the two groups of mothers. Factors that may explain the differential effectiveness of coping and appraisal, and clinical implications of this study are discussed.
压力与应对的认知行为模型为这项针对残疾儿童母亲（n = 69）和非残疾儿童母亲（n = 63）的研究提供了框架。第一个目标是测试两组在应对压力性育儿事件的反应上的差异。正如所假设的，残疾儿童母亲报告的抑郁症状水平更高。心理困扰和健康状况的差异接近显著水平。第二个目标是探讨应对策略和认知评估的中介影响。正如所预测的，情绪聚焦应对与残疾儿童母亲心理困扰的增加有关，而问题聚焦应对与困扰的减少有关。即使在控制了育儿压力源类型的差异之后，这两种关系仍然显著。层次回归表明，心理困扰方差的58%和25%由自变量解释；然而，两组母亲的预测因素不同。讨论了解释应对和评估的不同有效性的因素以及本研究的临床意义。
