Mao Wei-Chung, Bardwell Wayne A, Major Jacqueline M, Dimsdale Joel E
Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan.
Int J Behav Med. 2003;10(4):331-42. doi: 10.1207/s15327558ijbm1004_4.
Previous studies of coping, hostility, and depressive symptoms have highlighted the significant relations between all possible pairs of these 3 variables. To more completely explore the nature of depressive symptoms, we link them all together in this study by testing a coping-->hostility-->depressive symptoms path model. One hundred forty participants completed psychological questionnaires measuring coping strategies, hostility, and depressive symptoms. While controlling age and social class as covariates, SPSS stepwise regression analyses were used to examine relations among these 3 constructs. Results suggest that coping has a direct relation with depressive symptoms as well as an indirect relation mediated by hostility. Passive coping may lead to increased hostility, resulting in depressive symptoms. Active coping may have the opposite effect. These findings suggest that the inclusion of measures of both coping strategies and hostility yields a more thorough understanding of concomitants of depressive symptoms. From a clinical perspective, knowing what coping strategies a person uses and how much anger they experience and express may be useful in guiding the management of depressive symptoms.
以往关于应对方式、敌意和抑郁症状的研究强调了这三个变量所有可能组合之间的显著关系。为了更全面地探究抑郁症状的本质,我们在本研究中通过测试一个应对方式→敌意→抑郁症状的路径模型,将它们全部联系起来。140名参与者完成了测量应对策略、敌意和抑郁症状的心理问卷。在将年龄和社会阶层作为协变量进行控制的情况下,使用SPSS逐步回归分析来检验这三个构念之间的关系。结果表明,应对方式与抑郁症状有直接关系,也有通过敌意介导的间接关系。消极应对可能导致敌意增加,从而引发抑郁症状。积极应对可能会产生相反的效果。这些发现表明,同时纳入应对策略和敌意的测量方法,能更全面地理解抑郁症状的相关因素。从临床角度来看,了解一个人使用何种应对策略以及他们体验和表达愤怒的程度,可能有助于指导抑郁症状的管理。